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Sonja Brownlee, Md, FAAP
Pediatrician

1825 Pinion Road, Suite E
Elko, Nevada  89801
775-778-6762

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Last Updated 1/2010

 

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Runny Nose (with green or yellow mucus)

a Guide for Parents written by the CDC (Centers for Disease Control)

A runny nose is a normal part of what happens during the common cold.  Here are some facts about colds and runny noses.

What causes a runny nose during a cold?

When germs that cause colds (cold viruses) first infect the nose and sinuses, the nose makes clear mucus.  This helps wash the germs from the nose and sinuses.  After two or three days, the body's immune cells fight back, changing the mucus to a white or yellow color.  As the bacteria that live in the nose grow back, they may also be found in the mucus, which changes the mucus to a greenish color.  This is normal and does not mean your child needs an antibiotic.

What should I do?

The best treatment is to wait and watch your child.  Nasal discharge, cough, and symptoms like fever, headache, and muscle aches may be bothersome, but antibiotics will not make them go away any faster.

Some people find that using saltwater nose drops or using a cool mist vaporizer helps their child feel better.  Click here for more suggestions:  What treatments can be done for a cold?

Are antibiotics ever needed for a runny nose?

Antibiotics are needed only if your doctor tells you that your child has sinusitis.  (Sinusitis is not common.  In most children, when sinusitis does occur, it is a secondary infection that happens after your child has had a runny nose for a week or so).

Your child's doctor may prescribe drugs or give you tips to help with a cold's other symptoms like fever and cough, but antibiotics are not needed to treat the runny nose.

Why not try antibiotics now?

Taking antibiotics when they are not needed can be harmful.  Each time someone takes antibiotics, they are more likely to carry resistant germs in their noses and throats.  These resistant germs cannot be killed by common antibiotics.  Your child may need more costly antibiotics, or antibiotics given by needle, or may even need to be in the hospital to get antibiotics.  Since a runny nose almost always gets better on its own, it is better to wait and take antibiotics only when they are needed.

Click here for more information on Antibiotics and Colds.