What should I do if my baby s nasolacrimal duct is blocked?

Introduction: The nasolacrimal duct outlet of the neonate is closed with a membrane. Most newborns will automatically erupt when they are tearing, and the tear ducts will be clear.

However, a small number of neonates have thick membranes or occlusion of the tear ducts due to congenital nasolacrimal duct stenosis or septal malformation. So, what should I do if my baby's nasolacrimal duct is blocked?

Babies aged 0-6 months: If nasolacrimal duct obstruction is found during this period, it will be conservative as most affected children will resolve it automatically. Parents first warm the compress with warm water, then wash their hands, point to the abdomen with the index finger, press the tear point opening with one hand, and use the index finger of the other hand to massage from the lacrimal sac to the nasolacrimal duct from top to bottom, repeat several times, and use the internal pressure generated by the massage to open the membrane at the end of the nasolacrimal duct.

If the nasolacrimal duct blockage persists, the chances of self-improvement are slim. Therefore, consider a more aggressive approach. First, we can use lacrimal duct probing, and then tape is placed into the nasolacrimal duct from the lacrimal point through the nasal cavity, which can open the blocked membrane.

About 90% of sick children are able to do so after a single operation**. It is also said that probe puncture can be done after the age of one, but it is difficult to do probe puncture after the age of two, and surgery is required.

In neonates, at least 20% of babies are born with one or both lacrimal ducts completely or partially blocked. Blocked tear ducts can cause symptoms similar to conjunctivitis, such as white or yellow discharge from the eyes, or they can also cause conjunctivitis in your baby. If your baby's nasolacrimal duct is blocked, you may be around two weeks old.

When he starts to tear, pay attention to these secretions. Before that, although he had enough tears to cover the surface of his eyeball, it was not enough to gather and flow the tears in his eye. Once your baby starts crying, tears will flow into your nose through a small channel in your baby's inner corner (known as the nasolacrimal duct).

If tears remain in the eye, the conjunctiva can easily become infected. As a result, the nasolacrimal duct is blocked.

Most babies have nasolacrimal duct blockage that goes away around 6 months, and some babies may go away later. There are only a few severe cases that require a trip to the hospital to irrigate the tear duct or surgery.

You should take your child to the hospital for a check-up, give the child ** through medicine, and usually give the child a wet compress with a hot towel to wet the child's nasolacrimal ducts.

It needs to be carried out**, you must pay attention to the child's living conditions, you need to take medication on time, and you can alleviate this situation by applying warm compresses.

The condition of the nasolacrimal duct can be improved by drainage or surgery, so that the child can be healthier.

Hello! Neonatal dacryocystitis is a relatively common external eye disease, which is characterized by watery eyes and even yellowish pus. Whenever a child has this disease, parents are very anxious and will ask what kind of disease it is and whether there is a big problem.

In fact, the occurrence of neonatal dacryocystitis is caused by a blocked nasolacrimal duct. Usually the outlet of the nasolacrimal duct in newborns is closed by a membrane, and most newborns will automatically rupture the membrane at the same time as they produce tears (usually 3 to 4 weeks after birth), and the tear duct will begin to open. However, in some cases, the closed membrane is thick, or due to congenital stenosis of the nasolacrimal duct or the deformity of the nasal septum, which causes the tear duct to be blocked, and tears will be retained in the lacrimal sac.

The humidity inside the lacrimal sac is ideal for bacteria to grow and multiply, and once infected, the tears turn into pus.

In this case, parents should massage the lacrimal sac area from top to bottom on the side of the nose bridge of the child's affected eye 9 (medically called the internal adjac) every day, and do not slide or rub the fingers on the ** during the massage, but use the thumb to close the ** force to the subcutaneous lacrimal sac area to slide and massage from top to bottom. Such a massage can be performed 2-4 times a day. At the same time, it should be combined with antibiotic eye drops (such as rifampicin, chloramphenicol eye drops, etc.), 3 4 times a day, 1 2 drops each time.

Before dropping the syrup, the cavity should be wiped clean with a cotton swab.

If the massage does not work, you can also go to the hospital to let the ophthalmologist repeatedly irrigate the tear duct for the child, if it still does not work, you should perform tear duct exploration as soon as possible, otherwise it may cause inflammation of the tissue around the lacrimal sac, or the formation of a lacrimal fistula, which is a fistula that is not easy to completely complete, and will also affect the beauty of the appearance.

I wish your child a speedy and healthy growth!

Condition analysis: Hello: Nasolacrimal duct blockage refers to the congenital membrane closure of the lower outlet of the nasolacrimal duct, or the occlusion duct due to epithelial debris, so that the normal secretion of tears can not be discharged through the tear duct, and the tears have to flow down from the cheeks, forming the phenomenon of continuous tearing.

Suggestion: Adopt a conservative **, **method of topical antibiotic eye drops. You can also massage the lacrimal sac area from top to bottom at the inner corner of the nose bridge of the child's affected eye every day, and do not slide or rub your fingers on the ** during the massage, but use your thumb to apply the force to the tear sac area under the skin to slide and massage from top to bottom.

Such a massage can be performed 2-4 times a day. If the tear duct is still blocked after a period of time, you can go to the hospital for tear duct irrigation to break the film. If this is not possible, lacrimal duct probing can be used, and the membrane can be punctured with a probe to make the lacrimal duct unobstructed.

In a very small number of children, the tear duct is blocked due to bone stenosis or nose deformity, so other methods should be considered to make the tear duct clear. If you do not give the baby a tear duct in time, it may cause inflammation of the tissue around the lacrimal sac or form a lacrimal sac fistula, which is a fistula that is not easy to completely complete, and will also affect the child's appearance. Therefore, once the child's tear duct is found to be blocked, he should go to a regular eye hospital for medical treatment as soon as possible to avoid misdiagnosis and mistreatment, which will aggravate the condition.

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