Q: My child's clear runny nose turned yellow while on antibiotics. Is this a bad sign and should we see an ENT?

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 was prescribed medication, including antibiotics, by a pediatrician last week. They have been taking the medicine, but their clear runny nose has now turned yellow. Is it possible for a runny nose to change color like this while on medication? Should I take them to an Ear, Nose, and Throat (ENT) specialist?

Answer:

It can be worrying when your child's symptoms change, even while they're on medication. Let's break down what's happening.

【Summary of the Current Situation】

Your child is taking medication, including an antibiotic, and their clear nasal discharge has turned yellow.

【What Yellow Nasal Discharge Means】

• It's a natural part of a viral cold for nasal discharge to become yellow or green around day 3 to 7. This is due to an increase in infection-fighting white blood cells.

• Even while taking antibiotics, the discharge can temporarily thicken and change color as part of the body's natural inflammatory recovery process from a virus.

• We do not diagnose a secondary bacterial infection based on the color of the mucus alone.

【Check Before Visiting an ENT】

If any of the following warning signs are present, please contact your current pediatrician first:

• Symptoms persist for more than 10 days or are getting worse.

• A high fever (over 38.5°C or 101.3°F) continues for more than 3 days.

• Pain or swelling around the face or eyes.

• A severe headache or a stiff neck.

• Difficulty breathing or wheezing.

• The condition is steadily worsening with no signs of improvement.

【What to Do at Home for Now】

• Use saline nasal sprays or rinses 3-4 times a day to help clear the nasal passages.

• Ensure your child is drinking plenty of fluids.

• Maintain indoor humidity between 40-60%.

• It is very important to complete the full course of prescribed medication as directed by your doctor.

【When to Consult a Doctor】

• If there are no warning signs and your child's overall condition is improving, you can wait for a re-evaluation after the medication is finished.

• If symptoms last longer than 10 days or worsen again during treatment, contact your current pediatrician to determine if a follow-up visit is necessary.

• A referral to an ENT specialist is usually a step-by-step process made based on the pediatrician's assessment and judgment.

For today, please continue with the home care measures above and let us know immediately if any new or concerning symptoms develop.

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