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Doctor insights on: Treatment Of Allergic Rhinitis In Children

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Treatment of allergic rhinitis?

Treatment of allergic rhinitis?

3 levels: 1. Avoidance - if it is possible to limit exposure to what you are allergic to that is the place to start -> works best for animals and dust. 2. Medical - antihistamines (benadryl, allegra, Claritin are common ones), intranasal steroids (flonase, Nasonex (mometasone) or similar) and variations of these 3. Immunotherapy - "allergy shots" or similar. ...Read more

Dr. John Chiu
1,163 doctors shared insights

Rhinitis (Definition)

This is a symptomatic disorder of the nose characterized by inflamed nasal mucosa. Groupings of rhinitis exist triggered by infection, allergy, non-allergic triggers/exposure, meds, immune disorder, and/or structural problems in the nose. Symptoms can include itching, sneezing, congestion, watery/mucoid drainage, post-nasal drainage with sore throat, ear ...Read more


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What is the cause of environmental allergies in young children?

What is the cause of environmental allergies in young children?

Air-borne allergies: Environmental allergies affect your respiratory system including the nose, sinuses, eyes and if severe, the lung. Thus, symptoms are nasal congestion, sinus pressure, teary and itchy eyes, cough, wheezing, physical activity limitation and difficulty breathing if you have asthma. ...Read more

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What are symptoms of delayed reaction allergies in young children?

What are symptoms of delayed reaction allergies in young children?

Delayed reaction: Symptoms do not appear for hours or even days. Poison ivy and similar plants cause some of the best-known delayed hypersensitivity reactions. When a person first touches the plant, no reaction occurs for the first 24 to 48 hours. Read more: http://www.Livestrong.Com/article/253484-types-of-delayed-reaction-allergies/#ixzz2vcsli9lf. ...Read more

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What type of allergy makes the most childhood anaphylactic reactions?

What type of allergy makes the most childhood anaphylactic reactions?

Food allergies: Food allergens are the most common causes of childhood anaphylactic reactions with peanuts, tree nuts, fish, shellfish, cow's milk, soy and eggs being among the most common. Stinging insects, medications and latex rubber are also among the more common causes. ...Read more

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Which term is more commonly used (hay fever or pollen allergy) to describe an allergic inflammation of the nasal airways?

Which term is more commonly used (hay fever or pollen allergy) to describe an allergic inflammation of the nasal airways?

Hay Fever: Hay Fever seems to be the most common way to describe nasal allergies by the general population. The proper medical terms include allergic rhinitis, non-allergic rhinitis, or mixed rhinitis depending on trigger. ...Read more

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What are some symptoms of peanut allergies in a child?

What are some symptoms of peanut allergies in a child?

Peanut Allergy: Peanut allergy symptoms include: itchiness, rash, hives, lip or tongue swelling, trouble swallowing, trouble speaking, trouble breathing, asthma, abdominal pain, vomiting, passing out. ...Read more

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Can steroid shots for allergic rhinitis at the beginning of allergy season be considered standard of care? Is there good data backing these up?

Can steroid shots for allergic rhinitis at the beginning of allergy season be considered standard of care?  Is there good data backing these up?

Depends: Since there are so many effective nasal sprays and oral medication for hay fever, giving steroid injection pre-seasonal is likely not the best solution because of the many potential side effects with injectable steroid. On the other hand, if you are getting the injection only once a year and have no problem with osteoporosis or brittle diabetes, the side effects may be acceptable. ...Read more

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What are the symptoms of allergic vs. Chronic rhinitis?

What are the symptoms of allergic vs. Chronic rhinitis?

Rhinitis: Usually if the problems you are describing are nasal symptoms that are all year long and persistent and not aggrevated clearly by spring, fall, cedar season, cats etc. They may still have an allergic component to all year around allergies such as dust or molds that need direct testing. If the tests are negative a nasal smear can be helpful from an ENT doctor or allergist ...Read more

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Is there permanent treatment for allergy to pollens and dust in spring?

Is there permanent treatment for allergy to pollens and dust in spring?

