When Should I Get My Child Tested for Allergies?

Dr Shabrina Saidin

Dr Shabrina Saidin

Director of Klinik Casabrina Senawang, a top-rated healthcare clinic in Senawang. With years of experience in the medical field, Dr. Shabrina helps patients in obstetrics and gynecology.

Does your baby react to certain foods? Learn when to test for food allergies, including symptoms of cow’s milk, egg, and carrot allergies in infants.

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Allergies can be tricky to spot in young children, especially when symptoms overlap with common childhood conditions. But knowing when to test can make a big difference in managing allergies early and preventing more serious reactions. Whether it’s food allergies, seasonal triggers, or infant skin allergies, recognizing the signs early can help keep your child healthy and comfortable.

Recognizing Allergy Symptoms in Infants and Young Children

Babies and toddlers can’t always tell you when something is wrong, so recognizing allergies early requires close observation. Allergy symptoms in young children can vary widely, affecting the skin, digestive system, respiratory system, or even behavior. 

Skin reactions — Red, itchy rashes, eczema, or hives.

Digestive issues — Vomiting, diarrhea, excessive gas, or blood in the stool.

Respiratory symptoms — Chronic runny nose, sneezing, coughing, or wheezing.

Behavioral changes — Increased fussiness, trouble sleeping, or refusal to eat certain foods.

Some allergic reactions happen within minutes, while others develop over time. If symptoms persist or worsen after eating certain foods or exposure to environmental triggers, it may be time for testing.

How Fast Do Allergy Symptoms Appear?

Allergic reactions can be immediate or delayed:

Reaction TypeTimingExample Allergens
Immediate (within minutes to 2 hours)Hives, vomiting, swelling, difficulty breathingPeanuts, eggs, dairy, shellfish, bee stings
Delayed (hours to days)Eczema flare-ups, digestive issues, congestionCow’s milk, soy, wheat, pollen, dust mites

Common Baby Allergies

Allergies tend to run in families. If one parent has allergies, their child has about a 30-50% chance of developing them. If both parents have allergies, the risk jumps to 60-80%. However, a baby won’t necessarily inherit a specific allergy—just a predisposition to allergic reactions. The common allergies you baby may develop includes:

Food Allergies

Food allergies affect up to 8% of children under five, with some of the most common triggers being milk, eggs, nuts, soy, wheat, and seafood. Even seemingly harmless foods can cause reactions.

Egg allergy is one of the most common childhood food allergies. Symptoms range from mild (hives, upset stomach) to severe (difficulty breathing, swelling).

Carrot allergy in babies is rare but possible. It can cause rashes, diarrhea, or an itchy throat after consumption.

Cow’s milk allergy in babies is different from lactose intolerance. It can cause vomiting, diarrhea, and even poor weight gain in infants.

Skin Allergies

An infant skin allergy may appear as eczema, hives, or contact dermatitis. Common triggers include laundry detergents, soaps, fabrics, and even certain foods. If a rash doesn’t improve with basic care, an allergy test might be needed.

Environmental Allergies

Pollen, pet dander, mold, and dust mites can all cause allergies during pregnancy and can also affect babies. If your child has year-round congestion, sneezing, or watery eyes, environmental allergies might be the culprit.

When to Get Your Child Tested for Allergies

Not all children need allergy testing, but in some cases, early testing can help prevent serious reactions and long-term health issues. Doctors may recommend allergy testing if your child experiences:

Frequent Baby Food Allergy Symptoms: If your child regularly reacts to certain foods—such as rashes, vomiting, diarrhea, or swelling after eating—testing can help pinpoint specific allergens. 

Severe Allergic Reactions: Any child who has experienced severe swelling, breathing difficulties, or anaphylaxis should undergo allergy testing as soon as possible. These reactions can be life-threatening, and identifying the trigger early is crucial for preventing future emergencies.

Family History of Allergies: Genetics play a significant role in allergies. If a parent or sibling has allergies, asthma, or eczema, the child has a higher risk of developing similar conditions. In fact, research suggests that if both parents have allergies, their child has up to a 60-80% chance of developing one too. 

Persistent Skin or Digestive Issues: Babies with infant skin allergy conditions like eczema (atopic dermatitis) may have underlying food allergies. Similarly, children who experience frequent stomach pain, vomiting, or diarrhea after eating may have food-related sensitivities.

Recurring Respiratory Problems: Chronic coughing, wheezing, sneezing, or nasal congestion. If your child’s symptoms worsen with exposure to pollen, pet dander, or dust mites, a test can determine the cause and recommend appropriate treatments.

The Right Age Ranges for Allergy Testing

The best age for allergy testing depends on the type of allergy suspected:

AllergenAgeNotes
Food AllergiesAs early as 4 to 6 months.This helps parents introduce solid foods safely while avoiding serious reactions.
Environmental AllergiesAge 2 or older. Younger infants have limited exposure to pollen, dust and pets.
Inhalant Allergies (Asthma & Rhinitis)Around age 3 to 5.Their symptoms only become more noticeable when they’re older.

Do Allergies During Pregnancy Affect the Baby?

If you have allergies during pregnancy, you might wonder whether they can impact your baby. The short answer is yes, but not in the way you might think. While allergies themselves aren’t directly passed from mother to child, the baby’s risk of developing allergies later in life can be influenced by other factors.

Maternal Immune Response: Severe allergies trigger immune system inflammation. Some studies suggest that excessive immune activation during pregnancy may increase the likelihood of the child developing allergic conditions.

Prenatal Exposure to Allergens: Some research indicates that if a mother is exposed to high levels of allergens (like pet dander or pollen) while pregnant, her baby’s immune system may become sensitized, increasing the chances of allergies later.

Food Sensitivities & Diet: There’s no clear evidence that avoiding allergenic foods (like peanuts or dairy) during pregnancy prevents allergies in children. However, a well-balanced diet with a variety of foods may help the baby’s immune system develop normally.

Gut Health & Microbiome: The mother’s gut bacteria play a role in shaping the baby’s immune system. Studies suggest that taking probiotics during pregnancy may lower the risk of eczema and other allergic conditions in infants.

Allergy Testing for Your Baby at Klinik Casabrina Senawang

If you suspect your child has allergies, early testing can provide answers and peace of mind. Whether it’s a cow’s milk allergy in babies, a reaction to eggs, or persistent skin issues, understanding what’s triggering symptoms is the first step to effective management.

Talk to our doctor if you’re unsure. With just a quick and simple blood test, our clinic can help create a plan to keep your child safe, comfortable, and happy.

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