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Indoor Allergies
Symptoms, types and testing 

Did you know you probably spend more than 90% of your time indoors?¹ From your kitchen to your bedroom, the places you spend the most time can harbor allergens that may trigger allergy symptoms. Because indoor allergens are present year-round, they are a common cause of allergic disease worldwide.

This page will help you learn more about common indoor allergy triggers, how they may affect you, and why allergy testing can be an important step toward finding answers. A blood test may help rule in or rule out allergies and give you and your healthcare provider more information about what's causing your symptoms.

Man and his beagle dog sitting inside surrounded by other indoor allergens like cats, dust mites, and mold  | Indoor allergies

What are indoor allergies?

Indoor allergies affect people who are sensitized to allergens that are typically found inside – like dust mites, mold, pets, and cockroaches. They are often referred to as perennial allergies or year-round allergies because they are not tied to any specific season and can truly be a problem all year. Sometimes indoor allergies are referred to as "winter allergies" because symptoms typically are worse during colder months (location-dependent) when people spend more time inside.

Common indoor allergens

Everyone wants to think of their home as a safe zone where they can relax and keep out unpleasant things. Unfortunately, there are some creatures (and fungi) that can make that a difficult challenge. Even the tidiest, cleanest houses are likely to have potential indoor allergens lurking about. Let's take a closer look at the four most common categories of indoor allergens. 

common indoor allergens - pet dander (dog and cat), mold, pests like cockroaches and dust mites.

Common indoor allergy symptoms

Symptoms are similar to those triggered by other allergens and "non-allergic causes." So, how do you know what's causing your symptoms? A blood test can help get to the bottom of it.

Some of the most common indoor allergy symptoms include:

  • Itchy, stuffy nose
  • Runny nose
  • Sneezing
  • Itchy, watery, swollen, bloodshot eyes
  • Scratchy, swollen throat
  • Coughing
  • Wheezing
  • Tightness in the chest
dog sneezing from indoor allergies
Specific IgE blood tests are used by laboratories to test for indoor allergies

What is a specific IgE blood test?

A specific IgE blood test evaluates the presence of immunoglobulin E (IgE), an antibody produced by the immune system, in a sample of your blood. Considering the symptoms you are experiencing plus your past medical history, a healthcare provider may order a specific IgE blood test to help rule in or rule out allergies and identify allergens triggering the symptoms.

One blood sample can test for multiple allergic triggers, including those top indoor allergy troublemakers. When test results come back, any detectable level of specific IgE indicates you are sensitized to that allergen (or multiple allergens).

Adding diagnostic testing to your healthcare provider’s evaluation can significantly increase confidence in an allergy diagnosis.10 With a clearer understanding of what may be causing your symptoms, you and your doctor can make more informed decisions about your care and help avoid unnecessary medications and unplanned medical visits.

Talk to your healthcare provider about specific IgE blood testing.

To guide a productive conversation with your healthcare provider about whether a specific IgE blood test might be right for you, take the “allergy symptom questionnaire” now.

Maybe you aren’t allergic to all dogs

Not only can specific IgE blood tests show your sensitization to whole allergens, but a test that includes allergen components can break down results even further. Why does that matter? Being sensitized to a whole allergen doesn't always tell the full story. A deeper dive with allergen components can potentially reveal some life-altering details - like maybe you aren't allergic to all dogs, so you actually can get a four-legged friend.

Managing indoor allergies by vacuuming with a HEPA filter

Treating and managing indoor allergies

Your healthcare provider will consider your specific IgE blood test results together with your clinical history to determine whether you are sensitized to one or more indoor allergens and help develop a personalized treatment and management plan.

Once the allergic cause is confirmed, treatments can range from over-the-counter medications like antihistamines and nasal sprays to more involved allergen immunotherapy, which may help you develop a tolerance to specific allergens.

For example, if your dust mite allergy symptoms continue despite antihistamines or other symptom-relief treatments, talk with your healthcare provider about your options. Further evaluation, which may include specific IgE testing, can provide additional information to help you and your healthcare provider discuss whether allergen immunotherapy may be an appropriate option for you.

How can I reduce exposure to indoor allergens?

A management plan from your provider will include suggestions on how to reduce exposure to the allergens that trigger symptoms. Here are some typical suggestions:

   Vacuum often with a vacuum that has a HEPA filter

   Use allergen-proof coverings for pillows, mattresses, etc.

   Regularly change furnace filters

   Fix water leaks and clean up any standing water immediately

   Consider a dehumidifier to reduce humidity

Couple making the bed | Indoor allergies

Frequently Asked Questions About Indoor Allergies

A person's immune system changes as they age, and these changes can increase susceptibility to conditions such as autoimmune diseases and allergies.11 So, you might not have previously been sensitized to some indoor allergens, like dust mites or mold, but your immune system has changed, and now you are seeing symptoms because you got sensitized to those allergens. 

