Runny nose

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When to see a doctor

By Mayo Clinic staff

A runny nose may be annoying and uncomfortable, but it usually clears up on its own. A runny nose or stuffy nose is usually just an annoyance. But it can be a sign of a more serious problem, and it may be serious in infants.

Call your doctor if:

  • Your symptoms last more than 10 days.
  • You have a high fever, particularly if it lasts more than three days.
  • Your nasal discharge is green and is accompanied by sinus pain or fever. This may be a sign of a bacterial infection.
  • You have asthma or emphysema, or you're taking immune-suppressing medications.
  • You have blood in your nasal discharge or a persistent clear discharge after a head injury.

Call your child's doctor if:

  • Your child is younger than 2 months and is running a fever.
  • Your baby's runny nose or congestion causes trouble nursing or makes breathing difficult.

Self-care
Until you see your doctor, try these simple steps to relieve symptoms:

  • Sniffing and swallowing or gently blowing your nose.
  • If the runny nose is a persistent, watery discharge, particularly if accompanied by sneezing and itchy or watery eyes, your symptoms may be allergy-related and an over-the-counter antihistamine may help. Be sure to follow the label instructions exactly.
  • For babies and small children, use a soft rubber suction bulb to gently remove any secretions.

Try these measures to relieve postnasal drip — when excess mucus accumulates in the back of your throat:

  • Avoid common irritants such as cigarette smoke and sudden temperature changes.
  • Drink plenty of water.
  • Use a humidifier.
  • Try nasal saline sprays or rinses.
References
  1. Post-nasal drip. American Academy of Otolaryngology — Head and Neck Surgery. http://www.entnet.org/HealthInformation/postNasalDrip.cfm. Accessed Jan. 16, 2013.
  2. Nasal congestion and rhinorrhea. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckusa.com/mmpe/print/sec08/ch089/ch089c.html. Accessed Jan. 16, 2013.
  3. Schroer B, et al. Nonallergic rhinitis: Common problem, chronic symptoms. Cleveland Clinic Journal of Medicine. 2012;79:285.
  4. LeBlond RF, ed., et al. DeGowin's Diagnostic Examination. 9th ed. New York, N.Y.: The McGraw-Hill Companies; 2009. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=534. Accessed Jan. 20, 2013.
  5. Images in clinical medicine: Cerebrospinal fluid leak. New England Journal of Medicine. 2009;361:e26.
  6. Mandell GL, et al. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-443-06839-3..X0001-X--TOP&isbn=978-0-443-06839-3&uniqId=230100505-57. Accessed Jan. 20, 2013.
  7. Kliegman RM, et al. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/208746819-6/0/1608/0.html. Accessed Jan. 20, 2013.
  8. Flint PW, et al. Cummings Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-05283-2..X0001-8--TOP&isbn=978-0-323-05283-2&uniqId=230100505-57. Accessed Jan. 20, 2013.
MY00177 March 27, 2013

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