Understanding Allergies in Kids: A Guide for Parents

The article, in summary

  • Allergies in kids can range from a nuisance to life-threatening, and about 1/4 kids will have some type of allergy

  • They are the body’s response to what it mistakenly perceives as a threat, leading to an overreaction

  • Allergies can start as early as infancy and may pass or may remain life-long

  • Reducing exposure to allergens as well as correct medication are key to managing allergies in kids

  • If you’re working with a nanny, make sure they know how to avoid allergic reactions and what to do in case your child has one


Looking for a nanny who knows how to care for kids with allergies?


Allergies in Children, the Basics

An allergy is the body's response to what it mistakenly perceives as a threat. This response leads to an overreaction that causes discomfort or, in severe cases, more serious health issues​. 

It is estimated that one out of four children will have some sort of allergy, such as seasonal allergies, eczema, or food allergies. They may range from a minor nuisance to life-threatening conditions. 

  • They may appear in infancy, such as eczema or food allergies, whereas pollen allergy is unlikely to occur before the age of 2. 

  • Many allergies, particularly food allergies, may also dissipate with age. 

  • Black, non-Hispanic children have a higher likelihood of food allergies compared to their Hispanic and White, non-Hispanic counterparts​.

Recognizing the Signs of Allergies in Children

Allergic reactions in children can manifest in various ways, depending on the type of allergy. Parents and nannies should watch for symptoms such as:

  • Sneezing

  • Runny nose

  • Congestion

  • Red, watery, or itchy eyes

  • Rashes

  • Vomiting or diarrhea

  • Cramps

  • Hives 

  • Difficulty breathing

When Are Kids Old Enough for Allergy Medicine?

It's essential to consult a healthcare professional before administering any allergy medication to children. 

The question of when a child is old enough to take allergy medicine is a common concern among parents. The answer varies significantly depending on the specific medication and the child's health condition. 

It's essential to consult a healthcare professional before administering any allergy medication to children, even over-the-counter medication, for the first time. They can provide guidance on suitable medications and dosages based on your child's age, weight, and the severity of their allergic reactions. 

If you think your child has an allergy, contact your pediatrician first

Informing Your Nanny About Your Child's Allergies

When your child has allergies, communicating detailed information to your nanny is vital. Particularly if your child has severe allergies, it is important to discuss this before hiring a new nanny, so that they may have all necessary information from the start.

If you are working with a nanny agency, make sure they know about your child’s allergies as well. The same goes for preschool, daycare, or school that your child attends. Many schools will have specific protocols for allergies so check with your child’s school what they need. 

This includes: 

  1. A list of known allergens and potential triggers in your home and environment

  2. Symptoms of an allergic reaction specific to your child

  3. The steps to take in an emergency. 

An allergy action plan can be a lifesaver, so outline the necessary actions your nanny should take if your child experiences an allergic reaction. Make sure the nanny also has easy access to any emergency numbers, pediatrician info, and knows what you want them to do in case of an emergency. 

For less severe allergies, it may be enough just to walk them through medications or ointments. If your child experiences a severe allergic reaction to allergens, known as anaphylaxis, a doctor will often recommend an auto-injector with epinephrine, a so-called Epi-Pen. If so, your nanny needs to be given the chance to learn about how they work and when to use it. 


Did you know? First-Aid/CPR classes will often include Epi-Pen training as part of the course materials. 


Managing Allergies: Tips for Parents and Nannies

Reducing exposure to allergens is key to managing allergies. 

  • For airborne allergens like pollen, keeping windows closed during high pollen seasons and using air purifiers can help. 

  • For food allergies, ensure both you and your nanny are aware of safe food handling practices and cross-contamination risks. 

Diet management plays a critical role in preventing reactions, so educating your nanny on reading labels and recognizing hidden allergens in foods is essential. Medication may also be a crucial part of managing your child's allergic reactions, so ensure that your nanny knows how and when to administer any prescribed treatments.

Professional Advice and When to Seek Help

Consulting a healthcare provider for allergy testing or management is essential if you suspect your child has allergies. Regular check-ups are crucial for children with severe allergies to monitor their condition and adjust their treatment plan as needed. 

How Can We Help?

Allergies in children are a significant concern, but with the right knowledge and preparation, they can be managed effectively. By recognizing the signs of allergic reactions, understanding when and how to use allergy medications, and communicating detailed information to your nanny, you can ensure your child's safety and well-being. 

If you are looking for a nanny with specific experience caring for kids with allergies, reach out to us here at Smart Sitting. As a nanny agency with over 15 years of experience matching families with their ideal nanny or babysitter, we can hand pick the candidates who will give you peace of mind (and help your kids have so much fun in the process). Reach out to us today, and let a dedicated team member walk you through the entire hiring process.

Cajsa Landin