The child has watery eyes with a runny nose, fever: causes and treatment

Children are our joy and the meaning of life. It is clear that each of the parents wants to see their baby healthy and happy. But the child is a child. He is active, sociable and, due to an imperfect immune system, is especially prone to dangers at every step, such as infectious and viral diseases, traumas. If the mother or father sees that the baby's eyes are "in a wet place," they first think that their child fell, hit or someone hurt him, and are very surprised, not finding any obvious reasons for tears. But tears do not always flow only from pain and resentment. The eye can catch the child's eyes for other reasons. And parents should know in which cases children's tears require not only attention and care on their part, but also visits to one or even a few specialist doctors.

What are tears?

Experiencing severe pain, great joy or sincere emotion, we notice how, without our participation, droplets of tears begin to appear before our eyes, although it is almost impossible to squeeze them out. This is so common and everyday, because few people think about what tears are and why in some cases they are released in large quantities than usual.

Tears are a physiological fluid that has a certain chemical composition and carries information about the state of human health (as well as blood). The main component of tears is water, it is in the tear fluid of the order of 98-99%. But after all, many noticed the salty taste of tears, while ordinary water does not taste. How does this work out?

The fact is that the remaining 1-2% of the composition of tears include chemical elements (primarily sodium in the form of chlorides and carbonates, magnesium, calcium oxide, potassium), multiple varieties of proteins, carbohydrates, enzymes, which give a transparent first glance tears a salty taste. The qualitative and quantitative composition of tears, depending on the state of a person, undergoes constant changes, according to which one can judge whether everything is in order in the body.

Anyone who believes that tears are produced by the lacrimal glands only at the time of pain or joy is very mistaken. Lacrimal fluid is produced in the human body constantly. It is thanks to them that the body is constantly moistened (which means that its tension is removed), they supply nutrients to the cornea of the eye and protect the eye from various bacterial factors.

The latter function is accessible to the tear due to the presence in its composition of a special enzyme called lysozyme, which destroys the protective walls of bacterial cells. The tear helps to remove from the eye foreign bodies that have got into the body from the outside.

Usually a small amount of tear fluid (up to 1 ml) is produced per day, which after descending to the lower nasal passages after performing its functions on the lacrimal pathways (lacrimal lake, tear ducts, lacrimal sac and lacrimal nasal ducts). And we do not even notice that such a complex process is taking place in the body.

The secretion of tears in the lacrimal glands is greatly influenced by the psychoemotional state of a person, so we cry when we experience pain or joy. The protective mechanism with increased release of tear fluid works and under the influence on the eye or nasal passages of negative factors that cause their irritation (harsh odors, allergens, wind, cold, foreign bodies).

But lacrimation can become one of the symptoms of various diseases. The pathogenesis of such a pathology of newborns, as dacryostenosis, is the congenital anomaly of lacrimal ducts, in which they remain pathologically narrow. But with dacryocystitis (a possible complication of the previous pathology) it is a question of stretching the lacrimal sac with its subsequent inflammation. Both these and other pathologies are manifested in the form of increased lachrymation.

Epidemiology

According to statistics, about 2-6% of newborns suffer from congenital narrowing of lacrimal ducts and other obstruction of the nasolacrimal canal. Most often these are premature babies with underdevelopment of various body systems (the formation of the nasolacrimal canal ends by the 8 month gestation period) or children with certain pathologies of development (for example, in the case of Down's disease, lacrimation is noted in 20-35% of cases).

However, doctors say that in most newborns with impaired patency of the tear ducts pathology does not require medical intervention. During the first year of life, the system of shedding comes to normal and the eyes of the child no longer tear. But there are still about 10% of children whose lachrymation can be cured only in an operative way.

But again, lachrymation in childhood does not always indicate an innate pathology. There are other diseases, the symptom of which is the excessive secretion of tear fluid, which is not associated with the reflex (physiological process of moisturizing and clearing the eyes) or emotional factor.

[1], [2], [3], [4], [5], [6]

Causes of the watery eyes in the child

Careful and loving parents can not calmly look at the tears of their baby and do not find out why the child's eyes are wet, whether this is due to his psychoemotional state or is a symptom of a certain disease, which is most often indicated by additional symptoms (pus, sneezing, coughing, temperature rise and so on).

