Leading Medicine Guide Logo

Hay Fever in Children - Specialists and Information

Leading Medicine Guide Editors
Author of the technical article
Leading Medicine Guide Editors

Children with hay fever suffer from watery, itchy eyes and severe sneezing fits accompanied by a runny nose. These symptoms limit the quality of life for these young patients. 

Below you will find more information about hay fever in children, as well as specialists who treat this condition.


ICD codes for this disease: J30

Article Overview

What Is Hay Fever in Children?

Hay fever (seasonal allergic rhinitis) is an allergic reaction of the immune system to harmless environmental substances. The body mistakenly classifies these substances as “enemies,” and the immune system fights them off.

Even the smallest amounts of certain plant pollens trigger inflammation of the airways, particularly the mucous membranes. This leads to the typical symptoms of the condition.

Symptoms usually occur seasonally, specifically during the flowering season of trees, shrubs, herbs, and grasses. The so-called early-bloomers (poplars, birches, or alders) are the most common triggers of hay fever.

About one in every 11 children in Germany suffers from hay fever. The trend is on the rise. Some children also suffer from asthma or inflammatory skin conditions such as atopic dermatitis. In most patients, allergic rhinitis develops as early as childhood. In most cases, at least one of their parents also has an allergy.

What symptoms do children with hay fever experience?

Sneezing, a runny nose, nasal congestion, difficulty breathing through the nose, and red, itchy eyes are among the typical symptoms. A thin, watery discharge often flows from the nose. This nasal discharge can lead to eczema on the skin around the nostrils.

Symptoms usually appear during or immediately after contact with the triggering pollen. The antibodies release inflammatory substances, causing the mucous membranes to swell with every contact with the allergens.

Other symptoms include:

  • Swollen eyelids
  • Watery eyes
  • Sleep disturbances
  • Headaches
  • Elevated body temperature
  • Fatigue and exhaustion
  • Diffuse inflammation (including in the sinuses and middle ear)

A severe pollen allergy has a negative impact on well-being. Those affected suffer from impaired concentration and are unable to pay sufficient attention in school.

Patients with hay fever often cannot tolerate certain foods. Cross-allergies develop.

Symptoms usually appear in the spring. They typically begin when the tree or shrub causing the allergy starts to bloom. For most people affected, symptoms peak in May and June—the time when pollen levels are highest.

Hay Fever in ChildrenHay fever is a widespread allergy among children @ Kzenon /AdobeStock

How does hay fever develop in children? What factors contribute to the condition?

Both genetic predisposition and environmental factors play a role in its development.

  • Children of parents without allergies have only a 15 percent risk of developing hay fever. If both parents are allergic, the probability rises to 50 to 60 percent. If both parents suffer from the same allergy, the child’s risk of developing the condition can rise to as high as 80 percent.
  • Certain lifestyle factors contribute to the development of hay fever. The hygiene hypothesis suggests that higher standards of hygiene during childhood fail to adequately “train” the immune system. This lack of exposure to viruses, bacteria, and other pathogens promotes the development of allergies in childhood. As a result, the body classifies certain foods or pollen as dangerous.
  • Environmental pollutants also contribute to the rise in allergies. They affect plant pollen production. Fine particulate matter and ozone alter pollen, increase allergen release, and intensify allergic reactions.

Breastfeeding, however, provides a certain degree of protection against allergies. For this reason, doctors recommend that expectant mothers exclusively breastfeed their babies for at least four months. Only after that should they slowly introduce solid foods.

How is hay fever diagnosed in children?

In cases of severe allergic symptoms, it is essential to have the condition medically evaluated. The appropriate specialists are doctors with a subspecialty in allergology. These may include pediatricians, dermatologists, ear, nose, and throat (ENT) specialists, internists, and pulmonologists who have completed additional training in allergology.

