Persistent Sneezing in Kids: Allergy Insights and Treatment Options

Q: Persistent Sneezing in Kids: Allergy Insights and Treatment Options

Teacher Lin： Sneezing frequently in the morning and being more sensitive to temperature and dust suggest that it is indeed allergic rhinitis. <br>Allergies can cause symptoms such as runny nose, sneezing, and nasal congestion. <br>In severe cases, it may lead to decreased memory,

Severe sneezing

A first-grade child has recently been sneezing a lot in the mornings, which is likely due to allergies.
Is it necessary to see a doctor and take medication? We have previously consulted a doctor and have taken allergy medication for three months, but there hasn't been much improvement.
Upon observation, it seems that the child is more prone to sneezing due to temperature changes and dust.
I would like to ask Dr.
Chen for some advice, including the possibility of traditional Chinese medicine.
Thank you.

Lin Laoshi, 40~49 year old female. Ask Date: 2000/11/15

Dr. Chen Junliang reply Otolaryngology

Teacher Lin: Sneezing frequently in the morning and being more sensitive to temperature and dust suggest that it is indeed allergic rhinitis.
Allergies can cause symptoms such as runny nose, sneezing, and nasal congestion.
In severe cases, it may lead to decreased memory, lack of concentration, and reduced learning ability.
Taking antihistamines should provide good relief, and increasing physical activity can also improve overall health.
Some patients may experience improvement after puberty; if not satisfied with the results, laser surgery can be considered, which has shown good outcomes.

Reply Date: 2000/11/15

More Info

Persistent sneezing in children can be a frustrating issue for both the child and the parents. Given your description, it seems likely that your child is experiencing allergic rhinitis, which is a common condition characterized by sneezing, nasal congestion, and other symptoms triggered by allergens such as dust, pollen, or changes in temperature.
When it comes to managing persistent sneezing due to allergies, there are several approaches you can consider. First and foremost, it is essential to identify and minimize exposure to known allergens. Since you mentioned that your child seems to react to dust and temperature changes, implementing some environmental controls can be beneficial. This might include regular cleaning to reduce dust accumulation, using air purifiers, and ensuring that your child’s living space is well-ventilated.
In terms of medication, antihistamines are often the first line of treatment for allergic rhinitis. These medications work by blocking the action of histamine, a substance in the body that causes allergic symptoms. While you mentioned that your child has previously taken allergy medications for three months with limited improvement, it may be worth discussing with your healthcare provider whether a different antihistamine or a combination of medications might be more effective. For example, newer antihistamines like Allegra (fexofenadine) or Zyrtec (cetirizine) are often well-tolerated and can provide relief without causing significant drowsiness.

Additionally, nasal corticosteroids are another effective treatment option for managing allergic rhinitis. These medications help reduce inflammation in the nasal passages and can significantly improve symptoms like sneezing and congestion. They are often recommended for more persistent symptoms and can be used alongside antihistamines for better control.

If over-the-counter options are not providing sufficient relief, it may be beneficial to consult an allergist. An allergist can perform specific tests to identify the exact allergens triggering your child's symptoms and may recommend allergy shots (immunotherapy) as a long-term treatment option. Immunotherapy involves gradually exposing the patient to increasing amounts of the allergen to build tolerance over time.

Regarding the use of traditional Chinese medicine (TCM), some parents find herbal remedies helpful for managing allergy symptoms. However, it is crucial to consult with a qualified practitioner who can provide guidance tailored to your child's specific needs. TCM approaches may include herbal formulas, acupuncture, or dietary recommendations aimed at strengthening the immune system and reducing allergic responses.

In summary, while it is not always necessary to see a doctor for mild allergic symptoms, persistent sneezing warrants a thorough evaluation, especially if over-the-counter medications have not been effective. A healthcare provider can help determine the best course of action, whether that involves adjusting medications, exploring allergy testing, or considering alternative therapies. Ultimately, the goal is to improve your child's quality of life and reduce the frequency and severity of their symptoms.

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