Care Advice
- What You Should Know About Nose Allergies or Hay Fever:
- Hay fever is very common. It happens in about 15% of children.
- Nose and eye symptoms can be controlled by giving allergy medicines.
- Pollens are in the air every day during pollen season. So, allergy meds must be given daily. They need to be used for 2 months or longer during pollen season.
- Here is some care advice that should help.
- Allergy Medicines:
- Allergy medicines are called antihistamines. They are the drug of choice for nasal allergies.
- They will help control the symptoms. These include a runny nose, nasal itching and sneezing.
- The key to control is to give allergy meds every day during pollen season.
- Long-Acting Allergy Medicines:
- Long-acting allergy medicines (such as Zyrtec) are best for nasal allergies. No prescription is needed. Age limit: 2 and older.
- Advantage: causes less sedation than older allergy meds such as Benadryl. It is also long-acting and last up to 24 hours.
- Dose: follow the package directions.
- Downside: sometimes will have breakthrough symptoms before 24 hours. If that happens, you can give a single dose of Benadryl.
- Cost: ask the pharmacist for a store brand. Reason: costs less than the brand name products.
- Nasal Saline to Wash Out Pollen:
- Use saline (salt water) nose drops or spray (such as store brand). This helps to wash out pollen or to loosen up dried mucus. If you don't have saline, you can use a few drops of water. Use bottled water, distilled water or boiled tap water. Teens can just splash a little water in the nose and then blow.
- Step 1: put 3 drops in each nostril.
- Step 2: blow each nostril out while closing off the other nostril. Then, do the other side.
- Step 3: repeat nose drops and blowing until the discharge is clear.
- How often: do nasal saline rinses when your child can't breathe through the nose. Also, do them if the nose is very itchy.
- Saline nose drops or spray can be bought in any drugstore. No prescription is needed.
- Saline nose drops can also be made at home. Use ½ teaspoon (2 mL) of table salt. Stir the salt into 1 cup (8 ounces or 240 mL) of warm water. Use bottled water or boiled water to make saline nose drops.
- Other option: use a warm shower to loosen mucus. Breathe in the moist air, then blow each nostril.
- Eye Allergy Treatment:
- For eye symptoms, wash off the face and eyelids. This will remove pollen or any other allergic substances.
- Then put a cold wet washcloth on the eyes.
- Most often, an allergy medicine given by mouth will help the eye symptoms. Sometimes, eye drops are also needed. (See below # 6 and #7)
- Antihistamine Eye Drops - Ketotifen (1st Choice) for Eye Allergy Symptoms:
- Ketotifen eye drops (such as Zaditor) are a safe and effective product. No prescription is needed.
- Dose: 1 drop every 12 hours.
- For severe allergies, use ketotifen eyedrops every day during pollen season. This will give the best control.
- Antihistamine/Vasoconstrictive Eye Drops (2nd Choice) for Eye Allergy Symptoms:
- Ask your pharmacist to suggest a brand (such as Visine-A). The A stands for antihistamine. No prescription is needed.
- Dose: 1 drop every 8 hours
- Do not use for over 5 days. Reason: will cause red eyes from rebound effect.
- Downside: doesn't work as well as Ketotifen eye drops.
- Wash Pollen Off Body:
- Remove pollen from the hair and skin with shampoo and a shower. This is especially important before bedtime.
- What to Expect:
- Since pollen allergies recur each year, learn to control the symptoms.
- Pollen - How to Reduce the Pollen Your Child Breathes:
- Pollen is carried in the air.
- Keep windows closed in the home, at least in your child's bedroom.
- Keep windows closed in car. Turn the air conditioner on recirculate.
- Avoid window fans or attic fans. They pull in pollen.
- Try to stay indoors on windy days. Reason: the pollen count is much higher when it's dry and windy.
- Avoid playing with the outdoor dog. Reason: pollen collects in the fur.
- Pollen Count: you can get your daily pollen count from Pollen.com. Just type in your zip code.
- Call Your Doctor If:
- Symptoms are not better in 2 days after starting allergy medicine
- You think your child needs to be seen
- Your child becomes worse
And remember, contact your doctor if your child develops any of the 'Call Your Doctor' symptoms.