Allergic rhinoconjunctivitis, triggered by allergies, refers to nose and eye issues that occur at least once weekly. When only the nose is affected, it is termed allergic rhinitis, also known as hay fever, sinus or “sensitive nose”. When only the eyes are affected, it is termed allergic conjunctivitis.
The incidence of allergies, particularly among children, is on the rise globally, especially in developed countries. In Singapore, the prevalence of allergic rhinoconjunctivitis in children up to two years old is estimated to be as high as 42%.1
Allergies generally stem from a combination of genetic and environmental factors.
In Singapore, house dust mite allergens are the most common triggers for allergic rhinoconjunctivitis. Dust mites are found indoors.
Other triggers include pollen, which is most common in temperate climates, and animal dander (a mix of dead skin cells and hair or feathers).
Having an allergy increases the chance of having another allergy, in the same person and in immediate family members. Thus, someone who has asthma, allergic rhinoconjunctivitis or eczema or has a family member with any of these conditions, is more likely to get other allergies during their lifetime.
Signs And Symptoms Of Allergic Rhinoconjunctivitis
Children with allergic rhinoconjunctivitis commonly experience:
Sneezing
Itching of the nose
Runny or congested nose
Swelling or itching of the eyes
These symptoms tend to occur at least once a week, typically in the morning and evening, but can persist throughout the whole day.
In cases where nasal issues are pronounced, some children may develop a prolonged cough or snoring. A prolonged cough can also be related to asthma. Thus, both of these conditions need to be kept in mind as possible causes of the cough in such children. Allergic rhinoconjunctivitis and asthma can coexist in the same person.
Diagnosis And Treatment Options For Allergic Rhinoconjunctivitis
At NUH, we offer comprehensive allergy testing for children. This includes skin prick testing for outdoor allergens such as house dust mites, food and drugs, along with blood tests.
Treatment generally involves avoidance and medication.
Antihistamines are safe and effective, even for very young children.
Topical steroids, such as nasal sprays, are also a safe option. They require regular usage over days to be effective, particularly for reducing nasal blockage or congestion.
Please consult a doctor for an accurate diagnosis before administering any medication.
Tips For Taking Care Of Children With Allergic Rhinoconjunctivitis
If your child is allergic to house dust mite allergens:
Wash bedding (sheets, pillowcases and covers) in hot water (60°C) weekly or fortnightly.
Minimise the use of carpets, soft toys and thick curtains.
Maintain a dust-free environment through damp cleaning.
Vacuum only when your child is not at home and allow the air to settle for about two hours before they enter the room.
Mite-proof mattresses and pillow covers can be helpful.
If your child is allergic to pet allergens:
Avoidance of the animal is recommended. However, conduct a proper allergy test and consult with your doctor before taking any steps.
If complete avoidance is not possible, reduce exposure by keeping the pet out of your child's bedroom.