Allergies in Children: When to Worry? By Dr. Blegina Shashaj, Pediatric Specialist at Aventino Medical Group, Rome
Introduction
Spring brings longer days, mild temperatures, and the beauty of nature in bloom. However, for many children, it also means dealing with the annoying symptoms of seasonal allergies. Sneezing, a runny nose, and coughing may seem like a common cold, but if these symptoms recur every year with the arrival of spring, it’s time to look into the situation more deeply.
🌿 But what triggers these allergies? The main culprits are pollen from trees, grasses, and herbaceous plants that, dispersed in the air, can cause allergic reactions in predisposed children. These allergens stimulate the immune system, which mistakenly recognizes them as threats and triggers an inflammatory response.

When to suspect an allergy?
If a child shows respiratory or ocular symptoms that persist for weeks and worsen at specific times of the year, it is advisable to consult a specialist. A referral for allergy testing in children should always come from a pediatric or allergology evaluation. The following signs may suggest the need for further investigation:
✔ Frequent sneezing, especially outdoors or upon waking
✔ Nasal congestion and itching
✔ Persistent cough without fever
✔ Itchy and red eyes with excessive tearing
✔ Wheezing or shortness of breath after exposure to certain environments
✔ Sleep disturbances due to breathing difficulties
Many parents may not immediately recognize these symptoms as signs of an allergy, thinking it’s just a common cold. However, if the disturbances recur cyclically at the same time of year or last longer than usual, it’s important to have the child undergo a specialist evaluation.

How is the diagnosis made?
The diagnosis of seasonal allergies is based on a combination of a detailed medical history, physical examination, and specific allergy tests. The most common tests include:
📌 Skin Prick Test – Small amounts of allergens are applied to the skin to observe any local reactions.
📌 Blood tests (specific IgE) – Measurement of the immune system’s response to suspected allergens.
These tests help pinpoint the exact cause of the allergy and allow for a targeted therapeutic strategy.

Strategies to prevent and manage seasonal allergies in children
In addition to the pharmacological treatments prescribed by the pediatrician or allergist, there are several strategies to reduce exposure to pollen and relieve symptoms:
Know the pollen calendar – Identify the plants responsible for the allergy and monitor the periods of peak exposure.
Limit exposure to pollen – Avoid spending extended time outdoors on windy, dry days when pollen concentrations are higher.
Protect indoor environments – Keep windows closed during the pollen season and use air purifiers.
Modify daily habits – After being outdoors, it is helpful to take a shower and wash the hair to remove accumulated pollen. Avoid hanging clothes outside.
Take precautions when traveling – Traveling by car with windows closed and using pollen filters can help reduce symptoms.
Consider staying in less allergenic environments – Spending a few days in coastal or mountainous locations can reduce symptoms.
Use protective devices – Anti-allergy masks are a helpful tool on days with high pollen levels.
Follow the prescribed therapy – Antihistamines, nasal corticosteroids, or other treatments should be taken consistently for effective symptom control.

Practical tips for children allergic to pollen
In more severe cases, it is essential to adopt additional precautions:
✔ Avoid parks and fields on days of high pollen concentration.
✔ Do not ride a bike or motorbike without protection, as pollen accumulates in hair and clothing.
✔ Use sunglasses to protect the eyes from irritation.
✔ At home, use air filters and wash bedding and clothes frequently.
✔ Plan outdoor activities during less risky hours, preferably early in the morning or after rain.
✔ Consult an allergist to evaluate specific immunotherapy, which can reduce the intensity of allergic reactions in the long term.
By adopting these strategies, the child’s quality of life can be significantly improved, allowing them to face the spring season with greater ease and comfort.

Conclusion
Seasonal allergies can be bothersome and affect a child’s quality of life, but with early diagnosis and proper management, symptoms can be significantly reduced, improving daily well-being. Consulting a specialist helps identify the best prevention and treatment strategies, ensuring optimal control of the allergic condition.
🌿 Do you want to help your child experience spring without discomfort? Book an appointment with our pediatrician at Aventino Medical Group for a thorough check-up and personalized management of allergy symptoms. A small step today can make a difference for their health and well-being! 😊
👉 To learn more, we invite you to visit both our Pediatrics page and our Allergology page at Aventino Medical Group.
📅 From there, you can easily book an appointment with our specialists to ensure your child receives personalized and attentive care.
We’re here to support their health… in every season! 🌸💙