Aug 23, 2013

Tips for Keeping Allergy and Asthma Out of the Classroom

The common cold and chickenpox aren’t the only ailments parents should worry about this back-to-school season.

Allergies affect 28 million children and 7.1 million suffer from asthma, making these two conditions a leading cause of missed school days in the United States.

“There can often be many more allergy and asthma triggers in the classroom than in the home environment, causing children’s immune systems to over respond,” said allergist James Sublett, MD, chair of the American College of Allergy, Asthma and Immunology (ACAAI) Indoor Environment Committee. “An estimated 60 to 80 percent of asthmatic children also have an allergy, which can cause intense symptoms that can be life-threatening when not properly controlled.”

With schools commonly known as being a petri dish of germs and viruses that get passed around from child to child, parents shouldn’t just chalk up breathing difficulties and runny noses to yet another cold. Both can be signs of something more serious, such as allergies and asthma.

To help parents understand if their child is at risk for missing school days due to allergy and asthma, ACAAI offers the following tips.

  • Know what Triggers Symptoms – There are a number of inhalants in schools that can trigger allergy and asthma symptoms, such as the classroom pet, pollen and dust that has settled in the school which can contain mouse allergens. Peers with a pet at home can also trigger an allergic reaction in your little one, since these allergens can be transferred to school via clothing and backpacks. If a child says they are coughing, having difficulty breathing, have a rash, runny nose, or are sneezing, these could all be signs they are allergic to something in school.
  • Know the Difference – It is easy to mistake a cough and a runny nose as signs of a common cold or respiratory infection. If symptoms are persistent, lasting more than two weeks, it’s likely due to allergies. Colds evolve, usually starting with a stuffy nose, throat irritation and low grade fever. Next comes the sneezing and a runny nose, with thickening mucus that often turns yellow or green. Trouble breathing, wheezing, chest tightening and often a cough that won’t stop are signs of asthma.
  • Find Relief – Parents should make an appointment with a board-certified allergist to have their child tested, diagnosed and treated for allergies and asthma. An allergist can also help a child understand what is causing their symptoms and how to avoid triggers. For children with particularly bothersome allergies, an allergist may prescribe immunotherapy (allergy shots) which can modify and prevent allergy development. Patients under the care of an allergist also have a 77 percent reduction in lost time from school.
  • Inform, Educate and Carry – A child’s school, teachers and coaches should all be informed of any allergy and asthma conditions and have medications available. But the education shouldn’t stop there. Children should understand what triggers their symptoms and any warning signs to watch out for. If they are prescribed life-saving treatments, such as a rescue inhaler and epinephrine, they should know how to use their medication. Many schools allow students to carry medication, making communication between parents and the school the key to a healthier child.

“While many parents worry about food allergies being a problem in the school setting, it is more common one for children to suffer from allergy symptoms when they inhale allergens such as mold, pet, pollen and dust,” said Dr. Sublett. “Foods can be avoided, but inhalants often cannot. It’s important children are properly tested and treated by a board-certified allergist so they can find relief from their symptoms.”

Even though a child may appear to be healthy at home, parents need to seriously consider how their child feels in the classroom. Some allergens may also cause a late response in some children. For example, a child may be exposed to pollen during their walk to school in the morning but not begin sneezing and wheezing until lunch time.

Aug 14, 2013

Children with allergy and asthma may be at higher risk for ADHD

The number of children being diagnosed with attention-deficit disorder (ADHD), allergy and asthma is increasing in the United States. 

ADHD, a chronic mental health disorder, is most commonly found in males, while asthma is also more common in young boys than girls. We found there is an increased risk of ADHD in boys with a history of asthma and an even stronger risk associated with milk intolerance.
Researchers in the Netherlands and Boston studied 884 boys with ADHD and 3,536 boys without the disorder. Of the children with ADHD, 34 percent had asthma and 35 percent had an allergic disorder. The study suggests medications used to treat these conditions may be associated with an increased ADHD risk.
"Further research is needed to understand why there appears to be an increased risk of developing ADHD in children with allergy and asthma," said Gailen Marshall, MD, editor-in-chief of Annals of Allergy, Asthma & Immunology. "Medications for these conditions far outweigh the risks, and can be life-saving in some conditions. Treatment should not be stopped, unless advised by a board-certified allergist."
According to the ACAAI, allergy and asthma often run in families. If both parents have an allergy a child has a 75 percent chance of being allergic. If neither parent has allergy, the chance of a child developing an allergy is only 10 to 15 percent. Allergists also know allergies and asthma are linked. An estimated 60 to 80 percent of children with asthma also have an allergy. While the cause of ADHD is unknown, this disorder is also thought to run in families.

Aug 5, 2013

Tomatoes, Cucumbers, Green Beans - Raising an Allergy Free Child

It would seem, according to the journal of Pediatric Allergy and Immunology, that children with diets over 40 grams (1/3 cup) of 'fruity vegetables' such as cucumber, tomato, eggplant, green bean and zucchini, were less likely to suffer with symptoms of childhood asthma.

The study, which was conducted on 460 children in Menorca, Spain from birth to age 6 and 1/2 years, also showed that children who ate 60 or more grams (about 2 ounces) of omega-3 containing fish were less likely to suffer 'atopy' - inherited childhood allergies.

It is believed that due to the high antioxidant and anti-inflammatory nature of the vegetables and fish, these foods produce a protective and healing effect on the bronchial passageways.

According to the lead author of the study, Dr. Leda Chatzi, "The biological mechanisms that underlie the protective affect of these foods is not fully understood, but we believe that the fruity vegetables and fish reduce the inflammation associated with asthma and allergies."

Although fish oil, liquid or capsule forms, are a good start to acquiring their studied 60 grams a day, they contain only around 1.5 to 3 grams per teaspoonful; cod liver oil a bit less. Higher quantities of omega-3's will be obtained by actually eating fatty fish such as salmon, albacore tuna, sardines, herring and anchovy.