To understand what caused the tearing in the child, the usual conversation with the child about the events preceding the appearance of tears will help. If, for example, it is a broken knee, a bruised finger, offensive actions by peers or adults - there is nothing to worry about. Tears will pass away immediately, as soon as the pain subsides and the resentment goes away.

Tears in a child, as in an adult, can also appear under the influence of irritating factors. The sharp smell of onions, which simply can not help but cause tears, pungent smells of paint and other chemicals, whether cosmetic, dishwashing, or fuel for the car, irritate the nasal mucosa and eyes, which causes a response in the form of tears. This state also passes quickly enough and does not require treatment.

The fact that the child has watery eyes on the street in cold and windy weather (especially when leaving a warm room), also should not particularly worry the parents. Lachrymation in this case is a physiologically conditioned reaction to the effect of stimuli (spasm and edema of the tear ducts with a sudden change in temperature), which are wind and cold. This phenomenon can be either single or permanent.

The fact that the child's eyes are watery in the wind are rarely associated with pathologies of the anatomical structure of the eyes and nose. But if a child has only one eye that is very teary, this may well indicate some anatomical pathology (for example, curvature of the nasal septum, a small lumen of the lacrimal duct, stenosis of the tear ducts). Lachrymation is observed from the eye located in the area of the affected area, where the tear ducts do not cope with their own and their duties and the tear goes out.

[7], [8]

Risk factors

Risk factors for the appearance of lacrimation, not associated with congenital or acquired health pathologies, can also be:

• Ingestion of foreign body or microparticles with irritating effect (particles of dust, lint from clothing, elements of hairs, grains of salt or other chemical substance).
• Effects on the eye of very bright light, as one of the non-physical stimuli.
• Injury of the eye, nose, or branch of the trigeminal nerve.
• Contact with foreign objects in the nose and their irritating effect.
• Locating in the area of exposure to fumes, corrosive fumes or gases.
• The use of spicy seasonings.
• Erection of "eye" teeth in young children. These are teeth on the upper jaw, the eruption of which can be accompanied not only by pain, itching and increased salivation, but also by lacrimation.

Medical intervention in this list may require only trauma to the face and body, as well as a thermal or chemical burn of the mucous eye or nose. Sometimes a doctor's help is required if you can not remove the foreign body from your eyes on your own.

But sometimes the eye of a child is watered down due to a more serious cause, which are various health pathologies that require appropriate treatment. In this case, lacrimation ceases only if the therapy of the underlying disease is effective. It goes along with the rest of the symptoms.

[9],

Symptoms of the watery eyes in the child

In itself, lacrimation in medical pediatric practice is extremely rare. This symptom mainly goes in conjunction with the main symptom of the existing disease.

Most often saliva and sneezing are added to the salivation, which are not always, though often, signs of respiratory diseases. Runny nose can appear as a consequence of increased secretion of the lacrimal glands, when the child cries for pain, insult or exposure to mucous strong irritants. He, along with the release of tears, is observed when the milk teeth are pricked.

Sometimes a child has a watery eye, and a runny nose appears when the baby is exposed to hypothermia. These same symptoms can be a consequence of overheating of the body when in a room with a fever or excessive kutaniya child.

If a child has watery eyes and he sneezes, this does not mean that he is sick. All the fault may be inappropriate microclimate in the room where the baby is. Risk factors for the appearance of lachrymation, runny nose and sneezing can be dust and sharp smells in the room, too low or high room temperature, as well as low or high humidity. These same factors can provoke the emergence of "causeless" tears in a child on the street.

Imperfection of the immune system of the child leads to the fact that many children (especially premature babies) suffer from allergies, the symptoms of which are a runny nose, sneezing, increased secretion of a tearful fluid. And various substances can act as allergens: various microorganisms, parasites, secrets of insects, pollen of flowers, chemicals, medicines, food. Often, children and adults are allergic to dust, especially paper.

On the allergic nature of lacrimation in these cases will indicate the appearance of tears only under the influence of certain factors and itching in the area of the eyes, as a result of which the baby always rubs his eyes with a fist.

