Allergy - medicines for children
Limit a week
Cortisone - also for children
Inhalation sprays, eye drops, ointments, pills - small allergies often need the whole program. In order to prevent mild discomfort, children with hay fever receive so-called mast cell stabilizers (for example cromoglycic acid) about two weeks before the start of the flowering period of the allergenic plant. These do not work in an acute allergy episode, but prevent it - if treatment was started early.
The active ingredients in these drugs slow down the release of the messenger histamine so that it does not even come to an allergic reaction. Children with allergies can use these drugs for longer periods of time and usually tolerate them well. What displeases most children: The preparations must be applied several times a day - sprayed into the nose, dropped into the eyes or inhaled. But not all medicines are suitable for children. For example, physicians may prescribe some active ingredients - depending on dosage form and dose - to school-age children, for example. Still other agents are not suitable for children at all.
For more severe and acute allergy symptoms, antihistamines are the drugs of choice. They prevent the already released messenger histamine from exerting its effect. The drugs are available in the form of eye drops, nasal sprays, drops, syrup, tablets or as skin creams. Since it is difficult to accurately dose eye drops or nasal sprays in small children, experts recommend treating children with oral antihistamines. Again, not all antihistamines are suitable for children, with some drugs there are age restrictions.
Some drugs are not age-restricted either because they are still too new and have no experience with children, or because there are no other drug forms suitable for children. The best-known antihistamines are:
Locally applied dosage forms are generally well tolerated. Medications that are taken can make the children drowsy. For newer drugs this is less the case than for older antihistamines. Nevertheless, parents should first pay attention to whether their child looks tired after taking the medication. Because that can reduce school performance and increase the risk of accidents on the way to school. The children should then take the drug only in the evening or change to another drug. Basically, drugs should only be given in consultation with the pediatrician.
Limit a week
If the nose swells badly, sometimes nose drops or sprays help to breathe freely again. They have a vasoconstrictive effect and allow the nasal mucous membrane to subside. However, with prolonged application time, they can dry out and ignite the mucous membrane. Therefore, children should use these products only for a short time. Nasal sprays that contain only a physiological saline solution, however, can safely be used for a long time.
Cortisone - also for children
Cortisone preparations are often essential for severe, chronic hay fever or asthma. For a short time, children receive cortisone preparations that are topically applied as eye drops, nasal sprays, dosing aerosols or creams. Since the cortisone hardly gets into the bloodstream, it causes few side effects and is usually well tolerated by children.
If these preparations do not help, children must change to drops, tablets or suppositories. Prolonged intake may cause side effects such as infections or growth disorders. In general, internally applied cortisone in existing infections with viruses, bacteria or fungi should not be taken, as the preparations also weaken the immune system. The same applies to nasal sprays or dosing sprays in the case of infections of the nose or the respiratory tract.
Almost all cortisone preparations are subject to prescription. Partial age restrictions exist for the following substances:
- triamcinolone acetonide
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The most common gluten traps
Gluten is (almost) everywhere - and for many foods, you will not see at first glance if they contain gluten.Which foods are particularly treacherous gluten suppliers? Take a look for yourself!
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Gluten is used as a binder in many types of ice cream. But you can not recognize that from the outside. Therefore ask in the ice cream parlor specifically for gluten-free ice cream.
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Sweet and nibbles
Some chocolates, sweets and many nibbles get their pleasant consistency with gluten. To be sure, study the fine print on the packaging: gluten (or its raw materials wheat, rye, barley, oats or spelled) must be identified there.
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While pure meat usually contains no gluten, the gluten protein appears in many (spiced) sausages. Avoid these - or test in individual cases the compatibility in small quantities.
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Even frozen foods such as vegetables from the chest often contain gluten. Also note the small print label. Beware of "flavor enhancers", "excipients", "release agents" or "stabilizers". They can be made gluten-based.
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Fresh fish is - just like fresh meat - a good source of protein for celiacs. It is different with canned fish, which does not float in its own juice or in oil, but in spicy sauce.
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Many ready meals contain gluten in their recipe as a binder, stabilizer or flavor carrier. Sensitive people often get enough marks to trigger the agonizing symptoms of celiac disease. Again, study the package label!
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It is no coincidence that gluten is also called "gluten-proof white". Its adhesive property makes the protein interesting for cheese making. Also as flavor enhancers gluten-containing substances are used.
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Flavor enhancers, release agents, binders - they are also included in spice blends. These can therefore - you guessed it - contain gluten. If possible, use spices individually and fresh!
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Ketchup & Co.
Ketchup, many mustards, remoulades and salad dressings contain gluten. There, your creativity is in demand when seasoning. Dressings are best prepared with sour cream or oil, vinegar and balsamic. You can also make ketchup yourself on stock.
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A special meanness at the end: Beer is taboo for celiac sufferers. Or not? In fact, there are some (marked) beers based on gluten-free cereals. Or those that are technologically (almost) gluten-free. Bottom up!
The effects and contraindications described here are not comprehensive and in no way replace the visit to the doctor. Which pediatrician is most suitable, the pediatrician decides from case to case. Thus, for every child suffering from allergies, suitable drugs are found that are well tolerated. However, parents should always ask how they can detect typical side effects at an early stage. Even over-the-counter medications should only be used in consultation with the pediatrician.