Is this a cold or could this be allergies?
This is a common question that we are asked every spring. As we are approaching warmer weather and the pollen count is rising, parents are often wondering how to spot the signs of allergies, and how to best manage them.
Seasonal allergies often start in childhood and persist into adulthood. The most common signs include runny nose, nasal stuffiness, throat clearing, itchy throat, nose rubbing, sniffling, snorting, sneezing, itchy eyes, and runny eyes. The hallmark of seasonal allergies is itchiness, which is not a typical complaint with a cold.
Usually with a cold, there is a specific start and an endpoint, generally lasting up to 2-3 weeks in duration. There may be fevers, irritability, decreased eating. With seasonal allergies, there is more of a pattern and the symptoms are more chronic. Parents may note that the child experiences similar symptoms at the same time every year. They may find that the symptoms are worse in the morning or when their child is outside. Although they might have a runny nose and cough, children with allergies do not have a fever.
If you think your child may be developing seasonal allergies, talk to your pediatrician. The most common initial medications we recommend are antihistamines and nasal corticosteroid sprays. If your child is allergic to outdoor allergens, it can be helpful to keep windows closed and use air conditioners when possible. Also, having them shower or take a bath at the end of the day to remove all the allergens helps. Your pediatrician may also refer you to an allergist to try to help determine exactly what is triggering your child’s allergies. If allergy avoidance and medications are not successful, an allergist may recommend allergy shots.
Seasonal allergies are very common and can be uncomfortable for your child. But with proper management and education, they can be alleviated and controlled. Enjoy the spring!
Megan Kasnicki, MD
Peconic Pediatrics
