How to prepare for a video visit about Chronic Sinusitis (Stable) - Follow-up

Audience: pediatric

Chronic sinusitis is a long-lasting inflammation of the sinuses that can cause symptoms like nasal congestion, facial pain, and runny nose. When your child has stable chronic sinusitis, regular follow-up visits with a healthcare provider help manage symptoms and prevent complications. A video visit is a convenient way to check in with the doctor without leaving home. To get the most from the video visit, prepare by noting any changes in symptoms, medications, or new concerns. During the visit, the provider may ask about your child's current health, review treatments, and suggest next steps. Remember, video visits are useful for ongoing care and advice but cannot replace in-person exams if your child’s condition worsens. Always seek urgent care if your child has severe symptoms or sudden changes.

Red flags — go in person / ER

• High fever above 39°C (102°F) lasting more than 2 days — seek urgent care.
• Swelling, redness, or pain around the eyes — get immediate medical attention.
• Sudden vision changes or severe headache — go to emergency services promptly.

What telemedicine can do

• Review of stable chronic sinusitis symptoms.
• Medication management and prescription refills.
• Discussing symptom changes and treatment plans.
• Providing education and self-care advice.

What telemedicine cannot do

• Physical examination requiring nasal or sinus inspection.
• Emergency symptoms like severe pain, swelling, or vision changes.
• Procedures or imaging tests.
• New or worsening severe symptoms needing urgent care.

What is Chronic Sinusitis (Stable)?

Chronic sinusitis means the sinuses inside the face are inflamed for a long time, usually more than 12 weeks. When it is stable, symptoms are controlled and not getting worse. Common symptoms include stuffy nose, mild facial pain, and mucus drainage. Managing the condition helps your child feel better and avoid flare-ups.

Preparing for the Video Visit

Before the visit, write down any new or changing symptoms your child has had since the last appointment. Include details about nasal congestion, headaches, or any side effects from medicines. Have a list of current medications and doses ready. Make sure your internet connection and device camera work well. Choose a quiet, well-lit space for the visit.

What to Expect During the Visit

The healthcare provider will ask about your child's symptoms and how they have been managing their treatment. They may review medications and discuss any concerns you have. While the provider cannot perform a physical exam through video, they can guide you on care steps and decide if an in-person visit is needed.

When to Seek In-Person Care

If your child develops severe symptoms like high fever, swelling around the eyes, severe headache, or sudden vision changes, these require urgent in-person evaluation. Video visits are not suitable for emergencies or worsening conditions that need physical examination or imaging.

Tips for Successful Video Visits

Test your device and internet before the appointment. Have your child's medication list and symptom notes handy. Be ready to describe symptoms clearly. Keep your child comfortable and calm during the visit. Write down any instructions or follow-up plans the provider gives.

How to prepare for your tele-visit

• Note any new or worsening symptoms since last visit.
• List all current medications and dosages.
• Ensure a stable internet connection and working camera/microphone.
• Choose a quiet, well-lit space for the visit.
• Have a list of questions or concerns ready to discuss.

After your tele-visit

• Follow the healthcare provider’s instructions regarding medications and care.
• Monitor your child's symptoms and note any changes.
• Schedule in-person visits if recommended or if symptoms worsen.
• Keep a record of the visit and any new treatment plans.
• Contact your healthcare provider if urgent symptoms develop.

FAQs

Can a video visit replace all in-person visits for chronic sinusitis?

Video visits are helpful for routine follow-ups and managing stable symptoms but cannot replace in-person exams when a physical check or tests are needed.

What should I do if my child’s symptoms suddenly get worse?

If your child has severe symptoms like high fever, swelling around the eyes, or vision changes, seek emergency care immediately rather than waiting for a video visit.

How can I help my child feel comfortable during the video visit?

Choose a quiet room, keep your child calm, and have toys or distractions ready if needed. Explain the visit in simple terms to reduce anxiety.

Will the doctor be able to examine my child’s sinuses through video?

No, the doctor cannot perform a physical exam through video but can guide you on symptoms and decide if an in-person exam is necessary.

Sources

1. Chronic Sinusitis — MedlinePlus, U.S. National Library of Medicine.
2. Sinus Infection (Sinusitis) — Mayo Clinic.
3. Sinusitis — Centers for Disease Control and Prevention (CDC).
4. Pediatric Sinusitis — American Academy of Pediatrics.

This telemedicine guidance is for educational purposes only and is not a substitute for professional in-person medical care. If your child’s symptoms worsen or you have urgent concerns, seek immediate medical attention.