Checklist for Symptom of a Toddler with Behavior Problems caused by Allergies

The following is a checklist of symptoms related to Allergies. As you complete this form, compare your child with other children you know. For example, if you feel that your child wiggles his legs more than other children, then you would place a check in front of item number eleven of the checklist.

Physical Symptoms

1. Frequent ear, chest and/or sinus infections.
2. Runny or stuffy nose
3. Nose rubbing, wiggling, and/or picking
4. Frequent coughing or wheezing
5. Intestinal complaints such as bloating, belching, gagging, vomiting, diarrhea, constipation, abdominal pain, nausea, rectal gas, and halitosis.
6. Puffy looking face
7. Frequent Headaches
8. Frequent leg aches
9. Seasonal Allergies
10. Asthma

    Behavioral Symptoms

11. Wiggly legs
12. Hyperactivity
13. Refusal to stay dressed
14. Temper tantrums
15. Whining
16. Screaming
17. Clinging
18. Excessive fatigue
19. Reluctance to smile
20. Depression
21. Refusal to be touched
22. Desire to crouch in dark corners or under furniture.
23. Aggression such as bitting, hitting, spitting, pinching, punching and kicking
24. Repetition of the same phrases (e.g., desire for a craved food, nonstop, senseless talk)
25. Becomes more hyperactive after eating ...

    ___ sugar
    ___ chocolate
    ___ eggs
    ___ milk products
    ___ yellow food dye
    ___ red food dye

Symptom Checklist for Adolescents
with Behavior Problems caused by Allergies

The following is a checklist of symptoms related to Allergies. As you complete this form, compare your child with other children you know. For example, if you feel that your child fidgets more than other children, then you would place a check in front of item number 36 of the checklist.

Physical Symptoms

___ 1. wheezing and/or coughing

___ 2. throat clearing

___ 3. throat clucking

___ 4. post nasal discharge

___ 5. seasonal allergies

___ 6. asthma

___ 7. itchy nose

___ 8. pale/puffy face

___ 9. limp unhealthy hair

___ 10. bad breath

___ 11. infections

___ 12. nervous tics

___ 13. irregular shape, color, lines in nails

___ 14. dry skin

___ 15. hives on skin

___ 16. intestinal complaints

___ 17. urinary complaints

___ 18. itchy rectum

___ 19. leg/muscle cramps

___ 20. "goose bumps" on thighs, back of arms and face

___ 21. creepy crawly skin: as though bugs are walking on it.

___ 22. Unpleasant, strong body/foot odor where washing doesn't help

Behavioral Symptoms

___ 23. anger/aggression

___ 24. irritability

___ 25. never happy

___ 26. easy crying

___ 27. wishing to be dead

___ 28. suicidal

___ 29. hurting self

___ 30. fatigue

___ 31. insomnia

___ 32. waking up in the night

___ 33. nightmares

___ 34. restlessness

___ 35. hyperactivity

___ 36. fidgety

___ 37. fuzzy thinking

___ 38. hallucinations

___ 39. puzzling or unacceptable behavior

___ 40. babbling

___ 41. Sensitive to light, sound and touch

___ 42. unsociable

43. Becomes more hyperactive after eating ...

___ sugar
___ chocolate
___ eggs
___ milk products
___ yellow food dye
___ red food dye

When using either checklists, if your child has ten or more of the above symptoms, your child's ADHD problems could be caused (at least in part) by allergies. We strongly recommend you obtain more information. The best place to start is reading the book: Is This Your Child?: Discovering and Treating Unrecognized Allergies in Children and Adults by Doris J. Rapp, M.D., ISBN: 0688119077. We do not recommend that you contact an allergist before reading this book. Many allergists do not believe that allergies can cause ADHD symptoms or learning problems. Allergists that specialize in the provocation/neutralization method of allergy assessment and treatment do believe that allergies can cause these symptoms. All this is explained in Dr. Rapp’s book.

If you have any comments or questions about this checklist, please send us an E-mail. Please contact us if we can be of further assistance to you or your loved ones.

Back Home