Uzm argues that allergic diseases, known as the epidemic of the 21st century, are much more serious in children. Dr. Hale Molla Kafi made recommendations on the rise of allergic disease in children.
Saying that allergy is a common problem in childhood, Child Health and Diseases Specialist. Dr. Hale Molla Kafi stated that families experienced great panic when confronted with this problem. Dr. Kafi listed the most common symptoms in allergies, which can cause symptoms in many ways: “Mucus, bloody stools, problems with weight gain, dermatitis and eczema, constipation or diarrhea, itching or congestion in the nose and allergy are definitely seen in people with asthma.”
Dr. Dr. Kafi said: “Values such as Ige and Eosinophils should be checked in the patient’s blood analysis. Specific Ige analysis can be performed against allergens in the blood, especially in small babies. The skin allergy test, which can be performed at any age, but is more practical in slightly older children, should be applied to the forearm or back area. The tests check whether the patient has an allergic body and what he or she is allergic to. While no fasting or medication is required before the tests that are done with blood analysis performed, antihistamine-containing medicines (anti-allergic medicines, cold medicines) used before the skin allergy test should be discontinued at least 5 days before.”Especially most children with asthma also have allergies. Most of them may have allergies to house dust, dust mites, mold, pollen, animal and plant dander,” he said.
Dr. Dr. Kafi said, “And it is applied according to certain steps. If the factors are known to the patient with rashes (hives, urticaria), anti-allergic drugs are given in addition to diet and precautions. Topically applied creams and lotions are usually recommended for patients with eczema (atopic dermatitis).Allergy symptoms of some patients are hay fever.This may take the form of itchy nose, congestion, watery eyes and itching.These patients are given oral antiallergic drugs, eye drops and nasal sprays.There is a common belief among the people that nasal sprays affect growth, the amount of cortisol in these drugs is very high. It has been proven by scientific studies that it has no general (systemic) effect on the body, because it is low and the absorption from the nasal mucosa is negligible.
If the patient does not respond to medical treatment, allergy precautions should be reviewed and, if necessary, allergy testing performed again. In general, such patients are transferred to a higher-level treatment, which is taken in the form of powder or chewable tablets, and is generally used regularly in high-risk months. Vaccination treatment may be used in severe patients who do not respond to drug therapy, when deemed appropriate by the pediatric allergist. If the patient has asthma symptoms, respiratory medications are added in addition to the above treatments. These drugs are not addictive as believed, do not affect growth, do not cause early puberty, it is very important to use the treatments as recommended by the doctor and often.
Dr. Kafi asked families to watch for the following:
“1. Never give the food your child is sensitive to, try not to keep it at home.
2. If your child is allergic to house dust and mites, especially when removing fabric items and carpets from the bedroom: mites live in all kinds of fabrics, whether made of wool or not.
3. Bed duvets and pillows should be covered with special covers that are not impenetrable to mites.
4. Bedding should be washed above 60C at least once every 15 days
5. It is necessary to completely remove soft toys from the bedroom and the house.
6. Never allow smoking in or around your home.
7. Do not expose your child to strong odors and sprays such as perfume, talcum powder, hairspray and paint.
8. Use vacuum cleaners with HEPA filters. If the possibilities do not allow the purchase of these brooms, the person with mite allergy should not be present during the sweeping process.
9. Make sure the mites die; The effectiveness of chemicals that are sometimes recommended to be added to the washed laundry and sometimes used for environmental cleaning has not been proven. Therefore, its use is not recommended.
10. It would be appropriate for the child with dust mite allergy to have a room exposed to the sun and well ventilated. It makes no sense to put air filters in the rooms. Because mites and their allergen-causing parts are heavier than air, they don’t stay in the air and fall to the ground. That is why air filters are of no use.
11. An often recommended practice in our country is to have steam in children’s rooms. Steam application is inconvenient for children with mite allergies, but it is recommended to use in areas with very low humidity.
12. If you are allergic to animals and you cannot prevent the presence of animals in your home, at least do not allow them in your bedroom and always keep the bedroom door closed.
13. People with mold allergies; Wipe moldy surfaces with a detergent containing bleach.
14. Those who are allergic to pollen; During the pollen season you can ventilate very early in the morning or in the evening. Ask your doctor if any adjustments to your allergy and asthma treatment are needed before allergy season begins.