Symptoms and signs of rhinitis/rhinosinusitis
| Typical symptoms and signs of (allergic) rhinitis |
| Runny nose |
| Congestion |
| Sneezing |
| Nasal itching (check for allergic salute, allergic crease and shiners) |
| Atypical manifestations of (allergic) rhinitis |
| Cough (check for post-nasal drip) |
| Eustachian tube dysfunction |
| Secretory otitis media and effusion/ask if otitis media occurs frequently |
| Decreased hearing (speech and language delay, child speaks loudly, child increases TV sound) |
| Poor school performance/poor concentration |
| Consider hearing test/audiometry |
| Sleep problems |
| Disturbed sleep (ask about fatigue/irritability, poor concentration and school performance) |
| Snoring |
| Apnoea (check for hypertrophy of adenoids or of tonsils and consider a sleep study) |
| Symptoms and signs of rhinosinusitis |
| Cough |
| Purulent discharge (examine nose in older children) |
| Headache |
| Facial pain |
| Halitosis |
| Hyposmia |