Health Decode | Decline in school children’s concentration, irritability may be caused by allergic rhinitis. Doctors urge early identification of symptoms and targeted treatment
Allergic rhinitis, commonly known as hay fever, is primarily caused by an allergic reaction to specific allergens such as dust mites, pollen, mold, and animal dander. Genetic factors also play a significant role. Dr. Lam Chun-hang points out that if parents themselves have allergic rhinitis, the risk of their children developing the same condition is relatively higher. Parents can watch for common symptoms in their children, including nasal congestion, frequent sneezing, postnasal drip, and a scratchy nose. Some patients may also experience an itchy throat, hoarseness, tinnitus, ear congestion, or headache.
Allergic Rhinitis in Children Often Overlooked, Delayed Diagnosis Can Worsen Condition
When children develop allergic rhinitis, it’s often mistaken for a cold, fatigue, or simply a lack of focus, as they are too young to clearly express their discomfort. Because symptoms can fluctuate, parents often struggle to recognize the condition early, allowing it to worsen unnoticed. Dr. Lam reminds parents that if they suspect their child has allergic rhinitis, they should seek medical attention promptly for timely diagnosis and a treatment plan.
Allergic Rhinitis Can Lead to Various Complications, Don’t Take it Lightly
Dr. Lam Chun-hang states that allergic rhinitis is not a minor ailment. If left untreated, it can lead to a variety of immediate or long-term complications, including sinusitis, nasal polyps, sleep apnea, chronic fatigue, and even other allergic diseases such as asthma. It should not be ignored. For school children, allergic rhinitis can also affect sleep quality, learning concentration, physical and mental development, and emotional health. Some patients may even require surgery to relieve symptoms. Early diagnosis and treatment are especially important for school children.
Desensitization Therapy Can Effectively Reduce Allergic Rhinitis Attacks
Currently, there are several treatment options available for allergic rhinitis, including desensitization therapy. With early intervention and appropriate treatment, the condition can generally be well controlled, reducing its impact on daily life. Desensitization therapy has been shown to be effective for allergic rhinitis caused by dust mites. This therapy involves exposing patients to low doses of the allergen over a prolonged period, allowing the body to gradually build tolerance, reducing sensitivity, decreasing attacks, and potentially achieving long-term or near-complete remission.
Compared to traditional antihistamines or nasal corticosteroids (which mainly control inflammation and relieve symptoms), desensitization therapy focuses on improving the problem at its root. It’s also important to note that corticosteroids are not recommended for long-term use, as they can cause nosebleeds and nasal ulcers. Desensitization therapy is considered a long-term and sustainable treatment option.
Sublingual Immunotherapy (SLIT) is Effective and Durable
Dr. Lam points out that “sublingual immunotherapy” (SLIT) is suitable for both children and adults. Studies show that most patients experience significant improvement after 3 to 4 months of treatment. One study even found that about 50% of patients who received treatment for one month showed better symptom improvement than those who did not, and the therapeutic effect could last up to 9 years after completing the entire course.
Case Study: Allergic Rhinitis Affects Sleep, Concentration, and Academic Performance of Student
Jun-zai, a middle school student, recently experienced headaches and irritability. He had difficulty concentrating in class, and his grades began to decline, leading his mother to believe he was experiencing emotional problems due to academic pressure. After multiple medical consultations, he was finally diagnosed with allergic rhinitis. It turned out that Jun-zai had been suffering from nasal congestion, snoring, and nighttime coughing for a long time, resulting in poor sleep quality and daytime fatigue, which affected his concentration and academic performance.
After receiving appropriate treatment and making lifestyle adjustments, his symptoms gradually came under control, and his overall condition improved significantly. Dr. Lam adds that if the condition recurs or worsens in the future, desensitization therapy can be considered to achieve longer-term or near-complete remission.
林浚鏗醫生
