What is allergic rhinitis?
When an allergic child breathes in a trigger, the lining of the nose releases histamine and other chemicals, causing swelling, extra mucus and itch. It can be seasonal (linked to pollen) or perennial/year-round (usually driven by indoor triggers like dust mite, mold or pet dander).
Common symptoms
- Repeated sneezing, often in bursts
- Clear, runny nose or post-nasal drip
- Blocked/stuffy nose, sometimes mouth breathing at night
- Itchy nose, throat or palate
- Frequent 'allergic salute' (nose rubbing) and a nasal crease in young children
- Often paired with itchy, watery eyes (allergic conjunctivitis)
Why it matters beyond the nose
Untreated allergic rhinitis in children is linked to poor sleep, snoring, mouth breathing, reduced concentration at school, recurrent sinus infections and can worsen coexisting asthma. It is rarely 'just a nose problem.'
Diagnosis
History of symptom pattern and timing is combined with nasal examination and skin prick testing to confirm the specific triggers — dust mite, pollen, mold or pet dander each need a different management plan.
Treatment approach
- Saline nasal rinses for daily hygiene and symptom relief
- Second-generation antihistamines dosed for the child's age and weight
- Intranasal corticosteroid sprays for moderate-to-persistent disease
- Targeted environmental control once the specific trigger is confirmed by testing
- Allergen immunotherapy (AIT) for children with confirmed dust mite or pollen sensitivity and inadequate response to medicines
Talk to Dr. Narwani: If your child's symptoms are affecting sleep, school, play or growth, or you suspect a specific trigger, book a consultation for proper allergy work-up rather than guessing at home remedies.