if your daughter is able to eat/drink normally without needing G tube feedings, then I think what you’ve done in making sure you minimize sugar in her diet and avoiding late night feedings may help decrease her chronic congestion. In my experience, children who are unable to walk almost always have severe constipation, and I would recommend that the constipation is treated appropriately as I believe constipation makes nasal congestion worse. Talk to you pediatrician about how to manage her constipation. Finally, if nasal congestion is always worse laying down as it is in some children, perhaps sleeping with head slightly propped up may help.
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