Pollen Allergies: Types, Symptoms & Treatment

Pollen Allergies

What Is a Pollen Allergy?

Pollen is one of the most common causes of allergies in the United States. Pollen is a very fine powder produced by trees, flowers, grasses, and weeds in order to fertilize other plants of the same species. Many people have an adverse immune response when they breathe in pollen.

The immune system normally defends the body against harmful invaders, such as viruses and bacteria, to ward off illnesses. In people with pollen allergies, the immune system mistakenly identifies the harmless pollen as a dangerous intruder and begins to produce chemicals to fight against the pollen. This is known as an allergic reaction, and the specific type of pollen that causes it is known as an allergen. The reaction leads to numerous irritating symptoms, such as sneezing, stuffy nose, and watery eyes.

Some people have pollen allergies year-round, while others only have them during certain times of the year. For example, people who are sensitive to birch pollen will usually have increased symptoms during the spring when birch trees are in bloom. Similarly, those with ragweed allergies will be most affected during the late spring and early fall.  

Pollen allergies affect up to 30 percent of adults and 40 percent of children in the United States. The allergy is unlikely to go away once it has developed. However, symptoms can be treated with medications and allergy shots. Making certain lifestyle changes can also help relieve the symptoms associated with pollen allergies.

A pollen allergy may also be referred to as hay fever or allergic rhinitis.

What Are the Different Types of Pollen Allergies?

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There are hundreds of plant species that release pollen into the air and trigger allergic reactions. Here are some of the more common culprits.

Birch Pollen Allergy

Birch pollen is one of the most common airborne allergens during the spring. As the trees bloom, they release tiny grains of pollen that are scattered by the wind. A single birch tree can produce up to five million pollen grains, with many traveling distances of up to 100 yards from the parent tree.

Oak Pollen Allergy

Like birch trees, oak trees send pollen into the air during the spring. While oak pollen is considered to be mildly allergenic compared to the pollen of other trees, it stays in the air for longer periods of time. This can cause severe allergic reactions in some people with pollen allergies.

Grass Pollen Allergy

Grass is the primary trigger of pollen allergies during the summer months. It causes some of the most severe and difficult-to-treat symptoms. However, a recent study published in The Journal of Allergy and Clinical Immunology found a grass allergy immunotherapy medication to be highly effective in relieving symptoms when other treatments have proven ineffective.

Ragweed Allergy

Ragweed plants are the main culprits of allergies among weed pollens. They are the most active between the late spring and fall months. Depending on the location, however, ragweed may begin spreading its pollen as early as the last week of July and continue into the middle of October. Its wind-driven pollen can travel hundreds of miles and survive through a mild winter.

What Are the Symptoms of a Pollen Allergy?


Pollen allergy symptoms most often include:

  • nasal congestion
  • sinus pressure, which may cause facial pain
  • runny nose
  • itchy, watery eyes
  • scratchy throat
  • cough
  • swollen, bluish-colored skin beneath the eyes
  • decreased sense of taste or smell
  • increased asthmatic reactions

How Is a Pollen Allergy Diagnosed?


Your doctor can usually diagnose a pollen allergy. However, they may refer you to an allergist for allergy testing to confirm the diagnosis. An allergist is someone who specializes in diagnosing and treating allergies. The allergist will first ask you about your medical history and your symptoms, including when they started and how long they have persisted. Make sure to tell them if the symptoms are only present or get worse at certain times of the year.

The allergist will then perform a skin prick test to determine the specific allergen that’s causing your symptoms. During the procedure, the allergist will prick different areas of the skin and insert a small amount of various types of allergens. If you’re allergic to any of the substances, you’ll develop redness, swelling, and itchiness at the site within 15 to 20 minutes. You might also see a raised, round area that looks like a hive.

How Is a Pollen Allergy Treated?


As with other allergies, the best treatment is to avoid the allergen. However, pollen is very difficult to avoid. You may be able to minimize your exposure to pollen by:

  • staying indoors on dry, windy days
  • having others take care of any gardening or yard work during peak seasons
  • wearing a dust mask when pollen counts are high (check the Internet or the weather section of the local newspaper)
  • closing doors and windows when pollen counts are high


If you still experience symptoms despite taking these preventive measures, there are several over-the-counter medications that may help:

  • antihistamines, such as loratadine (Zyrtec) or diphenhydramine (Benadryl)
  • decongestants, such as pseudoephedrine (Sudafed) or oxymetazoline (Afrin nasal spray)
  • medications that combine an antihistamine and decongestant, such as Actifed and Claritin-D

Allergy Shots

Allergy shots may be recommended if medications aren’t enough to ease symptoms. Allergy shots are a form of immunotherapy that involves a series of injections of the allergen. The amount of allergen in the shot gradually increases over time. The shots modify your immune system’s response to the allergen, helping to reduce the severity of your allergic reactions. You may experience complete relief within one to three years after starting allergy shots.

Home Remedies

A number of home remedies may also help relieve pollen allergy symptoms. These include:

  • using a squeeze bottle or neti pot to flush pollen from the nose
  • trying herbs and extracts, such as butterbur or spirulina
  • removing and washing any clothing that has been worn outside
  • drying clothes in a dryer rather than outside on a clothing line
  • using air conditioning in cars and homes
  • investing in a portable high-efficiency particulate air (HEPA) filter or dehumidifier
  • vacuuming regularly with a vacuum cleaner that has a HEPA filter

Make sure to consult with your doctor before trying any new supplements or herbs, as some can interfere with the effectiveness of certain medications. You should also tell your doctor if your symptoms are becoming more severe or if your medications are causing unwanted side effects. 

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