Does a four month old baby have any symptoms of dacryocystitis?

Neonatal dacryocystitis is an infection caused by the obstruction of the tear ducts, and the drug ** only treats the symptoms but not the root cause, and it is recommended to be supplemented with local massage of the lacrimal sac area (large corner of the eye). If there is still no improvement, tear duct irrigation is required.

There are two types of dacryocystitis: chronic dacryocystitis and acute dacryocystitis.

1) Chronic dacryocystitis always has tears, and there is purulent discharge around the corners of the eyes adhesion. When you press on the corners of your eyes, pus will come out of your tears. This is due to a blockage of the nasolacrimal ducts, which is caused by bacteria entering the lacrimal sac during the continuous appearance of overflowing tears.

**Chronic dacryocystitis can be treated with antibiotics and antiseptic solution to irrigate the lacrimal sac, and if ineffective, surgery**, removal of the dacryocyst or dacryocyst-nasal anastomosis. If left untreated, chronic dacryocystitis can cause acute dacryocystitis, and when the cornea is injured, it can also cause corneal ulcers and lead to blindness.

2) Acute dacryocystitis mostly occurs on the basis of chronic dacryocystitis, and bacteria invade the tissues around the dacryocyst through the lacrimal sac wall, causing acute inflammation, severe pain and a large range of redness and swelling. This acute dacryocystitis ruptures on its own and drains pus, but it can also lead to a dacryocyst fistula, in which a new lacrimal duct is created from the lacrimal sac.

**Acute dacryocystitis can be treated with antibiotics, or incision to drain pus, and daily dressings. When it turns into chronic dacryocystitis, it should be followed according to the method of chronic dacryocystitis.

TearsThe neonatal conjunctival sac has a little mucopurulent discharge, the lacrimal sac is slightly raised, and the inner part ** is sometimes congested or rashed, and there is mucus or mucopurulent discharge in the dacryal sac area, that is, a large amount of tears are flowed.

Lots of eye droppingsNeonatal dacryocystitis will have a large amount of eye feces, and the ** visible mass in and around the lacrimal sac is elastic, and there is generally no acute inflammatory manifestations such as redness, swelling, tenderness, etc., and acute dacryocystitis occasionally occurs.

Rashes on the eyes and faceIf there is something infected in the tears, it will **eyelid**, causing a rash. The lacrimal sac area is red, swollen, tender, and even causes orbital cellulitis and intracranial infection in severe cases, which endanger the life of the child!

What is neonatal dacryocystitisNeonatal dacryocystitis is caused by the fact that the embryonic residual membrane at the lower end of the nasolacrimal duct does not degenerate, blocking the lower end of the nasolacrimal duct, resulting in the retention of tears and bacteria in the lacrimal sac, causing secondary infection.

Neonatal dacryocystitis is a very common congenital eye disease of infants and young children, and it is also a common and frequent disease in pediatric ophthalmology. Presents with the baby's eyes are often watery.

There are many concentrated secretions flowing out of the baby's eyes, and the onset can be early or late, some of them are symptomatic on the first day of life, and some can appear a week or a month later.

Causes of neonatal dacryocystitis1. Neonatal dacryocystitis is caused by the fact that the embryonic residual membrane at the lower end of the nasolacrimal duct does not degenerate, blocking the lower end of the nasolacrimal duct, resulting in the retention of tears and bacteria in the lacrimal sac, causing secondary dyeing and landslide. About 2.4% of full-term infants have this residual membrane obstruction, but the vast majority of residual membranes can atrophy spontaneously and regain patency within 4 to 6 weeks of life. It is less common due to bony nasolacrimal duct dysplasia and stenosis.

2. During normal delivery, the valve at the end of the nasolacrimal duct will rupture due to the squeeze of the mother's birth canal when the baby is born, so that the passage between the nose and tears will be unblocked. However, some babies are born with a valve at the end of the nasolacrimal duct that doesn't rupture, preventing tears from draining through the nose. Since there was no outlet for tears, they had to accumulate more and more in the tear sac.

If it is not timely, the lacrimal sac will even rot through the surface layer after suppuration, forming a lacrimal sac fistula.

3. From the perspective of clinical development, the incidence of neonatal dacryocystitis has been on the rise in recent years. This may be related to the high rate of caesarean section deliveries. If a caesarean section baby is not squeezed through the birth canal, the valve at the end of the nasolacrimal duct is more likely to remain intact, which theoretically makes it easier to develop neonatal dacryocystitis.

Dangers of neonatal dacryocystitisOnce the dacryocystitis is provoked by secondary infection, the inflammation will cause the child's acute dacryocystitis, orbital cellulitis, and even the formation of a severe dacryocyst fistula, which is not only very painful for the child, but also causes scarring on the child's face in the future, affecting the child's life.

How to neonatal dacryocystitis**First of all, conservative**, topical antibiotic eye drops, and at the same time to the nasolacrimal duct to the lacrimal sac**2 3 times a day, it is possible to flush away the congenital membranes or epithelial flakes. When this method is ineffective, tear duct irrigation can be used to break the obstruction, and when it is no longer effective, tear duct exploration can be considered.

Neonatal dacryocystitis is caused by the fact that the embryonic residual membrane at the lower end of the nasolacrimal duct does not degenerate, blocking the lower end of the nasolacrimal duct, resulting in the retention of tears and bacteria in the lacrimal sac, causing secondary infection.

Weakened immunity. Because the organs of the newborn's body are not yet mature, the child's body's immunity and resistance are relatively low, so if bacteria and viruses invade the child's body at this time, the child will easily be infected by bacteria, resulting in the symptoms of dacryocystitis. Therefore, it is recommended that parents usually give their children more foods that can help their children improve their immunity, which can not only increase their children's disease resistance, but also help them strengthen their health.

Normal tears are secreted by the lacrimal and accessory lacrimal glands and distributed on the surface of the eye, which moistens and protects the eye. Some of the tears evaporate into the air, while the other part collects in the corners of the eyes and enters the nasopharynx through the lacrimal dots, lacrimal tubules, lacrimal sacs, and nasolacrimal ducts. Blockage in any of these areas can affect tear drainage.

Neonatal dacryocystitis is mostly caused by the fact that the lower end of the nasolacrimal duct is not fully developed during the period of time after the child is born, and is closed by a congenital residual membrane, or the tear duct is blocked by epithelial cell debris, so that tears cannot flow into the nasal cavity and cause tears. A small number of cases are due to nasolacrimal duct bony lumen stenosis or nasal deformities. Because the lacrimal sac secretions cannot be excreted, bacteria can accumulate and multiply in the lacrimal ducts, resulting in dacryocystitis.