Once your triggers are known, reducing your exposure to allergens (by getting rid of those allergens) is key to minimizing your symptoms. Here are some practical ways to do that.12,13

Animal dander 

  • Confine the pet to a room with a polished floor and furniture you can wipe down.
  • Restrict the animal from the bedroom and keep it off the furniture.
  • Use high-efficiency particulate air (HEPA) filters and vacuum cleaners.
  • Wash your pet weekly in warm water and soap.

Dust mites 

  • Encase mattresses, pillows, and box springs in allergen-proof coverings.
  • Wash bedding weekly in water 130 F (54 C) or more.
  • Vacuum and reduce clutter in the home.
  • Wear an appropriate mask while cleaning and avoid the area for 20 minutes thereafter.
  • Change furnace and air conditioner filters.
  • Use a dehumidifier to reduce the humidity in your home.

Cockroaches

  • Vacuum and sweep floors after meals, and immediately do the dishes.
  • Keep food and garbage in closed containers; take out the garbage regularly.
  • Locate and remove cockroach hiding places and food sources.
  • Fix leaky faucets and pipes to remove an accessible water source for roaches.
  • Remove clutter. Don’t store paper bags, newspapers, or cardboard boxes in your home.
  • Place bait traps or call a professional exterminator to eliminate cockroaches.
  • Seal plumbing openings, cracks, and crevices.

Mold

  • Identify and clean moldy areas with fungicide or bleach.
  • Use a dehumidifier to reduce humidity in your home.
  • Fix water leaks.
  • Clean furnace filters, the refrigerator, and the dehumidifier (clean drip pans with bleach).
  • Dry clothes thoroughly before storing.

Mice

  • Seal holes and cracks from your home to the outside.
  • Seal passages through interior floors, walls, the ceiling, and gaps between the bottom of cabinetry or built-in furniture and the floor.
  • Keep bushes and trees at least three feet from your home.
  • Ensure trash is stored in secure containers.
  • Store food in rodent-proof containers.

A conversation with your healthcare provider is a great place to start. After a review of your symptoms and medical history, your provider might suggest a blood test to help get to the bottom of what's causing symptoms. A  specific IgE blood test can help rule in or rule out allergies and identify the allergens triggering your symptoms. This can give your provider the information needed to help come up with a personalized treatment and management plan. 

A humidifier can make some indoor allergens worse. Mold and dust mites thrive in humid environments, so increasing the humidity in your home can potentially increase those allergens, which can make symptoms worse. 

No. If you’re scrubbing your floors or your shower and you start sneezing, it’s probably not an allergy. Cleaning chemicals, such as bleach and detergent, are a common cause of non-allergic rhinitis. This can result in allergy-like symptoms, but it’s your body reacting to an irritant, not producing an allergic reaction.

If your symptoms continue despite antihistamines or other symptom-relief treatments, talk with your healthcare provider about your options. Further evaluation, which may include specific IgE testing, can provide additional information to help you and your healthcare provider discuss whether allergen immunotherapy may be an appropriate option for you.

Clinical resources for healthcare providers interested in learning more about indoor allergies and specific IgE testing

  1. Pham DL, et al. Environmental allergen reduction in asthma management: an overview. Front Allergy. 2023;4:1229238.
  2. Aggarwal P, et al. Dust Mite Allergy. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025.
  3. Baxi SN, et al. The role of allergen exposure and avoidance in asthma. Adolescent Medicine: State of the Art Reviews. 2010;21(1):57-71.
  4. Dramburg S, et al. EAACI Molecular Allergology User's Guide 2.0. Pediatr Allergy Immunol. 2023;34(28):e13854.
  5. Twaroch TE, et al. Mold allergens in respiratory allergy: from structure to therapy. Allergy, Asthma & Immunology Research. 2015;7(3):205-220.
  6. Ozdemir O. Molds and Respiratory Allergy – Part 1. MOJ Immunology. 2015;2(2):11-12.
  7. Storey E. Guidance for clinicians on the recognition and management of health effects related to mold exposure and moisture indoors. Farmington, CT: University of Connecticut Health Center, Division of Occupational and Environmental Medicine, Center for Indoor Environments and Health; 2004.
  8. Salo PM, et al. Exposure to multiple indoor allergens in US homes and its relationship to asthma. Journal of Allergy and Clinical Immunology. 2008;121(3):678-684.e2.
  9. Arbes SJ Jr., et al. Dog allergen (Can f 1) and cat allergen (Fel d 1) in US homes: results from the National Survey of Lead and Allergens in Housing. Journal of Allergy and Clinical Immunology. 2004;114(1):111-117.
  10. Duran-Tauleria E, et al. The utility of specific immunoglobulin E measurements in primary care. Allergy. 2004;59(Suppl 78):35-41.
  11. De Martinis M, et al. Allergy and Aging: An Old/New Emerging Health Issue. Aging and Disease. 2017;8(2):162-175.
  12. National Environmental Education Foundation. Environmental management of pediatric asthma: guidelines for health care providers. Washington (DC): National Environmental Education Foundation; 2008.
  13. Wright LS, et al. Environmental remediation in the treatment of allergy and asthma: latest updates. Curr Allergy Asthma Rep. 2014;14(3):419.