Allergy season is in full swing in the Swartland
Allergic Rhinitis in Children
dié courant asked Dr Audrey Sullivan, one of the pediatricians at Crestcare Malmesbury Hospital, for some advice.
“This time of year can be frustrating – especially if your children have constant snotty noses, itchy eyes and coughing. Allergic rhinitis is often called ‘hay fever’ or even ‘sinus’. Some children may have predominantly nasal symptoms, which include swelling, itching, sneezing and a ‘snotty’ nose. However, other symptoms may also occur – such as sore throat and cough.
It may be difficult to know if your child is suffering from seasonal allergies or just another viral cold they have picked up from school.
Allergens may include seasonal environmental exposure to pollens and grasses (mostly spring and extending into summer) or to household allergens that are present all year round such as animal dander, house dust mite and mould (which are present year round, but worse in winter with reduced ventilation).
It is important to establish whether your child has seasonal allergies, as this can lead to poor sleep and impairment at school or in sport activities.
It is important that a doctor examines your child to confirm the diagnosis and establish an effective treatment plan. The diagnosis is usually made based on clinical symptoms and examination. Skin prick tests or blood tests may be used to establish what your child is allergic to if they do not respond adequately to treatment. This will help in avoiding specific triggers.
It is often useful to use saline sprays to wash the mucous out – and this is useful in viral upper respiratory infections as well as allergies. While there are many over the counter medications that may be used for allergic rhinitis, it is best to consult your doctor to ensure that you are given the most appropriate medications for your child – to clear up symptoms quickly and prevent unwanted side effects. Usually, a corticosteroid nasal spray is needed to help with the swelling and blocked nose. Antihistamine syrups and tablets are useful for the itching and runny nose. Medication needs to be used daily during your child’s allergy season to get symptoms under control. It is important to assess your child’s response to medication to ensure that their allergies are well controlled.
If you are worried that your child might be struggling with allergies, book an appointment at Cape Paediatrics. We offer a child-friendly service that aims to get your child healthy and reach their full potential.