Blocked and Runny Noses – Is it an Allergy, the Weather, or is My Child Sick?
By: Dr. Carine Smit
During the dry and cooler winter months, it’s common to attribute every sniffle and sneeze to changes in temperature. But how can you tell if your child’s symptoms are due to the weather, allergies, or a viral infection?
When we think of allergies, we often picture sneezing, runny noses, itchy skin, or red, teary eyes. However, the most common symptom of allergic rhinitis is actually nasal congestion or a blocked nose. This is why many underlying allergic causes are often overlooked.
Allergies typically flare up in the spring when pollen levels are high. If your child is allergic to pollen, this season can be particularly challenging, leading to episodes of stuffiness, sneezing, and even difficulty breathing. These symptoms are known as allergic rhinitis. It’s not uncommon to see a spike in emergency room or doctor visits during high pollen seasons. Treatments, such as antihistamines, can help manage these symptoms, so it’s advisable to consult your doctor about these options before spring arrives.
In the dry winter weather of the Lowveld, many people assume their nasal symptoms are due to allergies. However, in some cases, the weather itself, rather than allergens, is the cause of persistent nasal symptoms. Non-allergic rhinitis can be triggered by sudden changes in weather and humidity, causing swollen nasal passages, congestion, and sneezing. These patients often become frustrated when allergy treatments like antihistamines don’t work. Instead, treatments for non-allergic rhinitis can include simple remedies like nasal irrigation or short-term use of decongestants.
It’s essential to visit your doctor to determine the exact cause of your symptoms.
Additionally, with veld fires common in some areas, many people experience multiple nasal symptoms. Remember, smoke is an irritant, not an allergen. An allergen is a substance in the air, like pollen, that triggers a reaction in those who are allergic to it. An irritant like smoke can affect everyone, but it tends to cause more severe symptoms in allergy sufferers due to their already inflamed nasal passages and airways. Smoke can exacerbate symptoms ranging from burning and watery eyes to nasal congestion and even wheezing or shortness of breath. If you suffer from allergies, it’s crucial to be extra vigilant and stay compliant with your medication during these times.
It’s also vital to watch for other symptoms that could indicate an infectious cause rather than just a standard blocked nose or mild allergy flare. If your child has a fever, refuses food, has a persistent cough or wheezing, or experiences any difficulty breathing, it’s always safer to consult your doctor immediately. If home treatments aren’t working, or if you suspect allergies that don’t respond to antihistamines, take your child to a specialist for a thorough evaluation and appropriate treatment.
