Seasonal Allergies: Keeping Symptoms in Check
Published on in Health Tip of the Week
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Published on in Health Tip of the Week
For many kids, seasonal allergies are the pits. They can be unpleasant and difficult to manage. If this is your child, they are not alone. An estimated 7.1 million kids in the United States report environmental allergies.
Seasonal allergies strike at different times of the year. Also known as allergic rhinitis, or hay fever, seasonal allergy symptoms occur when airborne irritants, or allergens, enter the eyes, nose and throat, setting off an allergic reaction.
In the spring, flower and tree pollen are common culprits. Grass pollen starts in late spring and peaks in the summer months. Weed pollen (such as ragweed) and mold spores plague kids mainly in the late summer and fall.
Since children need to be exposed to an allergen before they can be allergic to it, children under two years of age are less likely to have environmental allergies.
Symptoms of seasonal allergies include a stuffy or runny nose, sneezing, itchy eyes and nose, sore throat, cough, and dark circles under the eyes.
Seasonal allergies can be more than just a mild annoyance. Some of the consequences of allergies in children include:
Even when pollen seems to be blanketing everything in its path, there are steps you can take to prevent allergies from acting up:
Get more practical tips to survive pollen season.
In combination with taking steps to limit your child’s exposure to allergy triggers, there are many safe, effective allergy medicines that target specific symptoms your child is struggling with the most.
Most allergy medications are now over-the-counter and generally fall into the categories of oral antihistamines, nose sprays and eye drops. Below are some key things to know about each type. Be sure to talk to your pediatrician or nurse practitioner about the best options for your child.
Important note: Read labels carefully for the active ingredient and do not give your child more than one oral antihistamine at a time unless under the direction of a healthcare provider. However, most eye drops and nose sprays can be given together along with an oral antihistamine.
A simple nasal saline spray will flush out allergens and relieve nasal congestion from allergies. Your child’s pediatric provider may recommend a medicated nasal spray. Often, steroid nasal sprays are recommended because of their known effectiveness and safety record.
Oral antihistamines vary by how long they last, how well they help itchiness, and their side effects. During an allergic reaction, antihistamines block one of the agents responsible for producing swelling and secretions in your child’s body, called histamine. The “best” choice is the one that alleviates your child’s symptoms. As a good first choice, if another family member has had success with one antihistamine, genetics suggest your child may respond as well to the same medicine.
A few things to watch for:
Generally nasal decongestants and oral decongestants are avoided because of side effects. Nasal sprays containing decongestants can cause a rebound runny nose called rhinitis medicamentosa and oral decongestants can cause side effects including high blood pressure, insomnia and irritability.
For itchy, swollen eyes, oral medication does not tend to work as effectively as topical eye drops. Allergy eye drops generally contain topical antihistamines. Avoid the use of any product that contains a vasoconstrictor (look on the label or ask your pharmacist) for more than two to three days to avoid rebound redness. Rebound redness is the recurrence of symptoms and can lead to eyes becoming “dependent” upon eye drops. Artificial tears will also help soothe irritated eyes.
Ask your pediatrician or nurse practitioner if you are interested in exploring other medication options or in long-term treatments such as immune therapy (allergy shots or sublingual/oral immunotherapy).
Contributed by: Naline Lai, MD, FAAP
Categories: Health Tip of the Week
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