If a child has a watery eye after vaccination (especially in this regard, DPT vaccination is indicative), and a runny nose appears, it can also be attributed to allergy manifestations indicating a weakened immunity.

Vaccination is the introduction into the body of a small fragment of a viral infection foreign to it. Therefore, it is natural that all the forces of the body are sent to fight infection.

If the child is healthy and has good immunity, the vaccine passes without complications in the form of lacrimation, runny nose, coughing, fever, etc. But if the immune system is weakened by an existing infection in the body, which probably has not yet manifested itself, it is likely that the vaccine can trigger the development of the disease with the appearance of the corresponding symptom, both allergic and catarrhal.

If the child has fever and watery eyes, and these symptoms are not related to vaccination, then there is a high probability that they are caused by ingestion of a viral infection. ARVI is a fairly common diagnosis in childhood, when the immune system is not yet able to cope with virus control, especially in autumn and winter. Symptoms of respiratory viral infection are sneezing, runny nose, reddening of the throat, fever, and sometimes even tearing, which occur with effective treatment.

Sometimes parents see that the child has a cough and watery eyes, and write off everything for dusty air or allergy manifestations. This is quite possible, but it should not be forgotten that these same symptoms can indicate an inflammatory reaction in the nose caused not only by the effect of allergens, but also by the negative effects of bacterial, viral and even fungal infection.

These are various types of sinusitis (inflammation of the paranasal or paranasal sinuses), the symptoms of which are known to many. This cough, nasal congestion, lacrimation, headaches, fever, sneezing and other unpleasant manifestations. Note that allergic rhinitis may have the same symptoms, but without the fever.

It would seem, what has the inflammation of the nasal mucosa to the eyes? The fact is that inflammation of the mucous membrane can lead to swelling in the nasal septum, which now prevents sputum from escaping (snot). Snot, accumulating in large quantities, in turn, squeezes the tear duct, so that tears do not enter the nasal passages, but pour out.

The appearance of a strong cough, for example, with bronchitis, can also cause lachrymation. Tears in this case appear during coughing and are caused by severe discomfort and even pain when coughing. Outside of coughing attacks, tears do not appear.

When the child is swollen and teary with eyes, there can be a great number of reasons for this. Even the most incredible. For example, lice that can settle not only on the head, but also at the roots of the baby's cilia. Or banal overheating in the sun.

The swelling of the eye can contribute to crying for a long time. A glazik can also swell from an insect bite, i.e. An allergic reaction to a bite.

In older children, edema of the mucosa may be associated with postoperative complications or improper selection of contact lenses. Eye swelling can cause and some pathologies, which will be written below.

If a child's eyes are tearing from the light, parents should seriously take this moment, because this symptom can become the first sign of inflammation of the mucous membrane of the eye, which becomes more sensitive to irritants, including light. The cause of inflammation of the mucous eye, which is called conjunctivitis, according to medical terminology, can be both an allergic reaction and an infectious factor (viruses or bacteria). Bacteria can be entered into the eye with dirty hands, and babies often rub their eyes, not watching the purity of their fingers, palms and cams. Reproduction of viruses on the eye mucosa is promoted by weakened immunity in the child.

If parents see that the child has a red eye and is watering, it is possible that the baby has just rubbed the eye and everything will be after a little time. If the redness does not come off, and other unpleasant symptoms join it, for example, pain and swelling of the eyelid, most likely the baby develops conjunctivitis. Although the same symptoms can accompany other inflammatory pathologies, such as the inflammation of the sebaceous glands (blepharitis), manifested as barley or haljason (chronic or "frozen" barley), inflammation of the lacrimal glands (dacryoadenitis), etc.

Lachrymation and eyeball are also characteristic for the early stages of acute dacryocystitis with the release of pus (phlegmon of the lacrimal sac).

If the child's eyes are red, swollen mucous, tears flow, but there is no pain, most likely these symptoms are associated with an allergic reaction. But the appearance of pain is a sign of inflammatory processes in the eye area or irritation of the trigeminal nerve.

