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Learn more about common allergic diseases, symptoms, management paradigms, and testing considerations.
Is your patient a candidate for specific IgE testing?
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February 2026 | ✓ Medically Reviewed by: Gary Falcetano, PA-C, AE-C
There are plenty of allergens that can cause a variety of symptoms in those who are allergic to them. Pets, insects, mold, lots of foods – there are plenty to cause trouble. But seasonal allergies seem to be the most talked about. (Think of every commercial you’ve seen in the spring to promote an over-the-counter antihistamine.) So, what is at the root of all these seasonal allergies? Pollen.
A pollen allergy is when your body has an immune system reaction to a normally harmless substance. In this instance, that substance is pollen.
In technical terms, it’s the male fertilizing agent of flowering plants, trees, grasses, and weeds.1 In non-technical terms, it’s the yellow powdery stuff that coats your car during spring.
The most common pollen allergy triggers are trees, grasses, and weeds. And due to pollen’s microscopic size, it travels easily through the air. This means that it’s not just the pollen in your backyard that could be causing symptoms. It also could be pollen that is traveling from miles away.
When you have a pollen allergy, your immune system mistakes pollen for a harmful substance and releases a chemical (histamine) to fight it off. The results of that reaction are symptoms like sneezing, runny nose, watery eyes, and congestion.
Learn more about some of the most common culprits causing pollen allergies, also referred to as hay fever.
Trees are usually the first plants to release significant pollen as temperatures start to rise. Tree pollen is typically at its worst February through May for most of the United States, though it can start earlier for warmer regions.2 Learn more about the specific tree pollens that might be in your area by clicking on the allergen fact sheets below.
Grass pollen often overlaps with tree pollen in late spring and continues through the summer. Grass pollen is most common from April through July.2 Learn more about the specific grass pollens that might be in your area by clicking on the allergen fact sheets below.
Weed pollen typically runs from August through October/November (depending on when the first frost occurs). The most significant weed allergen in the U.S. is ragweed.2 It’s especially problematic because plants produce substantial amounts of pollen and it can travel far. Learn more about the specific weed pollens that might be in your area by clicking on the allergen fact sheets below.
When talking about pollen allergies, especially spring allergies, many people often think about flowers. It makes sense, since one of the first signs of spring is the blooming of flowers. And flowers produce pollen. However, flower pollen is not a significant contributor to pollen allergies. It’s because of the size of the pollen. Flower pollen is often heavy, sticky, and meant to be carried by insects. So, unlike pollen from trees, grasses, or weeds, flower pollen doesn’t travel through the air and isn’t easily inhaled.3
The changing climate has resulted in more frost-free days, warmer air temperatures, and more carbon dioxide in the atmosphere. Those changes have resulted in higher pollen concentrations, as well as earlier and longer pollen seasons.4 Does this mean your allergies are worse? Not necessarily. But it does mean that it’s very likely the amount of pollen you are exposed to and the length of time you are exposed to it are increasing.4
So, how can you tell if you are allergic to pollen? Knowing if you’re allergic to pollen involves recognizing common symptoms such as:
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Knowing that your symptoms can change from day to day depending on the season, weather, or wind doesn’t make finding relief any easier. But getting to the bottom of what’s causing symptoms (is it pollen?) is a great first step. A specific IgE blood test measures the amount of allergen-specific antibodies in your blood. Learn more about how to get an allergy test here.
If you are diagnosed with a pollen allergy, here are some practical tips to help you minimize exposure to your triggers.5
If you are diagnosed with a pollen allergy, your healthcare provider will help you with a targeted exposure reduction plan. That means they’ll make sure you know exactly which allergens will trigger symptoms, will help you avoid or at least minimize those triggers, and will offer up treatment options. Those treatment options can range from over-the-counter allergy medications to immunotherapy (allergy shots).
Sneezing, coughing, irritated eyes, and a runny nose are some of the most common pollen allergy symptoms. A sore throat is typically a more common symptom of something viral (like a cold). However, allergies also can cause a sore throat. That’s most likely the result of postnasal drip, when discharge from your nose runs down the back of your throat.6
Allergy symptoms typically last as long as you are exposed to the allergen. Tree pollens are usually worse from late winter through spring. Grass pollen often overlaps with tree pollen in late spring and runs through summer. Weed pollen is typically worse late summer through fall.
Yes and no. Rain showers can help capture pollen grains in the air and pull them to the ground, reducing airborne pollen levels.7 However, in a heavy downpour, clumps of grass and weed pollen can be broken into smaller particles that remain airborne.7
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