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Detecting whether your
child is suffering from a cold or an allergy is another one of those great
mysteries—up there with "Is it gas or reflux?" and "Is she tired or hungry?"
Luckily, unlike those newborn conundrums, you can get a definitive answer.
"This is a classic
question we get all the time, in children and adults," says Dr. Susan Laubach, an associate at the Allergy and Asthma Medical Group and Research Center
in San Diego. "And there are a couple of distinguishing features that
are important in determining which it is. "Forty percent of children
under 18 will develop a respiratory allergy in their lifetime," Laubach says.
Sneezing, a stuffy nose and watery eyes are common symptoms of both
a cold and allergy that can throw off an immediate at-home diagnosis. But certain symptoms rule
out one condition or the other off the bat.
"Allergies cannot cause a fever," says Laubach. "Infections and viruses cause fevers." So if your child runs hot,
it's a cold.
On the other hand,
allergies usually bring on an itch. The throat, nose and even skin typically
itch with an allergy, Laubach adds. So if your child is fine at home but walks
outside and starts itching? Ding-ding-ding! It's probably an allergy.
However, allergies and colds respond to different treatments. Antihistamines (Claritin,
etc.) will take down the swelling caused by a respiratory allergy, but will do
little to relieve the symptoms of a cold.
"If my patients are unsure
(about which they have), I tell them to try an antihistamine," says Laubach.
it's a cold, the medication won't do much good. If you feel a notable
improvement, it's an allergy."
Age: Because respiratory
allergies are triggered by repeated exposure, children don't typically develop
seasonal allergies until they're school age. "A recurrent runny nose in a baby
or toddler is most likely a virus or infection," Laubach says.
Color of mucus: If
you're lucky enough to get a close look at the mucus, an allergy will usually
produce clear stuff. Mucus from infections is either white, green or yellow.
Time of day: When does
the sneezing and nose-blowing occur? If it's when you go outside or in nature,
it's probably an allergy. Does your child wake up in the morning, blow his nose
like crazy and then he's fine until bedtime, when it kicks in again? This could
be an allergy to dust mites, which live in the bedding.
Social exposure: Did
your child just start day care, preschool or kindergarten? And are there several
Family history: The rule of thumb for allergists is that if both
parents have allergies, the child has a 75 percent chance of also having allergies. If
only one parent is an allergy sufferer, the chances drop to 50 percent.
But you don't have to keep
guessing. Allergists and many physicians can perform a simple skin-prick test
on the spot that will reveal immediately whether or not it's "in the air." You
just can't have taken an antihistamine within the past week.
And the culprit might not
be a change in seasons—dust mites and animal dander can cause the same
A trip to the doctor
is the fastest way to clear up the issue. Says Laubach: "I talk about stuffy noses all day."