But pain is a companion and other pathologies of the eye. For example, glaucoma, which, by the way, affects not only adults. In this case, the child hurts his eyes and water, there are headaches, nausea, vomiting.

If a child or an adult coughs and fits, then most likely we are dealing with conjunctivitis. Although, again, the secretion of pus from the eye can be associated with the pathologies of the tear ducts and stagnant phenomena in the eye, which is often observed in the period of newborn and in young children.

Particular attention should be paid to parents who noticed that their child has watery eyes when watching TV. If this is an isolated case, then most likely, lacrimation is associated with overexposure of vision and eye fatigue caused by the contemplation of bright flashing pictures on the screen.

If the symptom is repeated every time you watch TV, especially when the child is at the TV or computer for a short time, you should not postpone the trip to the ophthalmologist. The causes of tearing eyes when watching TV is very much. And it is important to identify exactly the one that caused such a symptomatology.

For the general development, let us say that lacrimation during and after watching TV programs, as well as with any vision tension in children, can be caused by:

• abnormalities of refraction (astigmatism),
• presence of foreign bodies in the conjunctiva of the eye,
• various changes in the mucosa, including inflammatory processes,
• obstruction of nasolacrimal pathways,
• edema of the nasal mucosa with rhinitis,
• metabolic disorders, in which crystals are deposited on the cornea, unusual inclusions appear, etc.,
• hereditary dystrophy of the cornea, and other anomalies of the iris of the eye,
• allergy,
• incorrect growth of eyelashes (sometimes this happens against the background of blepharitis),
• inadequate closure of the eyelids,
• glaucoma, disorders of accommodation,
• involuntary movement of the eyes (nystagmus),
• pathologies of the fundus, etc.

As you can see, without the help of a specialist, this can not be done. But sometimes the eyes of a child get watered because of a serious pathology, which requires careful diagnosis and immediate treatment. Ignoring the watery eyes of the child, the parents doom their children to major health problems in the future, because what can be easily and quickly cured at an early stage, when switching to a chronic form, makes it much more difficult for therapy that becomes more prolonged and not always successful . There is something to think about.

Tears in newborns

Parents need to know that infants are deficient in the development of certain systems, including tear and shedding systems. Tear glands in newborns are not yet capable of producing a secret, so babies cry for up to 2 months without secreting tears.

If the eyes of a newborn child are watered, this must necessarily alert the parents. Such a baby should be shown to the doctor, who will subsequently monitor the child's condition.

Isolation from the eyes of the infants during the first months of life of a light yellow liquid is a symptom of congenital obstruction (impaired patency) of the nasolacrimal canal. Such a pathology manifests itself as lachrymation with serous-purulent secreted, and in some cases, development of inflammatory disease of the lacrimal sac (dacryocystitis) due to obstruction or stenosis of lacrimal ducts.

In occasion of a stenosis (narrowing) of nasolacrimal ways all is clear. This is a congenital pathology with which one can live. In 90% of cases the problem is solved with age and does not require special treatment.

But with the plugging of the lacrimal canalicules the situation is different. While the child is in the womb of his mother, some of his organs, including the eyes and nasopharynx, are protected by a special film that does not allow the amniotic fluid to enter the fetal body. The rupture of the protective film occurs in the first days after the birth of the child, his eyes and nose begin to function normally. If the film does not break, stagnant phenomena appear in the eye, which is manifested as a discharge of purulent fluid, redness and swelling of the eye, cilia cramping, pain.

Because of such symptoms, parents often confuse dacryocystitis with conjunctivitis, begin to treat the baby with the usual means in this case, which does not bring a positive effect. After all, the causes of pathologies are significantly different and require different treatments.

If a child has an eyelid before 1 year, this is most likely not due to mild irritation, but to a certain pathology, which can be detected only by a specialist doctor. But self-medication in this case can have rather dangerous consequences, which the mother or father can hardly wish for her child.

Even if the lachrymation of the baby is associated with a simple scratching of the eye (and little children often reach for them with handles, not yet realizing the danger), one should not be treated irresponsibly. It is very simple to bring a bacterial infection into the wound, which in turn will cause an inflammatory process with an unpleasant and even dangerous for the baby symptomatic.

