Allergies vs Cold

Allergies and colds can often be confused. Here are ways to tell the difference between each.

Benjamin Cable, MD

10/2/20232 min read

Child with allergies in Frisco TX
Child with allergies in Frisco TX

Deciphering the sniffles and sneezes in children can be challenging. As parents, we often wonder whether our child's runny nose or itchy eyes are signs of seasonal allergies or just the common cold. This is especially important in children, as the way they express or experience symptoms might differ from adults. Let's dive into how you can distinguish between allergies and colds in your child and when you might need the expertise of an Ear, Nose, and Throat (ENT) specialist.

Allergies vs. Cold: Understanding the Symptoms in Children

1. Duration of Symptoms:

  • Allergies: Can persist as long as the child is exposed to the allergen, possibly for weeks or even months.

  • Cold: Typically last from a week to ten days.

2. Onset of Symptoms:

  • Allergies: Almost immediate after exposure to allergens, like pollen or pet dander.

  • Cold: Symptoms take a few days to manifest after infection.

3. Sneezing, Itchy Eyes, and Nose:

  • Allergies: Common in allergic reactions. Itchy eyes are especially indicative of allergies.

  • Cold: While sneezing is frequent, itchy eyes are uncommon in colds.

4. Aches and Fever:

  • Allergies: Generally absent.

  • Cold: Children may experience mild body aches and fever.

5. Cough and Sore Throat:

  • Allergies: Often result from post-nasal drip.

  • Cold: Common symptoms, and may cause significant discomfort in children.

6. Nasal Discharge:

  • Allergies: Clear and watery.

  • Cold: Begins as clear but may become thick and yellowish or greenish.

Red Flags that Need Immediate Attention

In children, certain symptoms should be promptly addressed:

  • Difficulty in breathing or pronounced wheezing.

  • Fever lasting more than three days or exceptionally high for their age.

  • Severe or lasting sinus pain.

  • A cough that persists beyond two to three weeks.

  • Any symptoms that don’t subside or improve after two weeks.

If any of these signs emerge, it could indicate a deeper medical concern, such as an infection or asthma. Always consult a pediatrician or healthcare professional.

Why Visit an ENT Doctor for Children?

An ENT specialist, or pediatric otolaryngologist, is trained to handle ear, nose, and throat issues specifically in children. Here's why such a visit can be crucial:

  1. Specialized Care: Children aren't merely small adults. Their anatomy and the way they react to infections or allergens can be distinct. ENT specialists understand these nuances.

  2. Personalized Treatments: ENT doctors can provide tailored treatments based on your child’s specific needs, ensuring optimal relief and minimal side effects.

  3. Chronic Issues Addressed: If your child frequently complains of earaches, throat discomfort, or has recurrent sinus issues, an ENT can provide solutions that general pediatricians might not.

  4. Allergy Testing for Kids: If allergies are suspected, ENT specialists can conduct age-appropriate tests to identify specific allergens, guiding the way to effective management.

  5. Child-friendly Solutions: From liquid medications to interactive explanations, pediatric ENTs are equipped to make your child comfortable during treatments or procedures.

Conclusion

The health of our children is always a priority. Knowing the difference between allergies and colds can ensure they get the right treatment and relief faster. If you're unsure or concerned about persistent symptoms, always err on the side of caution and consult with an ENT specialist experienced in pediatric care. They can provide both clarity and care, ensuring that your child's health is in the best hands.