What is allergic rhinitis?
Rhinitis is a reaction that occurs in the eyes, nose,
and throat when airborne irritants (allergens) trigger
the release of histamine. Histamine causes inflammation
and fluid production in the fragile linings of nasal
passages, sinuses, and eyelids.
Allergic rhinitis, one type of rhinitis, is uncommon
in children younger than 3 years of age. However, prevalence
increases with age. There is usually a family history
of allergic rhinitis. This disease affects up to 20%
of children and 15 to 30% of adolescents. It is estimated
that 75% of children with asthma also have allergic
rhinitis.
What are the types of allergic rhinitis?
The two categories of allergic rhinitis include:
- seasonal - occurs particularly during pollen
seasons. Seasonal allergic rhinitis does not usually
develop until after 6 years of age.
- Perennial - occurs throughout the year. This
type of allergic rhinitis is commonly seen in younger
children.
What are the causes of allergic rhinitis?
The most common causes of allergic rhinitis include
the following:
- pollen
- dust
- mites
- mold
- animal dander
What are the symptoms of allergic
rhinitis?
The following are the most common symptoms of allergic
rhinitis:
your child's age, overall health, and medical history
extent of the reaction
your child's tolerance for specific medications, procedures,
or therapies
expectations for the course of the reaction
your opinion or preference
Treatment may include:
antihistamines - help to decrease the release
of histamine, possibly decreasing the symptoms of itching,
sneezing, or runny nose. Some examples of antihistamines
are diphenhydramine (Benadryl¢ç) or hydroxyzine
(Atarax¢ç). These medications may cause drowsiness.
Consult your child's physician to determine the proper
dosage for your child
nonsedating antihistamines work like antihistamines
but without the side effect of drowsiness. Nonsedating
antihistamines may include cetirizine (Zyrtec¢ç:)
or loratadine (Claritin¢ç). Consult your child's
physician to determine the proper dosage for your child.
anti-inflammatory nasal sprays-help to decrease the
swelling in the nose. Consult your child's physician
to determine the proper dosage for your child.
corticosteroid nasal sprays-also help to decrease
the swelling in the nose. Corticosteroid nasal sprays
work best when used before the symptoms start, but can
also be used during a flare-up. Consult your child's
physician to determine the proper dosage for your child.
decongestants - help by making the blood vessels
in the nose smaller, thus, decreasing congestion. Decongestants
can be purchased either over-the-counter or by prescription.
Consult your child's physician to determine the proper
dosage for your child.
If your child does not respond to avoidance or to the
above medications, your child's physician may refer
you to an allergist for testing. The allergist then
may recommend immunotherapy based on the findings.
Immunotherapy usually involves a three to five year
course of repeated injections of specific allergens
to decrease the reaction to these allergens when your
child comes into contact with them. Consult your child's
physician for more information.
How is allergic rhinitis prevented?
Preventive measures for avoiding allergic rhinitis include:
- environmental controls, such as air conditioning,
during pollen season
- avoiding areas where there is heavy dust, mites, molds
- avoiding pets
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