A diagnosis can be made based on the typical symptoms:

  • A blood test for antibodies provides further insight. The RAST test can determine whether antibodies against pollen proteins are present in the blood.
  • A skin test (prick test) is used to determine exactly which type of pollen is triggering the hay fever. In this test, pollen types dissolved in water are introduced into the skin with a small scratch, usually on the inner side of the forearm. If redness, swelling, or itching occurs within 10 to 15 minutes, this indicates an allergic reaction.
  • Another diagnostic method is the provocation test. In this test, the doctor applies the allergen to the nose or to the bronchial or conjunctival mucous membranes. If the mucous membranes swell, an allergy is present.

What treatments are available?

Those affected can alleviate their symptoms using various methods. In many cases, medications are helpful.

People with allergies can treat hay fever locally with nasal sprays or systemically with tablets. Check the dosage carefully for children, as unwanted side effects may occur.

 

  • Antihistamines

 

For severe symptoms, they reliably and quickly block allergy symptoms. They are administered in the form of tablets, nasal sprays, or eye drops. The active ingredient causes drowsiness, so it affects the ability to concentrate.

 

  • Cortisone for topical use as a nasal spray

 

For children under twelve years of age, you may only use very specific active ingredients. Cortisone has a strong anti-inflammatory effect. Potential side effects include headaches and nosebleeds.

 

  • Decongestants as nasal sprays or drops

 

They soothe the swollen nasal mucosa. They are primarily used for a stuffy nose. Those affected should use nasal sprays for no more than one week. Saline nasal sprays can complement medication. They cleanse and soothe the irritated mucous membranes.

 

  • Desensitization therapy can help

 

Desensitization helps “acclimate” the body to the allergen, thereby preventing an allergic reaction. Doctors administer the highly diluted allergen to the patient over an extended period, gradually increasing the dosage. If the therapy is successful, the body “tolerates” the substance and the symptoms disappear permanently.

Desensitization has shown good results. The treatment lasts over three years and is successful in about 70 to 80 percent of children with allergies.

How does the condition typically progress? What is the prognosis?

In general, pollen allergy cannot be completely cured. However, there are ways to alleviate the symptoms.

If your child has already developed an allergy, the most important preventive measure is to avoid pollen.

Children and parents can reduce pollen exposure by taking the following steps:

  • Change out of outdoor clothes indoors and wash them promptly
  • Do not enter the bedroom in outdoor clothes
  • Take a shower and wash your hair after spending time outdoors
  • Keep car windows and house windows closed when pollen counts are high
  • Ventilate the home only at specific times when pollen counts are low

The pollen season varies from year to year, depending on weather conditions. When it rains, there are hardly any allergens in the air. Warm and dry weather, on the other hand, promotes the spread of pollen. The regional weather report provides information on current pollen levels.

Depending on the type of pollen allergy, affected children should avoid certain foods:

  • Children with tree pollen allergies generally cannot tolerate certain types of fruit and nuts.
  • They should also avoid spices such as curry, anise, and garlic. Caraway, parsley, dill, fennel, and chamomile can also worsen the allergy.
  • Those who are allergic to cereal or grass pollen should eat vegetables such as peas, lentils, and beans only in moderation.
  • You should completely avoid foods containing histamine, such as salami, nuts, and cheese.

Conclusion

Hay fever in children can significantly impair the quality of life for young patients.

It can be effectively treated with medication. However, these medications have side effects such as fatigue and difficulty concentrating. Desensitization therapy may help the allergy subside.

Following appropriate lifestyle guidelines and avoiding certain foods can help keep symptoms under control.

Range of Medical Services

Specializations

Sources

Heuschnupfen bei Kindern | kindergesundheit-info.de
Heuschnupfen » Risikofaktoren » Lungenaerzte-im-Netz
https://heuschnupfen.behandeln.de/heuschnupfen-bei-kindern-behandlung.html
Heuschnupfen bei Kindern (dr-gumpert.de)

Recommended Specialists for Hay Fever in Children