Children and Allergies | Symptoms & Treatment | ACAAI Public Website (2024)

No parent wants to see their child suffer. Any child can develop allergies, but they are more common in children from families with a history of allergies. Since it’s impossible for parents to control absolutely everything that their child is exposed to or eats, parents should instead focus on monitoring their child for symptoms.

Early identification of childhood allergies will improve your child’s quality of life, reduce the number of missed school days and help you avoid having to use sick time or vacation days to care for your child.

Find an Allergist.

If your son or daughter is struggling, take control of the situation and consult an allergisttoday.

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Allergy Symptoms in Children

  • Skin rashes or hives (atopic dermatitis or eczema)
  • Difficulty breathing(asthma)
  • Sneezing, coughing, a runny nose or itchy eyes
  • Stomach upset

Common Allergy Triggers in Children

  • Outdoors: tree pollen, plant pollen, insect bites or stings
  • Indoors: pet or animal hair or fur, dust mites, mold
  • Irritants: cigarette smoke, perfume, car exhaust
  • Foods: peanuts, eggs, milk and milk products

If you suspect your child has an allergy, make an appointment tosee an allergist. Start a diary before the appointment and keep track of what symptoms your child experiences and what you think causes them.

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Common Allergic Conditions in Children

Allergic rhinitis (hay fever)

Allergic rhinitis is the most common childhood ailment caused by allergies. Symptoms include a runny and itchy nose, sneezing, postnasal drip and nasal congestion (blockage). A child with allergies may also have itchy, watery, red eyes and chronic ear problems. Even though it’s commonly known as “hay fever,”allergic rhinitisisn’t triggered by hay and doesn’t cause fever.

Nasal congestion

Allergies are the most common cause of chronic nasal congestion (a stuffy nose) in children. Sometimes a child’s nose is congested to the point that he or she breathes through the mouth, especially while sleeping. This may also cause the child to not get a restful night’s sleep and then be tired the next day. If the congestion and mouth-breathing are left untreated, they can affect the growth of teeth and the bones of the face. Earlytreatment of the allergiescausing the nasal congestion may prevent these problems.

Ear infections

Allergies lead to inflammation in the ear and may cause fluid accumulation that can promote ear infections and decreased hearing. A baby whose hearing is impaired for any reason while learning to talk may develop poor speech. Allergies can cause earaches as well as ear itching, popping and fullness (“stopped-up ears”). Anyone with these symptoms should see an allergist for possible testing and treatment.

Food allergies

As many as6 million childrenin the United States have some form of food allergy.

If a new mother is breast-feeding, some especially sensitive babies can have allergic reactions to foods their mothers eat. Babies can be tested for allergies. Eliminating these foods from the mother’s diet may provide relief for the child.

The most common allergies in children are topeanutsandmilk; other frequently seen triggers include eggs, fish, shellfish (crab, lobster, crayfish and shrimp), soy, tree nuts (for example, pecans, cashews and walnuts) and wheat. The most severe reactions are typically to peanuts, tree nuts, fish and shellfish — all allergies that can last a lifetime. Children often outgrow allergies to milk, eggs, soy and wheat.

All parents of a child with afood allergyshould be aware of the possibility of anaphylaxis — a potentially life-threatening reaction that impairs breathing, causes a sudden drop in blood pressure and can send a body into shock. For that reason, most children with food allergies are prescribed epinephrine (adrenaline), administered with an auto-injector as soon as symptoms develop.

Allergies and school

Your child’s school should be informed of any allergies. If your child has asthma or a severe allergy, give a copy of your child’s action plan to the school nurse or the administrative office. Also, discuss your child’s access to medication, including epinephrine (adrenaline), in case of an emergency.

  • School pets: Furry animals in school may cause problems for allergic children. If your child has allergy or asthma symptoms while at school including coughing, difficulty breathing, a rash, runny nose or sneezing, it could be the class pet.
  • Asthma and physical education: Physical education and sports are a big part of the school day for many children. Having asthma does not mean eliminating these activities. Children with asthma and other allergic diseases should be able to participate in any sport the child chooses, provided the doctor’s advice is followed. Asthma symptoms during exercise may indicate poor control, so be sure that your child is taking controller asthma medications on a regular basis. Often medication administered by an inhaler is prescribed before exercise to control symptoms.
  • Dust irritation: At school, children with allergic problems may need to sit away from the blackboard to avoid irritation from chalk dust.

Do you suspect your child has an allergy? The symptoms could be a sign of a serious issue. Don’t delay: Find anallergisttoday.All

Children and Allergies | Symptoms & Treatment | ACAAI Public Website (2024)

FAQs

What is the best children's allergy medicine? ›

The recommended first-choice allergy medicine for kids is a nondrowsy antihistamine, like Allegra (fexofenadine) or Claritin (loratadine). If a nondrowsy antihistamine doesn't control symptoms, consider switching to a steroid nasal spray, like Flonase (fluticasone propionate) or Nasacort (triamcinolone).

