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Understanding triggers and finding relief can keep kids in class

ARLINGTON HEIGHTS, ILL. (August 20, 2013) 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.

    For more information about insect sting allergy and to locate an allergist in your area, visit

    About ACAAI

    The ACAAI is a professional medical organization of more than 6,000 allergists-immunologists and allied health professionals, headquartered in Arlington Heights, Ill. The College fosters a culture of collaboration and congeniality in which its members work together and with others toward the common goals of patient care, education, advocacy and research. ACAAI allergists are board-certified physicians trained to diagnose allergies and asthma, administer immunotherapy, and provide patients with the best treatment outcomes. For more information and to find relief, visit Join us on Facebook, Pinterest and Twitter.

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