Complications and consequences

Lacrimation as such is not dangerous for the child, except that it brings some discomfort. Another thing is the pathology, in which the eye drops in the child. They can be very dangerous with insufficient treatment, causing various complications.

Take at least an allergy, to which many people are very superficial. But after all, the effect of an allergen on the body can cause not only lungs (in the form of rash, sneezing and cold), but also severe allergic reactions that are dangerous for the life of the child (anaphylactic shock, laryngeal edema, etc.). In addition, the consequences of allergies can be:

• development of bronchial asthma,
• hemolytic anemia leading to anemia,
• chronic rhinitis, which often leads to sinusitis,
• inflammation of the middle ear (otitis), and as a consequence of hearing impairment, inflammation of the meninges and bones of the head,
• skin pathologies: dermatitis, psoriasis, eczema, etc.

No less pleasant consequences for untreated sinusitis. Inflammation inside the sinuses of the nose is fraught with the spread of infection to other organs, and since the nose is located on the head, in the immediate vicinity of the brain, then the brain suffers first. Complications of sinusitis can be meningitis, arachnoiditis, or cerebral abscess.

Since sinuses also involve the eyes in the process, the phlegmons and abscesses of periorbital fat can form as a result of the disease, which negatively affects vision.

Very dangerous consequences of sinusitis are osteomyelitis of the bones of the face and thrombosis of the cavernous sinus, which easily leads to the development of septic disease.

Very popular among infants, acute respiratory viral infection can develop into meningoencephalitis, acute narrowing of the larynx, Gasser's disease with the development of renal failure, toxic encephalopathy with neurological disorders, infectious nerve damage (polyradiculoneuritis), violation of air passages in bronchioles of the lung (obliterating bronchiolitis), myocarditis and other dangerous pathologies.

Specific complications of SARS are also considered:

• bleeding of the skin and mucous membranes (hemorrhagic syndrome),
• convulsive syndrome at high temperature (febrile convulsions),
• acute hepatic encephalopathy (Ray's syndrome), dangerous for the life of the baby.

If during the progression of the viral infection, bacterial infection also joins it, it is fraught with the development of such pathologies as otitis media, rheumatic fever, bronchitis, pneumonia, purulent lymphadenitis, glomerulonephritis, meningitis, various types of sinusitis, etc.

Started glaucoma often causes the violation of various visual functions in children, which leads to a lag in mental development, poor performance, etc.

Conjunctivitis in untimely treatment threatens to pass into a chronic form, cause otitis, dacryoadenitis, lead to cosmetic defects (change in the shape of the eyelids) and visual impairment. And in children, complications after conjunctivitis are much more likely than in adults.

Dacryocystitis is dangerous due to the development of complications such as dropsy of the lacrimal sac or its strong tension, as a result of which the soft tissues protrude outward. If the eye gets another bacterial infection, then the probability of developing purulent conjunctivitis is high. In addition, dacryocystitis can easily develop into a phlegmon of the lacrimal sac, which leads to the formation of fistulas, of which mucus and purulent fluid are constantly released.

[10], [11]

Diagnostics of the watery eyes in the child

Many parents, when they see the teardrop face of their baby, start to panic and do not know what to do if the child's eyes get wet. Panic in this case is the last thing. You just need to watch the baby. Perhaps lacrimation will quickly pass, and a visit to the doctor will not be required. If this does not happen, consult a doctor nevertheless have to apply. In this situation, a pediatrician, an ophthalmologist, an ENT will help.

Since lacrimation is a sign of various, often unrelated diseases, it is not surprising that with similar symptoms the doctor can prescribe completely different methods of research.

The diagnosis of the condition begins, in which the child's eye or both eyes are peeling off immediately, with the examination of the small patient by an ophthalmologist, studying the anamnesis and complaints of the child or his parents. The doctor carefully examines the eyes and eyelids of the child, especially their rib edge, examines the location and condition of lacrimal points. At the same time, he can press on the tear sack to determine the patency of the tear ducts, turn out the upper eyelid and drip onto the conjunctiva with a fluorescent solution to detect a foreign body.

