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Chronic Nasal Congestion in 2 year old
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Chronic Nasal Congestion in 2 year old

My two year old has had blocked nasal passages for months.  He's been treated for sinus infection 3 times in 4-5 months.  He rarely gets any relief.  I am using Ocean spray two times a day, use Vick rub at night with a vaporizer.  I have tried Rhinocort and also daily Claritin (per dr. direction).  I've noticed no difference (have since stopped).  His nose is not runny and he's not sneezy.  It's just blocked.  He sleeps fine, isn't running fever, seems happy and unbothered.  I, on the other hand, am frustrated and feel somewhat helpless.  I can't figure out the cause or give him any relief.  Where do I go next, an ENT or Allergist?  I should mention that I've read quite a lot about how to reduce allergens around the house ... which I've done.  I even tried eliminating milk.  Nothing has changed.  I have recently been diagnosed with a rare auto-immune vasulitis which started with simple nasal congestion.  I'm slighly panicked and need someone to slap some sense into me.
Thanks.  
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You should have your son evaluated by an ENT.  He could have an anatomical obstruction, adenoids (adenoids) or other that would block his nose and predispose him to sinus infections.  The ENT will be able to carefully evaluate both his nose and throat.  This specialist will also be able to tell you if the appearance of the lining of his nose is typical of allergic rhinitis and you may then have to take him to an allergist.
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I would consider going to an ENT and talk to them about his adenoids (adenoids).  They may possibly be enlarged and thus causing the blocked nasal airway.  Since his nose is not running or he's not sneezing, it doesn't sound like allergies.  My son went through something similiar.  He had ten plus ear infections within a six month period between the ages of one and two.  He also had sleep apnea.  He had his adenoids (adenoids) removed at 2 1/2 years old.  He now rarely gets a cold and if he does it only lasts 3-4 days max.  He is now almost 7 years old.  I hope this helps a little for you.  
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