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Battling Baby Allergies: Strategies for Success

Written by Dr. Kirilyuk Inna Anatolyivna on Mon, 27 November 2023

Key Highlights

  • Allergies in babies can result from food, seasonal, and environmental factors, affecting both infants and toddlers. Allergic reactions involve the body attacking allergens with antibodies, leading to the release of histamine and other chemicals causing symptoms in different body parts.
  • Understanding the development sequence of allergies and their triggers is crucial for prevention and treatment.
  • Causes include common foods like peanuts, seafood, eggs, and household items like pet fur, dust, or mites.
  • Common allergenic foods include cow’s milk, nuts, soy, eggs, shellfish, and gluten (in wheat). Symptoms include diarrhea, stomach bloating, cramps, hives, puffiness, chest tightness, and wheezing.
  • Seasonal and food-related skin rashes are accompanied by localized reddish skin rashes, itching, dryness, and recurrent flare-ups. Avoid triggers, use emollients, antihistamines, and corticosteroid creams as prescribed.
  • Allergic Rhinitis (Seasonal Allergy) can be caused by pollen, dust, mites, or pet hair. Symptoms include sneezing, runny or stuffy nose, watery discharge, mouth breathing, snoring, and cheek soreness. It can be managed with antihistamines, nasal decongestants, consultation with an allergy specialist, avoidance of allergens, regular bathing, changing clothes and bed linen, and air purifier use. 
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Allergies in babies are common and can occur from the food they eat or from an object they touch or from the air they breathe in. Parents find it challenging to deal with allergies in infants as it is difficult to track down their cause. Parents should first determine the allergen causing the reaction and then take precautions to avoid exposure. If the allergies are severe or persistent, it is crucial to consult a doctor.

Allergies In Babies

Allergy is the body's natural immune reaction to any irritant from the outside. Allergies in babies primarily happen due to food, seasonal, and environmental factors. Thus, asthma, allergic rhinitis (nasal allergies), and food allergies are often interlinked. They may cohabit, or one ailment may get better while another develops.

Such allergies can affect both an infant (babies up to one year of age) and toddlers (between 1-3 years of age). Understanding the sequence of the development of these allergies, and the environmental factors that trigger them, is necessary for their prevention and treatment.

Common Allergies In Babies

The causes of common allergies in babies are varied. Let us discuss a few of them:

Common Allergies In Babies

Common foods like peanuts, seafood, eggs, etc.  

Regular items in the household like pet fur, dusty corners, or mites can initiate an allergic reaction in your child if they are prone to it.  

On exposure to that irritant, the body attacks the allergens (the irritant) with antibodies (warrior compounds) called immunoglobulin E (IgE). IgE is carried by special cells called mast cells. Allergens stick to the IgE in the mast cells and induce the release of histamine and other chemicals, which cause allergy symptoms. 

When the chemicals irritate the nose, it causes a nasal allergy. When it happens in the airways and throat, it can cause asthma-like symptoms; when it occurs in the gut, it causes pain, vomiting, or rashes

Signs Of Allergies In Newborns And Their Management

The signs and symptoms of allergies in babies vary depending on the type of allergy. Let’s discuss this in detail and understand how to avoid allergic episodes for your baby.  

Signs Of Allergies In Newborns And Their Management

1. Food allergies  

After asthma, food allergies have been referred to as the "second wave" of the allergy epidemic and are widely recognised as a significant public health burden. According to recent research, food allergies are widespread and can affect up to 10% of infants in some of the countries.

Cause Signs Management 

The most common allergy-inducing foods in babies are:

  • Cow’s milk
  • Nuts: peanuts and walnuts
  • Soy
  • Eggs
  • Shell fishes
  • Gluten (in wheat) 

Most of these allergies are self-limiting and will go away in a few years by avoiding the food.  

Food allergies typically cause diarrhoea, stomach bloating, and cramps.  

However, hives (rashes), puffiness of the face, arms, and legs, tightness of the chest, and wheezing might accompany certain severe cases of allergies. 

The key to treating food allergies is identifying the symptoms and co-relating them to the specific food.

Stop the concerned food. You may re-introduce the food to the child after a significant gap, that makes the body resistant to the previous allergy.

In case of sudden allergies (also called anaphylaxis), it is best to take the child to an emergency room. Oxygen support and epinephrine injections will usually be administered.

The foods to which a child develops allergies will depend on their genetic tendency, how reactive the food is, and what time the child is exposed to them. The most common food allergies in babies are to cow's milk and eggs.

2. Atopic dermatitis (skin allergies)

About 10% of children worldwide are affected by atopic dermatitis, which typically starts in early infancy.

CauseSignsManagement

Seasonal allergies caused by environmental factors like airborne pollen, fungal spores, and dust mites often cause similar flare-ups in the skin.  

Although seasonal, allergies to food can also be accompanied by skin rashes. 

Presents as a complicated, long-lasting, inflammatory skin

condition that causes localised reddish skin rashes, intense itching, dryness, and a pattern of recurrent flare-ups.

Avoid the cause as much as possible.  

Use emollients (moisturising ointment) to reduce the dryness and itching; reduce itching with antihistamines as well; and reduce inflammation using corticosteroid creams as prescribed by the doctor. Moreover, topical steroids and antibiotics have been demonstrated to work better together.

3. Allergic rhinitis (seasonal allergy due to inhalation of irritants)

This is a typical form of seasonal allergy that has symptoms similar to those of a ‘common cold’.

CauseSignsManagement

Allergic rhinitis is majorly caused by pollen inhalation.

Dust, mites, and pet hair are other common causes.

The major symptoms are uncontrolled sneezing, a runny or stuffy nose, clear watery discharge from the nose, mouth breathing, snoring at night, and mild soreness of the cheek due to inflammation in the sinuses.

Antihistamines can be used to manage nasal itching and sneezing

Nasal decongestants are used to relieve a blocked nose.1 It is important to consult an allergy specialist to understand the exact dose and period of use of the medicines.

Avoid exposing your baby to parks, and gardens with fresh flowers, and sharing carpets with the pets.

Bathe him adequately and change his clothes and bed linen every day.

An air purifier in the room can help prevent seasonal allergies.

Take Care This Allergy Season

Infant allergies can be controlled, but you might need to change your daily schedule for that. A newborn having an allergy is likely to have other multiple ones. So, you'll need to be more vigilant for any signs. To manage your infant's allergies, communicate with your paediatrician, and everybody who looks after the baby, such as the daycare or babysitter. This will help the baby stay away from allergens and get emergency treatment if needed.

Conclusion

Allergies in infants are manageable but do require effort and consistent monitoring of the surrounding environment, including food and other possible triggers. Communication with the pediatrician and caregivers is essential for allergen avoidance and emergency treatment if needed.

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Dr. Kirilyuk Inna Anatolyivna

She is graduated from Vinnytsia National Medical University, in 2008.
2008-2010 resident, family practice.
2010-2015 General practitioner, family practice doctor.

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