If the glaucoma is suspected, the doctor should first measure the intraocular pressure. In most pathologies, in which the child has watered eyes after watching TV, enough information is provided by examining the eye with a slit lamp. Verification of vision refraction with the help of instillation into the eye of atropine and examination of the fundus with an ophthalmoscope are also performed, and tubular and nasal samples are made.

Analyzes are prescribed to determine the presence of the inflammatory process, the type of infection and the purpose of safe treatment. Sufficient information about the patient's condition is provided by a general analysis of blood and urine.

Sometimes a child needs consultation not only from an ophthalmologist, but also an ENT doctor with a rhinoscopy. Sometimes an endoscopic examination of the nose is appointed with washing and probing the tear ducts.

From the methods of instrumental diagnostics the kid can be assigned radiography of the lacrimal ducts and CT of the head. The latter is prescribed mainly for suspected dangerous complications affecting the brain structures.

Differential diagnosis

Differential diagnosis is mainly carried out between purulent conjunctivitis and dacryocystitis, especially in infants, as well as between bacterial and allergic rhinitis, which require different approaches to treatment.

It is quite possible to diagnose ARVI even to a pediatrician, but we need to check if the virus infection has developed into something more, for example, into one of the types of sinusitis.

[12], [13], [14], [15]

Treatment of the watery eyes in the child

Treatment doctor appoints only after finding out the reason why the child's eyes are watering, because different pathologies imply a different approach to treatment.

Before getting to see a specialist, it is not recommended to perform any medical procedures other than washing the eyes. On the question of how to wash the eyes of a child, you can answer unambiguously-anti-inflammatory and antiseptic solutions (strong tea, chamomile or sage broth, "Furacilin" solution) using individual napkins for each eye.

The doctor prescribes treatment, depending on the underlying underlying disease that caused tearing.

If the child has a fever, runny nose and watery eyes, the diagnosis is likely to sound like this - an acute respiratory viral infection. In ARVI, antiviral (immunostimulating) drugs are considered mandatory: "Interferon", "Imudon", "Acyclovitis", "Amiksin", as well as oxolin ointment and tincture of Echinacea. In addition, symptomatic treatment of the common cold, coughing, irritation in the throat with the help of children's drops, sprays, syrups. At an elevated temperature, antipyretic agents are shown: Panadol Nurofen, Ibuprofen, etc., which are prescribed taking into account the patient's age and contraindications to the use.

If the treatment of ARVI is handled by a pediatrician, then sinusitis already requires consultation of the ENT. The basis of his treatment is antibiotic therapy ("Amoxicillin", "Amoxiclav", "Cefuroxime", etc.). In addition, children are prescribed corticosteroids to fight inflammation, drugs for liquefaction of mucus ("Acetylcysteine", etc.), immunostimulants, vitamins.

If necessary, the doctor appoints the appropriate effective physiotherapy treatment.

If a child is constantly watered by one eye, this indicates that it is on the other side that there is a lesion of the tear ducts. Most often with this situation, parents encounter in conjunctivitis (it is time the process does not go to the second eye because of improper treatment or the child himself will bring the infection into the eye with his hands). In newborns, such a pathology is most likely associated with poor patency or blockage of lacrimal canals.

Treatment of conjunctivitis depends on its nature and severity of the course. In the bacterial nature of the disease, antimicrobial drops of "Albucid" or "Tetracycline", as well as tetracycline ointment, are used. Conjunctivitis of viral etiology is treated with the help of antiviral drops "Interferon", oxolin ointment, "Terbofen", etc. Allergic conjunctivitis requires the use of antihistamines released in the form of eye drops ("Diazolin", "Allergodil", etc.).

If a child has a watery eye for allergies, then again, the use of antihistamines is indicated.

With regard to the violation of the patency of the tear ducts, if tearing occurs under the influence of various stimuli (for example, the child has slept eyes in the cold, in the wind, in frosty weather, from bright light) and passes after the cessation of their action, there is no need to worry much. To correct a situation, massage and eyewash with anti-inflammatory and calming herbal infusion usually help (usually, doctors recommend infusion of chamomile). Nevertheless, such a child must be registered with an ophthalmologist and undergo regular examinations.