How do you treat allergies in children? ›

The 3 most effective ways to treat allergies are avoidance, allergy shots (immunotherapy), and medicine. Avoidance means staying away from something that gives you an allergic reaction. Suggestions for staying away from allergens are: Stay indoors when the pollen count is high and on windy days.

Are allergies inherited from mother or father? ›

"You can't necessarily pass down a specific allergy, but if mom has lots of environmental allergies, a child can develop some form of allergic disease.”

Which is better for kids Benadryl or Zyrtec? ›

Both Benadryl and Zyrtec are available in kid-friendly dosage forms. But Zyrtec has dosage information for kids as young as 2 years old. Benadryl is still safe to give to children. But the OTC packaging only provides dosage information for children ages 6 years and older.

What's better, children's Zyrtec or Claritin? ›

Norton Children's Allergy & Immunology

Cetirizine (Zyrtec) tends to be the most fast-acting medication — that can take effect in as little as one hour — but it also carries the highest potential for drowsiness. Loratadine (Claritin) can take up to three hours to take effect and may cause minor drowsiness.

What are the worst allergies to have? ›

The severity of allergies varies per individual, but commonly, food allergies (like peanuts or shellfish), insect sting allergies, medication allergies, and anaphylaxis (a severe, potentially life-threatening allergic reaction) are considered among the worst due to their potential to cause serious or fatal reactions.

How to flush food allergens out of your system? ›

If symptoms are severe, that means administering epinephrine. There is no way to flush food allergens out of your system. Rather, you need to avoid ingesting the food that triggers your allergy. And if severe symptoms occur, you need to treat the symptoms, with epinephrine.

What is the root cause of allergies? ›

What You Need to Know. Allergies are the result of your immune system's response to a substance. Immune responses can be mild, from coughing and a runny nose, to a life-threatening reaction know as anaphylaxis. A person becomes allergic when their body develops antigens against a substance.

What is the best thing for kids with bad allergies? ›

The best choices are antihistamines, steroid nasal sprays, and eye drops. “For children with severe symptoms, we can combine antihistamines and intranasal steroids,” explains Dr. Nowak-Wegrzyn. If your child needs daily therapy for persistent symptoms, intranasal steroids would be the choice, she adds.

At what age do childhood allergies go away? ›

It often depends on what the child is allergic to. About 80% of children who are allergic to wheat, eggs, and milk outgrow their condition by age 16. However, kids who are allergic to nuts, shellfish, or other types of fish are often allergic for a lifetime.

What to give a child with allergies? ›

If the symptoms are mild, give an antihistamine by mouth such as diphenhydramine (Benadryl or a store brand). If your child keeps having mild allergy symptoms, let your doctor know. Call the doctor if your child has an allergic reaction that is more than mild or worries you.

What's the most common allergy in the world? ›

Pollen. Pollen allergies are one of the most common allergies in the world. Tens of millions of Americans suffer from Pollen allergies. Pollen is a fine yellow powder that is transported from plant to plant by the wind, birds, insects, and other animals to help fertilize plants.

Are allergies an autoimmune disease? ›

In autoimmunity, the immune system attacks your body's cells instead of protecting them. For example, it can attack your joints, kidneys, or skin as if they were foreign and dangerous. With allergies, the immune system recognizes food or pollen as dangerous and acts like it does when trying to kill a virus or bacteria.

What are the most allergic foods? ›

Major Food Allergens

Congress passed the Food Allergen Labeling and Consumer Protection Act of 2004 (FALCPA). This law identified eight foods as major food allergens: milk, eggs, fish, Crustacean shellfish, tree nuts, peanuts, wheat, and soybeans.

Is children's Zyrtec or Allegra better? ›

Several studies have found cetirizine (Zyrtec) to be more effective than fexofenadine (Allegra) at relieving symptoms of allergic rhinitis and urticaria, and it appears to have a longer duration of action.

Is Zyrtec or Xyzal better? ›

Since both medications have a common core chemical structure, Zyrtec and Xyzal generally have the same level of effectiveness, onset of action, and range of allergy symptoms treated. Xyzal is slightly less drowsy, so if drowsiness is an issue with your allergy medicine, Xyzal is better than Zyrtec.

What is the most effective anti allergy medicine? ›

Nasal steroids, such as Flonase (fluticasone propionate), are generally the most effective allergy medicines but can take up to 2 weeks to fully work.

Can I give my child Claritin in the morning and Zyrtec at night? ›

Interactions between your drugs

No interactions were found between Claritin 24 Hour Allergy and Zyrtec.

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