Childhood allergies: symptoms, types, and treatment

Allergies in children are on the rise. We know that this can quickly become a source of stress for parents and disrupt the whole family’s daily routine, whether at home or at school.

Childhood allergies: symptoms, types, and treatments

What is an allergy?

An allergy occurs when the body reacts too strongly to something that is normally harmless, such as pollen or certain foods. These triggers are called allergens. When your child’s body is exposed to an allergen, their immune system responds by releasing substances, such as histamine, which cause the familiar symptoms of a runny nose, itchiness, and rashes. These reactions can also affect your child’s skin, breathing, and even their digestive system.

What are the most common allergies in Quebec today?

Among children in Quebec, food and respiratory allergies are still the most common in 2025. According to the Ministère de la Santé et des Services sociaux, nearly 10% of Quebecers suffer from pollen allergies. Ragweed is responsible for approximately 75% of seasonal allergy symptoms, but allergens also vary with the seasons:

  • spring: tree pollen;
  • summer: grass;
  • late summer and autumn: ragweed (especially from July to October).

Skin and respiratory reactions

The signs of an allergic reaction can vary, but some are easy to recognize.

  • Skin: Watch for the appearance of red patches, small bumps, hives, or itching.
  • Respiratory: Watch for nasal congestion, repeated sneezing, or difficulty breathing.

To get a better idea of the situation, your health care professional will want to discuss your child’s symptoms and health history.

What to look out for on your child’s face and body

  • Does your child have a swollen face, lips, or eyelids?
  • Do they have red eyes or a runny nose?
  • Are they suffering from stomach pains, diarrhea, or vomiting?
  • Are they experiencing intense fatigue, dizziness, or a loss of consciousness?

In the most serious cases, a severe reaction called anaphylaxis may occur. Signs include wheezing and stomach pain. If you notice any of these symptoms in your child, act quickly and call emergency services immediately.

What are the different types of allergies?

Childhood allergies fall into four main categories: food, respiratory, drug (and insect stings), and contact. Read on for the details of each type

▶ Food allergies

Food allergies affect around 8% of young children, a percentage that has doubled in recent years. These immune system reactions to certain foods can range from mild to potentially serious.

The most common allergens in young children are as follows:

  • cow’s milk;
  • eggs;
  • peanuts or tree nuts;
  • sesame;
  • soy;
  • mustard;
  • fish and shellfish.

According to Allergy Quebec, there are nearly 75,000 children with food allergies in Quebec schools today.

Symptoms of a food allergy: skin rash, vomiting, and hives

After contact with an allergen, various symptoms can quickly appear:

  • Mild: rashes covering a small area of the skin, itching, occasionally vomiting;
  • Moderate: hives covering a large part of the body, diarrhea, facial swelling;
  • Severe: anaphylactic reaction (this is an emergency that requires the immediate use of an epinephrine auto-injector).

What’s the difference between a food allergy and a food intolerance?

It’s important not to confuse the two. An allergy involves the immune system and can be dangerous. An intolerance is merely a reaction of the digestive system. The symptoms of an intolerance (e.g., bloating or stomach ache) can be uncomfortable, but are not dangerous.

Gluten-free foods and other allergen-free alternatives

There are several options for replacing common allergens:

Allergen

Allergen-free substitute

Wheat/gluten

Rice flour, quinoa, buckwheat, tapioc

Milk

Plant-based beverages (almond, soy, oat)

Eggs

Plant-based beverages (almond, soy, oat)

Peanuts

Sunflower seeds, roasted lentils

Nuts

Pumpkin seeds, avocados

Finding the right substitutes

▶ Seasonal respiratory allergies

An itchy nose and watery eyes can ruin a beautiful day. In Quebec, one out of five people suffers from seasonal rhinitis. Seasonal allergies are often triggered by:

  • tree pollen (trees, grass, ragweed);
  • mould caused by excessive humidity;
  • animal fur;
  • dust mites (the microscopic insect-like pests that feed on dead skin).

Helpful tip: Keeping your windows closed when there are high levels of pollen in the air can help reduce the symptoms of seasonal allergies.

Allergies vs. the common cold: how to tell the difference and what are the symptoms?

Allergies and the common cold may have some of the same symptoms, but there are a few key differences between them:

Symptôme

Allergie

Rhume

Fever

No

Common

Runny nose

Thin and clear mucus

Thick and yellowish mucus

Itchy eyes

Very common

Rare

When to see a doctor?

Consult a health care professional if your nasal congestion symptoms persist for more than 10 days, or if they get worse instead of improving. A consultation is also recommended if over-the-counter medications don’t relieve your symptoms, or if your runny nose is accompanied by significant breathing difficulties.

