Q: My child has a stuffy nose on just one side and a temp of 37.4°C. Should I be concerned?

This post is a dramatization of a question and answer session experienced by our actual medical reviewers. Please note that this content is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.

Question:

My child has a stuffy nose from what seems like a cold, but only on one side. Their temperature is 37.4°C. Is it okay to just watch and wait at home?

Answer:

A one-sided stuffy nose must be uncomfortable for your little one. Here is some guidance on how to manage it.

【Current Situation】

A temperature of 37.4°C is within the normal range. Stuffy congestion on only one side could be the beginning of a cold or related to allergies.

【What to Do at Home Now】

• Saline nasal spray: Spray 1–2 times into the blocked nostril, then gently suction.

• Maintain indoor humidity between 40–60% (use a humidifier or hang a wet towel).

• Ensure they drink plenty of fluids.

• Elevate their upper body slightly during sleep (place a folded towel under the head of the mattress or pillow).

【When to Seek Same-Day Medical Care】

If any of the following apply, visit a pediatrician or an urgent care clinic today:

• Seems to have trouble breathing (e.g., ribs pulling in with each breath, nostrils flaring).

• Develops a fever of 38.0°C or higher.

• Swelling or pain on one side of the face or around the eye.

• Yellow or green nasal discharge accompanied by facial pain for 10 days or more (this could indicate sinusitis).

• The stuffiness severely interferes with eating or sleeping.

【When to Call for a Consultation】

• No improvement or symptoms worsen after 3–5 days.

• Develops new symptoms like an earache or a persistent cough.

Please try these home care measures and let us know if there are any changes in your child's condition.

For extra peace of mind and clear guidance when tracking your child's symptoms, the FeverCoach app is always there to help.

https://fevercoach.us