The sprays should not be used year round unless specifically prescribed in that way. Often after a month of daily Nasonex use, the spray can be used once every second day. My regimen is to use one spray in each nostril once daily from August to Christmas (hayfever season), and occasionally in April and May. The commonly prescribed nasal sprays for allergic rhinitis (whether hayfever, or year round or perennial allergic rhinitis) are Nasonex spray, Rhinocort AQ, or Avamys nasal sprays. Nasal steroid sprayĪlthough nasal steroid sprays contain microdoses of steroid, they are quite safe if used as prescribed. Ongoing medical treatment and even desensitization (either sublingually or by injection) may be necessary. It is important to realize that we cannot cure allergic conditions by surgery alone. This may involve grommet tube insertion, sinus surgery, or tonsillectomy and/or adenoidectomy. Occasionally, because of obstruction to the eustachian tube, sinus outlets or airway by a combination of allergy and infection, surgical clearance is necessary. Nasal sprays such as Avamys, Nasonex, or Rhinocort are useful for nasal allergies and antihistamines are helpful in short courses. “Vega testing” is unscientific and is useless. Blood testing (RAST tests) can be done at a younger age, but do not always correlate with food allergies.
#Allergic salute skin#
How is allergy managed?ĭepending on the age of the child, we can do allergy testing by skin testing (for airborne allergens such as grasses, pollens, mould or dust mite/cat/dog hair) at age 3 years and above, or avoidance/provocation testing for food allergies (milk, wheat, yeast, eggs, citrus, soya milk) at a younger age. The tonsils and adenoids may enlarge significantly causing airway obstruction and the obstructive sleep disorder. The allergic child often has an increased incidence of ear infection and “glue ear”, and there is often an associated sinusitis, especially in winter. What are the ENT complications of allergy? They often have a white or pale area around the nose and mouth. Their cheekbones may not develop well and they may have flattened cheeks, orthodontic problems and a large dry lower lip. They often have an open mouth, sniff, rub their nose (allergic salute) and develop a box shaped upturned nose with a crease on it as well. They commonly look tired, with allergic shiners or dark rings under their eyes with a crease or line. The allergic child’s facial appearanceĭoctors can often diagnose a child as looking allergic just by their facial appearance. This could be nasal congestion, sinusitis, large tonsils and adenoids causing obstructive sleep disorder, eczema, or asthma. If one or both parents, or a brother or sister have an allergic condition, there is a high probability that your child may also develop an allergic condition. Up to 40% of children in Western Australia have manifestations of allergy, such as eczema, asthma, or hayfever. The response by the body varies from sneezing and blocking of the nose (hayfever) to constriction of the lung airways (asthma).
An allergy indicates an excessive inflammatory response by the body to a “foreign body” – this may be an inhaled allergen such as pollen in the air, or an ingested allergen such as milk.
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