▶ Drug and stinging insect allergies

Although medication and insect sting allergies are less common, they can be serious. Take note of any symptoms that occur after your child is given medicine or is stung by an insect, and consult your health care professional promptly.

Good to know:

Did you know that excipients can cause allergies? You should always read the label on any type of medicine before giving it to your child. An excipient is a substance that is added to a drug to make it easier to administer and/or improve its form, taste, stability, or ability to be absorbed by the body.

  • Atopic eczema

Atopic eczema, also known as atopic dermatitis, is an inflammatory skin disease. The symptoms are easy to recognize: The skin becomes dry, irritated, and very itchy. This condition can last a long time and is often related to allergies. It makes the skin more fragile and puts it at greater risk of infection.

  • Photosensitivity (sun allergy)

This less common allergy causes itching and small bumps on the skin after exposure to the sun. To prevent these symptoms, it’s recommended to apply a mineral sunscreen with a high SPF, wear long sleeves and pants, and stay out of the sun when it’s at its strongest.

Signs and diagnosis

Take note of anything that could trigger an allergic reaction in your child, whether it be a meal, an outdoor activity, or a new lotion. Before consulting a health care professional, you can do the following:

  • Keep a diary of your child’s symptoms;
  • Take pictures of any rashes or hives that appear on their skin;
  • Write down any medications your child has taken.

How long do allergic reactions last?

Allergic reactions can last for anywhere from a few minutes to several hours, depending on the level of exposure to the allergen. Severe reactions generally occur within two hours of contact.

Allergies are diagnosed based on the following:

  • a full medical interview;
  • skin tests;
  • a blood test that measures the levels of specific antibodies (IgE) in the blood;
  • controlled challenge tests as needed.

Note: Other conditions can mimic allergy symptoms. Following a diagnosis, desensitization treatments can be considered for certain allergies.

How to prevent allergies

Key risk factors include family history, exposure to pollutants, and a humid environment favourable to dust mites. Here are some methods for prevention:

  • Consider breastfeeding and introduce foods according to current pediatric guidelines;
  • Keep windows closed during ragweed season (mid-July to October) to limit exposure to outdoor allergens;
  • Control dust mites with regular cleaning;
  • Keep your child’s environment free from tobacco smoke;
  • Maintain good ventilation and limit humidity to reduce mold;
  • Consider desensitization treatments for certain persistent respiratory allergies, after consulting a medical professional.

What’s the most effective medication for allergies?

The right treatment depends on the type of allergy your child has and the symptoms they are experiencing. The first step is always to avoid the allergen, but since that’s not always possible, there are several options for relieving allergy symptoms:

  • antihistamines to calm itching;
  • cortisone cream for eczema;
  • nasal sprays for nasal congestion;
  • asthma treatments as recommended (bronchodilators, inhalers with corticosteroids);
  • for anaphylaxis, an epinephrine auto-injector should be readily available and used immediately as recommended.

For chronic allergies, desensitization treatments, which are spread over 3 to 5 years, can be considered, with regular monitoring by an allergist.

Your emergency kit

  • an epinephrine auto-injector (carry it with you at all times and keep track of when it expires);
  • a written action plan for the school and the family;
  • a list of emergency numbers and clear instructions on when to administer epinephrine.

Living with an allergy: supporting your child

Living with an allergy is also a psychological challenge. For example, your child may experience anxiety before eating outside the home, or worry about being left out because of their allergy.

To help your child:

  • Explain their allergy in simple terms;
  • Encourage them to carry an allergy card or wear a medical ID bracelet, if recommended;
  • Have an emergency plan and communicate it to the relevant staff members at the beginning of the school year;
  • Don't hesitate to consult a professional if you feel your child is under a lot of stress;
  • For assistance, contact Allergy Quebec’s free support line.

 

Managing childhood allergies requires vigilance and preparation. By being well-informed and working with health professionals and your child’s school, you can give your child all the tools they need to live a full, safe life.

When should you go to the emergency room?

If you see signs of a serious reaction in your child (facial swelling, difficulty breathing), don’t wait to act: This is a medical emergency. If your child is showing signs of anaphylaxis, call 911. When in doubt, administer epinephrine, if it has been prescribed.

Even if you child’s symptoms improve after the injection, medical supervision is essential in the hours that follow.

Leave it to us

We’re here to help. Your Brunet-affiliated pharmacist-owner is your go-to resource for health-related questions. We’d be happy to talk to you about treatment options or help you get comfortable using an epinephrine auto-injector.

Book an appointment

Last updated on November 24, 2025

img-article

Did you like this article?

Subscribe to our newsletter to stay in touch.

×
Pick up location

You may change the store at any time.

Please click on Search to display the results.
×
Store change

Loading...