Tele-triage for Runny Nose (Rhinorrhea) in Children

Audience: pediatric

A runny nose, or rhinorrhea, is a common symptom in children that can result from colds, allergies, or other causes. Telemedicine can help caregivers understand when a runny nose is mild and manageable at home or when it requires in-person medical evaluation. During a tele-visit, a healthcare provider will ask about symptoms, duration, and related signs to guide care. Most runny noses improve with simple home care, but some signs like difficulty breathing, high fever, or dehydration need urgent attention. Tele-triage is a useful first step to decide the best next action, offering convenience and safety. However, it cannot replace hands-on exams or emergency care when needed. Understanding when to use telemedicine and when to seek in-person help ensures children get timely and appropriate care for a runny nose.

Red flags — go in person / ER

• Difficulty breathing or rapid breathing — seek emergency care immediately.
• High fever lasting more than 3 days or fever in an infant under 3 months — contact healthcare provider promptly.
• Signs of dehydration such as very little urine, dry mouth, or lethargy — seek medical evaluation.

What telemedicine can do

• Assessment of mild runny nose symptoms.
• Advice on home care and symptom management.
• Determining if symptoms require in-person evaluation.
• Follow-up for improving symptoms.

What telemedicine cannot do

• Severe breathing difficulties or respiratory distress.
• Emergency conditions such as seizures or unconsciousness.
• Physical examination requiring hands-on assessment.
• Diagnostic testing that cannot be done remotely.

What Causes Runny Nose in Children?

A runny nose happens when extra mucus is made in the nose. Common causes include viral infections like the common cold, allergies, or irritants such as smoke or dust. Sometimes, a runny nose may be part of a more serious illness, but most often it is mild and temporary.

When to Use Telemedicine for a Runny Nose

Telemedicine can be used to discuss mild symptoms, get advice on home care, and decide if further care is needed. It is helpful when your child has a runny nose without severe symptoms, no difficulty breathing, and is eating and drinking well. A virtual visit allows healthcare providers to ask questions and guide you safely from home.

Signs That Need In-Person Care

If your child has trouble breathing, persistent high fever, severe headache, neck stiffness, or signs of dehydration (like very little urine or dry mouth), seek in-person care immediately. Also, if symptoms worsen or do not improve after several days, an in-person evaluation may be necessary.

Home Care Tips for Runny Nose

Keep your child comfortable by ensuring they rest and drink plenty of fluids. Use a cool-mist humidifier if the air is dry. Saline nasal drops can help clear nasal passages. Avoid exposure to smoke or strong smells. Over-the-counter medications should only be used as advised by a healthcare provider.

What to Expect During a Telemedicine Visit

During a tele-visit, the provider will ask about your child's symptoms, how long they have lasted, any other health concerns, and observe your child if possible. They will provide guidance on managing symptoms at home or recommend if your child needs to be seen in person.

How to prepare for your tele-visit

• Ensure a quiet, well-lit space for the tele-visit.
• Have your child's recent symptom history ready (when symptoms started, severity).
• Prepare a list of any other symptoms your child has.
• Have a thermometer and any medications your child is taking nearby.
• Ensure your device (phone, tablet, computer) is charged and has a stable internet connection.
• Be ready to show your child on camera if needed.

After your tele-visit

• Follow the healthcare provider's advice on home care and medications.
• Monitor your child's symptoms closely for any changes or worsening.
• Schedule an in-person visit if recommended or if red-flag symptoms develop.
• Keep a record of symptom progression to share in follow-up visits.
• Maintain good hygiene to prevent spread of infections.
• Contact your healthcare provider if you have questions or concerns after the visit.

FAQs

Can a runny nose be treated with antibiotics?

Most runny noses in children are caused by viruses and do not require antibiotics. Antibiotics treat bacterial infections and are not effective against viral colds. Your healthcare provider can advise if antibiotics are needed.

When should I worry about my child's runny nose?

You should seek medical attention if your child has difficulty breathing, a high fever lasting more than 3 days, signs of dehydration, severe headache, or if symptoms worsen or do not improve after about a week.

Are over-the-counter cold medicines safe for young children?

Many over-the-counter cold medicines are not recommended for children under 6 years old due to potential side effects. Always consult your healthcare provider before giving any medication to your child.

Can allergies cause a runny nose in children?

Yes, allergies can cause a runny nose, often accompanied by sneezing, itchy eyes, and nasal congestion. A healthcare provider can help determine if allergies are the cause and suggest appropriate treatment.

How can I prevent my child from getting a runny nose?

Good hand hygiene, avoiding close contact with sick individuals, keeping your child's environment clean, and reducing exposure to allergens or irritants can help prevent runny noses.

Sources

1. Common Cold — MedlinePlus, U.S. National Library of Medicine.
2. Runny Nose (Rhinorrhea) — Mayo Clinic.
3. Allergic Rhinitis — Centers for Disease Control and Prevention (CDC).
4. Pediatric Upper Respiratory Tract Infections — American Academy of Pediatrics.

This telemedicine guidance is educational and not a substitute for in-person medical care. If your child has severe symptoms or you are concerned, seek immediate medical attention.