At The Children's Naturopath, we frequently see children whose parents describe a constantly runny or blocked nose, even when their child is otherwise well.
According to the Australian Institute of Health and Welfare, 13% of Australian children aged 0–14 experienced allergic rhinitis (hayfever) in 2022.
Our approach draws on over 28 years of clinical experience supporting children's health. We pay particular attention to children whose nasal symptoms never seem to disappear completely between illnesses.
A familiar situation involves a four-year-old whose parents feel their child has one cold after another.
The child may have a constantly runny nose, frequently clear their throat or wake each morning with a blocked nose. Parents sometimes notice dark circles or puffiness beneath the eyes. They may have tried antihistamines or nasal sprays, only to find the symptoms return.
One of the most important questions we explore is whether the child is experiencing repeated infections or persistent allergic inflammation that has not been fully recognised.
We are particularly interested in whether symptoms disappear when the child is away from home, worsen overnight or become more noticeable during particular seasons.
Persistent nasal symptoms should be assessed by your child's doctor. What we look at sits alongside that care, not in place of it.
One pattern we investigate is how a child's symptoms change depending on their surroundings.
For example, parents may notice that their child's nose becomes more congested after playing outside during spring, sleeping in a particular bedroom or spending time around pets.
Other children appear congested throughout the year, making the connection with environmental allergens less obvious.
These differences can help identify whether pollen, dust mites, mould or animal dander may be relevant to the child's symptoms.
Another observation we make is that parents may not initially connect ongoing nasal congestion with changes in their child's sleep and daytime wellbeing.
A child who struggles to breathe comfortably through their nose may also experience restless sleep, tiredness or difficulty concentrating.
We are interested in whether these symptoms occur together and whether they change when nasal congestion improves.
We may encourage families to keep a simple symptom diary, recording:
Whether symptoms occur throughout the year or during particular seasons.
Changes after outdoor play, exposure to pets or time spent in certain rooms.
Whether congestion is worse overnight or upon waking.
The frequency of throat clearing, sneezing and itchy eyes.
Changes in sleep, energy and concentration.
Whether nasal symptoms disappear completely between respiratory infections.
These observations can help distinguish recurring patterns from isolated episodes.
Our aim is to understand each child's allergic history, nutritional needs and environmental exposures, developing individualised nutritional and naturopathic strategies that complement their existing allergy care.
13% of Australian children aged 0–14 experienced allergic rhinitis in 2022, from the ABS National Health Survey.
Australasian Society of Clinical Immunology and Allergy (ASCIA) — Allergic Rhinitis (Hay Fever)
Seasonal and year-round allergy patterns, environmental allergens, and symptoms that can resemble recurring respiratory infections.
National Asthma Council Australia — Australian Asthma Handbook: Allergy and Asthma
Assessing symptom timing, environmental exposures, associated allergic conditions and nasal breathing difficulties.