Managing Seasonal Allergies in Children

We live in the wonderful but windy state of Oklahoma! Ranked as the 3rd worst state for allergies, it is a reality that many of us deal with seasonally and for some, year-round. To avoid or reduce allergy symptoms, we recommend being proactive. Although it’s not ideal to take medication daily; sometimes it can’t be avoided during “peak allergy season”. For example, if the spring season always brings you allergy symptoms, start your allergy regimen ahead of rising histamine levels.

Here are some ways to manage seasonal allergies.

Antihistamines

What is an antihistamine? An antihistamine blocks the effects of rising histamine in your body. Histamine is what is responsible for that annoying itchy nose and eyes, swelling and increased mucous. Antihistamines can cause drowsiness so they are best taken before bed. Benadryl is typically the most sedating while the newer versions (Zyrtec, Claritin, Allegra) are usually better tolerated.

Decongestants

Decongestants work differently than antihistamines and help with nasal stuffiness by constricting blood flow in your nasal passages. However, they also can cause side effects and should be administered with care. Decongestants can be safely taken in combination with an antihistamine but, in young children, always consult with your provider before administering decongestants. 

Nasal Corticosteroid Sprays

Nasal corticosteroid sprays are highly effective and relatively safe for long term use. Medications such as Flonase and Nasacort are used to help decrease the number of cells in the nose that respond to our allergies. This reduces nasal congestion, sneezing, watery/itchy eyes etc. But, be aware that results are not immediate and can take days to weeks to obtain maximum benefit. 

Neti Pots

A neti pot is a container used to rinse the nasal cavity of debris, allergens and congested mucous thus relieving sinus pressure and allowing for a more natural alternative to sinus and allergy issues. Neti pots come in both a tea pot shape and, most commonly, a squeeze bottle. Combining water with the pre-packaged solution (mostly salt), creates a saline rinse. The saline acts as a natural cleansing agent that many swear by and use to keep infection and allergy symptoms at bay.

While they are safe to use, there are some very important details to know before starting with a neti pot. The water you use in a neti pot should be distilled or sterile. If you want to use tap water make sure you take the time to boil the water and then allow the water to cool to a lukewarm temperature.

When choosing a nasal irrigation device, the simpler the better. A nasal irrigation device with a lot of “nooks” is going to allow mold and bacteria to build up and this is clearly not desired. Choose a style that is easy to clean and sanitize. After each use it is critical to sanitize your neti pot with hot water + antibacterial soap and dry with a fresh paper towel. It’s also a good idea to replace your neti pot every couple months. If multiple family members use a neti pot each individual should have their own (like a toothbrush).

If you have additional questions about managing your child's seasonal allergies, schedule a virtual visit today.