Is it allergic rhinitis / conjunctivitis?
If purulent discharge, unilateral consider other causes
Educate
Provide hay fever information leaflet
Assess quality of life “Juniper rhinitis Quality of Life score”
Prescribe steroid nasal spray and demonstrate how to use device e.g. Avamys
If not controlled / eye symptoms
Add regular long-acting antihistamine (not Piriton) and/or non-steroid eye drops e.g. olopatadine
If not controlled
Review compliance – many children are not compliant with treatment
Refer to a specialist if
Symptoms not responsive to above treatment despite good compliance
Complex allergy, troublesome asthma