Allergies in Children: Care Instructions

Overview

Allergies occur when the body's defense system (immune system) overreacts to certain substances (allergens). The immune system treats a harmless substance as if it were a harmful invader. Many things can make this happen. Things like pollens, dust, animal dander, and mold may trigger an allergic reaction.

Allergies can be mild or severe. Mild allergies can be managed with home treatment. But medicine may be needed to prevent problems.

Managing your child's allergies is an important part of helping your child stay healthy. Your doctor may suggest that your child get testing to help find out what is causing the allergies.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.

How can you care for your child at home?

• If you have been told by your doctor that dust or dust mites are causing your child's allergy, decrease the dust around your child's bed:
  • Wash sheets, pillowcases, and other bedding in hot water every week.
  • Use dust-proof covers for pillows, duvets, and mattresses. Avoid plastic covers, because they tear easily and do not "breathe." Wash as instructed on the label.
  • Do not use any blankets and pillows that your child does not need.
  • Use blankets that you can wash in your washing machine.
  • Consider removing drapes and carpets, which attract and hold dust, from your child's bedroom.
  • Limit the number of stuffed animals and other toys on your child's bed and in the bedroom. They hold dust.
• If your child is allergic to dust and mites, do not use home humidifiers. Your doctor can suggest ways you can control dust and mites.
• Look for signs of cockroaches. Cockroaches cause allergic reactions. Use cockroach baits to get rid of them. Then clean your home well. Cockroaches like areas where grocery bags, newspapers, empty bottles, or cardboard boxes are stored. Do not keep these inside your home, and keep trash and food containers sealed. Seal off any spots where cockroaches might enter your home.
• If your child is allergic to mold, get rid of furniture, rugs, and drapes that smell musty. Check for mold in the bathroom.
• If your child is allergic to outdoor pollen or mold spores, use air-conditioning. Change or clean all filters every month. Keep windows closed.
• If your child is allergic to pollen, have your child stay inside when pollen counts are high. Use a vacuum cleaner with a HEPA filter or a double-thickness filter at least 2 times each week.
• Keep your child indoors when air pollution is bad.
• Have your child avoid paint fumes, perfumes, and other strong odors, and avoid any conditions that make the allergies worse. Help your child stay away from smoke. Do not smoke or vape or let anyone else smoke or vape in your home. Do not use fireplaces or wood-burning stoves.
• If your child is allergic to pet dander, change the air filter in your furnace every month. Use high-efficiency filters. Keep pets outside or out of your child's bedroom. Old carpet and cloth furniture can hold a lot of animal dander. You may need to replace them.
• If the doctor recommends over-the-counter medicines to relieve your child's symptoms, give them to your child exactly as prescribed. Call the doctor if you think your child is having a problem with a medicine.
• Use saline (saltwater) nasal washes to help keep your child's nasal passages open and wash out mucus and allergens.

When should you call for help?

Watch closely for changes in your child's health, and be sure to contact your doctor if:

• Your child has new or worse symptoms.
• Your child's symptoms are interfering with their daily activities, sleep, or school.
• You have questions about medicines or allergy testing for your child.
• Your child does not get better as expected.