Allergies
Parents dread it when their child is constantly sneezing and irritated because of allergy related symptoms. A reassuring fact is that many childhood allergies may disappear as a child grows into adolescents as well as into adulthood. Nonetheless, a child who sneezes, coughs, develops rashes or hives, gets regular stomachaches, cramps or nausea after eating certain foods or after being exposed to certain irritants may have allergies. These may be alarming signs your child needs medical attention right away. Common allergy triggers in children include:
Outdoors
Tree pollen
Plant pollen
Insect bites
Insect stings
Indoors
Pet or animal dander
Puppy, kitten, gerbil, rabbit, etc.
Dust mites
Mold
Irritants
Cigarette smoke
Perfumes
Car exhaust
Foods
Peanuts
Strawberries
Eggs
Milk – lactose intolerance
Dairy – milk products
Pests – cockroaches, mice, rats
Fish
Wheat – Celiac disease (IgA)
Shellfish
Soy
Medications
Penicillin
Sulfa drugs.
One of the commonly identified allergies in children is allergic rhinitis:
Presents in early childhood
Immunoglobulin E-mediated reaction to various allergens in the nasal mucosa
Rhinitis
Rhinorrhea
Nasal congestion
Postnasal drainage
Repetitive sneezing
Itching of palate, ears, nose, eyes
Snoring
Sore throats
Clearing throat
Cough
Headaches.
Parent or guardian should check whether the symptoms are worsened in any particular season as well as location. If there is a family member with a history of allergic rhinitis, a child will have a higher likelihood of being affected.
The part most parents dread the most is the way in which their child is tested for allergies. Unfortunately, there is no simple non-invasive test for allergic rhinitis, for which reason a series of tests need to be done:
Skin-prick test: extremely reliable form of testing
Parents should be made aware of what this test comprises of beforehand so they can be calm while the child is being pricked
Serum allergen testing: blood test to test for IgE response
Nasal smear: eosinophils indicate allergy
CBC: elevated eosinophils may indicate allergies
Serum IgE: normal range does not exclude allergic rhinitis.
Fortunately, once the cause for allergies is identified then it is simple for the physician to narrow down treatment and management:
Antihistamines – taken by mouth can help with itchy watery eyes, runny noses and sneezing
Intranasal antihistamines
Corticosteroids
Inhaled corticosteroids – very effective against chronic symptoms
Intranasal decongestants
Intranasal mast cell stabilizers
Leukotriene receptor antagonists
Allergy extracts
Allergy immunotherapy – or allergy shots.
Moreover, those parents or guardians residing in Denver with their children may visit the Denver Holistic Center for more information. Furthermore, parents, guardians and teachers should be made aware of a child’s allergies and/or asthmatic conditions to avoid putting the child in a situation where their symptoms may be exacerbated. Additionally, it is important that the appropriate medication, which is prescribed to the child, be administered in a case of an attack. Eczema is another common form of allergy known as atopic dermatitis. Children or adolescents with eczema should regular moisturize their skin, avoid taking more than a bath a day, and protect their body from outside irritants by wearing long-sleeved clothing. Allergies have become a very common and frequent reason for children to miss school and visit the doctor. If your child experiences these symptoms continuously, after logging how and when the allergic attacked occurred, visit your doctor to find the why.
Figure 1 – How an allergic response may be triggered.
Figure 2 – Common allergy triggers.