Curing allergies: All medications whether tablet, liquid or spray only masque symptoms. Subcutaneous allergen immunotherapy (scit), allergy shots, in many people over time decrease the allergic response inducing a relative cure. There is not sufficient experience to yet assign that outcome to sublingual allergen immunotherapy (slit). Allergen immunotherapy is also more cost efficient for moderate to severe cases. ...Read more

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How is chronic urticaria of children resolved? With allergy testing?

How is chronic urticaria of children resolved? With allergy testing?

See below: Allergy testing may hold an answer. However, with chronic urticaria, less than 5% of the time is a cause found. ...Read more

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Are allergy drops or allergy shots available for treatment of food allergy/ or intolerance or are they only 4 treating environmental allergens ?

Are allergy drops or allergy shots available for treatment of food allergy/ or intolerance or are they only 4 treating environmental allergens

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Food allergy: Allergy drops and shots are now only administered for environmental allergies. There is ongoing research on treating food allergies with oral immunotherapy. ...Read more

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Can montelukast become an alternative of allergens immunotherapy for perenial allergic rhinitis ?

Can montelukast become an alternative of allergens immunotherapy for perenial allergic rhinitis ?

Not really: I suggest 3 steps to controlling allergies : 1) avoid the things you are allergic to. 2) take medications to control the symptoms. 3) get 'allergy shots' (immunotherapy) to teach your body to not be "allergic" to those things (immune tolerance). Using a leukotriene antagonist control the symptoms some, but it is not the most effective medication, and is not an equal alternative to immunotherapy. ...Read more

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Very swollen (obstructive), red turbinates most of the time.wut does this mean?allergic rhinitis?or non allergic rhinitis? or chronic sinusitis?

Very swollen (obstructive), red turbinates most of the time.wut does this mean?allergic rhinitis?or non allergic rhinitis? or chronic sinusitis?

It means chronic: Rhinitis, whether allergic or not, allergist evaluation and probably allergy testing would tell, sinusitis can accompany Rhinitis but again, physician evaluation and probably imaging studies would confirm the diagnosis, goodluck ...Read more

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What are some symptoms of peanut allergies in infants or toddlers?

What are some symptoms of peanut allergies in infants or toddlers?

Varied: Peanut reactions in infants and toddlers are the same as in teens and adults. They can include: rhinitis, lip/tongue swelling, rash, hives, itchiness, throat swelling, trouble breathing, wheezing, belly pain, vomiting, passing out and rarely death. ...Read more

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Best treatment or medicine for itching eyes due to allergy in the pollen season?

Best treatment or medicine for itching eyes due to allergy in the pollen season?

Itchy eyes: There are many eye drops made for this purpose. Examples are acular, alamast, (pemirolast) Claritin eye, zyrtec eye, Patanol just to mention a few. Sometimes the oral antihistamines work well and sometimes they don't. ...Read more

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What are symptoms of sinusitis in children?

What are symptoms of sinusitis in children?

Depends: Before 4-6 m babies essentially have no sinus cavities. By a year, the maxillary & ethmoid sinuses are partially developed and inflammation can be seen as creamy nasal debris that often descends down the back of the throat like a waterfall during oral exam. Xrays < 1yr are rarely helpful as the sinus cavities are often filled by normal mucous at that age rather than trapped pus seen when older. ...Read more

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What are the common symptoms of asthma in children?

What are the common symptoms of asthma in children?

Cough, wheeze, SOB: Coughing is the most common symptom of asthma especially if cough occurs with exercise or laughing. Colds that routinely go to the chest are very common in patients with asthma. Wheezing and shortness of breath may also occur with colds or exercise, but cough is the most common symptom. ...Read more

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Do most people have allergic rhinitis in the spring?

Do most people have allergic rhinitis in the spring?

Depends: The time of year that allergies affect you will depend on what you are allergic to, and were in the country you live. For my patients here in the midwest, the fall seems to be a huge challenge. That's when molds are at their worst, along with various weed pollens. In other regions, or for people with different allergies, the spring is the worst. It all depends. ...Read more

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