The treatment of eye injuries and the removal of a foreign body should also be performed by a specialist physician.

Alternative treatment

Despite the fact that alternative recipes recommended for ARVI, sinusitis, allergies and conjunctivitis, when the eye is wetting the child and other unpleasant symptoms appear, give good results, their use must be coordinated with the attending physician. In this case, in no case should not be neglected by a traditional physician appointed by the doctor.

There are a lot of effective prescriptions for tearing the eyes, but we will mention only a few of them.

In children with acute respiratory viral infection, the infusion of dog rose (6 tablespoons fruit per 1 liter of boiling water, 2 hours) is useful. To drink during the day.

To treat sinusitis, you can use aloe juice, which is buried in the nose of the baby for 10 days, 4 drops in each nasal passage.

With conjunctivitis, strong tea and cucumber juice will be useful. They are used for washing eyes and compresses.

With allergies, the most effective method of therapy is treatment with herbs. First of all it is chamomile and a turn in the form of infusions and broths for internal use. Celery, nettle, St. John's wort will also be useful, which will help to remove allergy symptoms and eliminate lacrimation.

[16], [17], [18]

Homeopathy

Treatment of children with relatively safe homeopathic remedies requires a special professional approach to the selection of drugs. Nevertheless, there are many proven homeopathic anti-inflammatory and antiviral agents that can be purchased at any pharmacy and without fear of giving the baby a viral etiology of the disease.

If the child has a watery eye, and the cause of this is ARVI or viral conjunctivitis, then with the permission of the doctor, the following drugs can be given to the baby:

• Aflubin, which has anti-inflammatory, antipyretic and immunomodulating action (from 1 to 10 drops of the drug depending on the child's age 3-8 times a day). The drug is bred in a tablespoon of water and given for half an hour before meals.
• Anaferon with antiviral action.
• "Influcid", which, among other things, has also an expectorant effect.
• "Traumeel C" is also used in case of viral infections 1 tablet 3 times a day.
• "Engistol" is an immunomodulator, which also dissolves 1 tablet 3 times a day.

There are many other homeopathic medicines used for pathologies with lacrimation, but they are assigned only by a specialist doctor.

Surgery

Pathologies, in which the eye is wetting the child, there are many, but surgical treatment is not prescribed for all diseases. It can be prescribed for glaucoma, sinusitis and dacryocystitis in young children.

A promising method of surgical treatment of sinusitis is the drainage of the paranasal sinuses. This operation improves the mucus from the nose and facilitates the introduction of anti-inflammatory and enzyme agents into the nose. Due to this, the edema of the nasal tissues decreases and the flow of tears in the nasal passages normalizes.

Operative treatment of blockage of the lacrimal passages in newborns is carried out after a year, during which the baby is observed by the otolaryngologist. There are several types of operations that are performed in this pathology: sounding, nasolacrimal intubation, balloon catheterization, dacryocystorhinostomy. Children older than 10 years carry out prosthetics - conjunctival dacryocystorhinostomy.

Prevention

Prevent all diseases in which a child has lacrimation is simply impossible. But in the power of the parents not to let the disease take over. Timely contact with a doctor and the appointment of an effective treatment help in a very short time to cope with the disease and prevent her from ruining the life of the baby.

Prevention of many diseases of the nose and eyes is considered compliance with basic rules of hygiene. It is necessary to teach the child not to touch the eye without the need, and even more so with dirty hands. During the treatment of purulent pathologies, care should be taken that the baby does not climb into the eyes with his fingers and do not rub them. This will help prevent the spread of infection in both eyes.

In order not to allow the transition of the disease to a chronic form, it is necessary to closely monitor the child's condition and, if strange symptoms appear (especially if they do not pass within 2 days), contact the doctor immediately for the diagnosis and the necessary treatment.

[19], [20],

Forecast

The prognosis of the pathologies in which the eye is blinded in a child usually depends on the timeliness of seeking help and the effectiveness of the prescribed treatment. Congenital obstruction of lacrimal canals does not require special treatment in almost 90% of cases. The remaining children undergo the necessary operations (the success of surgical treatment varies between 80-95%).

[21], [22]