Allergic Rhinitis In Children: Introduction

Allergic Rhinitis In Children Dubai | Is Your Child Struggling To Breathe Through His Or Her Nose?

Allergic rhinitis in children Dubai: A chronic runny nose. Why do we have a nose? What happens to young children with a chronic cold, treatment

Allergic rhinitis in children Dubai: A recurring or a chronic runny nose

Allergic rhinitis in children Dubai: A recurring or a persistent runny nose is common in children and can have long-term implications.

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In newborns, nasal congestion is a common condition and rarely may cause serious health problems. However, since infants are obligate nose breathers as their mouth is used for suckling, a blocked nose can cause interfere with feeding. 

In children, the nasal passages are very tiny and get blocked easily making breathing difficult.

Recurring colds are common in preschool children and getting around 6 colds a year are expected as they start going to school. As their immune system encounters various bugs, it gets stronger.

However, there is a group of children who suffer from perennial upper respiratory tract infections that can cause concern to parents and impact the child’s quality of life.

There are many causes and consequences that should be considered especially in children.

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Allergic rhinitis in children Dubai: Why do we have a nose

  1. The most obvious reason is to breathe in oxygen and breathe out carbon dioxide
  2. However, nasal mucosa humidify and warm the air we breathe
  3. It clears the air by trapping the particles, allergens and bugs alike
  4. Of course, the smell is another important function

The inside of our nose:

  • On the inside of the nose, there are normal bony structures called turbinates. They are covered by a large amount of spongy mucosa (the pink lining inside the nose). The turbinates are very susceptible to allergy and irritation
  • Cilia or the tiny hair that line the mucosa are very important in cleaning the air we breathe
  • The septum is the structure separating the nostrils inside the nose. A deviated nasal septum is a crooked septum

The nose communicates with the

  • Ear, especially the middle ear that functions to amplify sound
  • The lungs via the pharynx and trachea
  • The Mouth
Allergic Rhinitis In Children Dubai | https://www.pediatriciandubai.blog/pediatrician-in-dubai/allergies-in-children-dubai/allergic-rhinitis-in-children-dubai/ Is Your Child Struggling To Breathe Through His Or Her Nose?

Allergic Rhinitis In Children Dubai

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Allergic rhinitis in children Dubai: What happens to young children with a chronic cold

1. The nasal discharge can enter the middle ear, dampen sound and impact hearing and thus language

2. A blocked nose can cause difficulties with breathing especially at night causing obstructive sleep apnoea

3. As the child breathes from the mouth the tongue can fall back as well as the development of the maxillary bones can be affected

4. Dental problems

Allergic rhinitis in children Dubai: Common causes of nasal obstruction

  • Infection: Viral infections commonly occur in children because of poor resistance against these germs, and one of the conditions is a common cold. These viruses are transmitted by air which causes the nasal membranes to swell up causing congestion. If the nasal mucus turns yellow or green, it is a clear indication of bacterial infection. Sinus infection also causes nasal blockage. If the nasal sinuses are inflamed it leads to a condition called as sinusitis that causes inflammation of sinuses in and around the nasal region.
    • Children with recurrent or chronic colds may have immune deficiency or poorly functioning cilia (the hair in the nose)- Ciliary dysfunction
  • Structural abnormalities
    • Deviated nasal septum. These deformities occur due to injury in childhood which will lead to obstruction while breathing
    • Choanal atresia: This is a congenital (present at birth) condition that is a narrowing or blockage of the nasal
    • Enlarged adenoid glands are one of the common causes of nasal congestion. Adenoid glands are small tissue located at the back of the nose.
    • Foreign bodies in the nose- this is not uncommon in young children
  • Allergies: Allergy occurs as a result of an inflammatory response to allergens such as pollen, dust mites, house dust, and animal dander. The inflammation is mediated by a substance called histamine that may cause congestion. Dust mites are a type of allergen, microscopic insects that live in the dust under humid conditions. They are commonly found under furniture, bed, and carpets. Often children with chronic rhinitis have other allergic problems like asthma and conjunctivitis (leading to itchy watery eyes)
  • Vasomotor rhinitis: Some of the factors that expand the blood vessels in the mucosal membranes are irritants such as perfume, tobacco smoke, and psychological stress
  • Miscellaneous: Cystic fibrosis

Allergic rhinitis in children Dubai: To receive information to help your child fill in your name and email ID in the form on the right

Allergic rhinitis in children Dubai: Assessments

The doctor will look for the foreign body, allergies, presence of sinusitis, allergic conjunctivitis, and asthma. Immune deficiencies, cystic fibrosis, and others.

Allergic rhinitis in children Dubai: Treatment

The main goal of treatment is to help your child breathe easy and sleep without disturbance. The other is to prevent secondary problems related to blocked nasal passages. The doctor will investigate common conditions associated with chronic rhinitis and recommend specific treatment.

  • Identify the indoor and outdoor allergens or irritants which cause the problems and worsen the condition and subsequently remove them
  • To treat allergic rhinitis – Wash bed sheets with warm water, remove toys and carpets from your child’s room and cover the bed sheets and pillows with dust mite protection covers that will maintain the humidity at 40%
  • Antihistamines and decongestants may be prescribed to prevent the allergic response and improve congestion
  • Surgery may be recommended to remove the enlarged adenoid gland as it may cause dental problems, saggy face, mouth breathing, snoring
  • Decongestants are suggested which will shrink the blood vessels that are swollen. It helps to relieve stuffiness. It should not be used for more than 3 days as it may make the congestion worse
  • Adhesive nasal strips are available which can be placed over the nose. These will help in widening the nostrils and makes breathing easy
  • Further assessment

Allergic rhinitis in children Dubai: To receive information to help your child fill in your name and email ID in the form on the right

Allergic rhinitis in children Dubai: Prevention

  • Avoid smoking in the house and car as it may trigger an allergy in your child.
  • Avoid contact with pets that cause the allergic reaction
  • Increase the humidity in the air by using vaporizing or humidifier. Clean vaporizer every day
  • Encourage your child to drink plenty of fluids
  • Use gentle and saline nasal sprays
  • Steam bath works best for your child as it helps to open the blocked mucous in the nose
  • Use of perfumes should be avoided as they may cause an allergic reaction

Allergic Rhinitis In Children Dubai | https://www.pediatriciandubai.blog/pediatrician-in-dubai/allergies-in-children-dubai/allergic-rhinitis-in-children-dubai/ Is Your Child Struggling To Breathe Through His Or Her Nose?

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Allergic Rhinitis In Children: Introduction was last modified: March 13th, 2018 by Wilma Gervacio

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