Launching January 2027

Allergies

Allergies At A Glance

  • Allergies occur when your immune system overreacts to a substance that is usually harmless, such as pollen, dust mites, pet dander, certain foods, insect stings, medications, mold, or latex.
  • Symptoms can range from sneezing, itchy eyes, and skin rashes to coughing, wheezing, swelling, and digestive symptoms, depending on the allergen and your body’s response.
  • Allergy symptoms can often be managed by avoiding known triggers, taking medications, and, for some people, receiving allergy immunotherapy (allergy shots or tablets).
  • Your healthcare provider may recommend allergy testing to identify the specific substances causing your symptoms and help guide treatment.
  • Some allergic reactions can become life-threatening (anaphylaxis), so recognizing emergency symptoms and knowing when to use an epinephrine auto-injector is essential.
  • With the right treatment plan and trigger avoidance, many people successfully control their allergies and maintain an active, healthy lifestyle.

Table of Contents

Table of Contents

What Are Allergies?

Allergies occur when your immune system overreacts to a substance that is usually harmless. These substances, called allergens, can include pollen, dust mites, pet dander, certain foods, insect stings, medications, mold, or latex. When you are exposed to an allergen, your immune system releases chemicals such as histamine, which can cause allergy symptoms.

Allergies can range from mild to severe and may affect your nose, eyes, skin, lungs, or digestive system. While many allergies can be managed with avoiding triggers and medications, some allergic reactions can become life-threatening. Knowing your allergy triggers and recognizing the signs of a severe allergic reaction can help you stay safe and healthy.

Learn More

Allergies – NIH MedlinePlus
https://medlineplus.gov/allergy.html

Provides patient-friendly information about different types of allergies, symptoms, diagnosis, treatment, and prevention.

Allergies – American Academy of Allergy, Asthma & Immunology (AAAAI)
https://www.aaaai.org/tools-for-the-public

Offers reliable patient education about allergies, allergy testing, medications, and avoiding allergy triggers.

How Common Are Allergies?

Allergies are very common and affect millions of children and adults each year. Seasonal allergies are among the most common, but food allergies, medication allergies, insect sting allergies, and environmental allergies are also frequently diagnosed.

What Symptoms Might You Notice?

Allergy symptoms depend on the type of allergen and how your body reacts. Symptoms can affect one part of the body or several areas at the same time.

Common symptoms may include:

  • Sneezing
  • Runny or stuffy nose
  • Itchy nose, eyes, ears, or throat
  • Watery or red eyes
  • Skin rash or hives
  • Itchy skin
  • Swelling of the lips, tongue, or face
  • Coughing
  • Wheezing
  • Shortness of breath
  • Nausea, vomiting, or diarrhea after certain foods
  • Severe allergic reaction (anaphylaxis)

How Are Allergies Diagnosed?

Your healthcare provider will ask about your symptoms, medical history, family history, and possible allergy triggers. They may recommend allergy testing to identify which substances are causing your symptoms.

Common diagnostic methods include a physical examination, skin testing, blood testing, and, in some cases, supervised food or medication challenges performed by an allergy specialist.

Learn More

Allergy Testing – American College of Allergy, Asthma & Immunology (ACAAI)
https://acaai.org/allergies/testing-diagnosis/

Explains the different types of allergy testing and how healthcare providers diagnose allergies.

Allergies infographic – click to enlarge

What Causes Allergies?

Allergies develop when your immune system mistakenly identifies a harmless substance as dangerous. When you are exposed to that allergen again, your immune system reacts by releasing chemicals that cause allergy symptoms.

Common allergy triggers include:

  • Pollen
  • Dust mites
  • Mold
  • Pet dander
  • Certain foods
  • Insect stings
  • Medications
  • Latex

Learn More

Allergy – NIH MedlinePlus
https://medlineplus.gov/allergy.html

Learn about common allergy triggers and how the immune system causes allergic reactions.

What Can Make Allergies Worse?

Certain factors can increase your exposure to allergens or make allergy symptoms more noticeable.

Common triggers include:

  • High pollen counts
  • Dust exposure
  • Pet dander
  • Mold
  • Cigarette smoke
  • Strong perfumes or fragrances
  • Air pollution
  • Seasonal weather changes
  • Viral illnesses

Learn More

Pollen – American Academy of Allergy, Asthma & Immunology (AAAAI)
https://www.aaaai.org/tools-for-the-public

Provides information about seasonal allergies and reducing exposure to environmental allergens.

Prevention

Although allergies cannot always be prevented, reducing exposure to known allergens can help decrease symptoms and lower the risk of allergic reactions.

Helpful prevention tips include:

  • Learn and avoid your allergy triggers.
  • Keep your home as free of allergens as possible.
  • Wash your hands after handling pets or being outdoors.
  • Read food labels carefully.
  • Carry emergency medications if prescribed.
  • Follow your allergy treatment plan.
  • Attend regular follow-up appointments.

Learn More

Allergy Prevention – American Academy of Allergy, Asthma & Immunology (AAAAI)
https://www.aaaai.org/tools-for-the-public

Provides practical recommendations for preventing allergy symptoms and reducing allergen exposure.

Labs

Blood tests may help identify certain allergies or evaluate your immune response. Not everyone with allergies needs laboratory testing.

Common laboratory tests include:

  • Allergen-Specific IgE Blood Test: Measures allergic antibodies to specific allergens.
  • Complete Blood Count (CBC): May show elevated eosinophils, a type of white blood cell sometimes associated with allergies.
  • Total IgE Level: May be measured in selected situations but is not used alone to diagnose allergies.

Learn More

Allergy Blood Test – American College of Allergy, Asthma & Immunology (ACAAI)
https://acaai.org/allergies/testing-diagnosis/

Provides information about allergy blood testing and when it may be recommended.

Diagnostics

Several tests can help identify allergy triggers and confirm a diagnosis. Your healthcare provider will recommend the most appropriate test based on your symptoms and medical history.

Common diagnostic tests include:

  • Skin Prick Test: Small amounts of allergens are placed on the skin to look for a reaction.
  • Intradermal Skin Test: Small amounts of allergen are injected just under the skin when additional testing is needed.
  • Patch Testing: Helps diagnose allergic contact dermatitis by identifying delayed skin reactions.
  • Oral Food Challenge: Performed under close medical supervision to evaluate food allergies.

Learn More

Allergy Testing – American College of Allergy, Asthma & Immunology (ACAAI)
https://acaai.org/allergies/testing-diagnosis/

Learn about skin testing, blood testing, and other diagnostic procedures used to identify allergies.

Treatment & Management

Treatment Options

Treatment depends on the type of allergy, how severe your symptoms are, and which allergens trigger your reactions. The goal is to reduce symptoms, prevent allergic reactions, and improve your quality of life.

Treatment options may include:

  • Avoiding allergy triggers
  • Over-the-counter medications
  • Prescription medications
  • Allergy shots (immunotherapy)
  • Emergency medications for severe allergies

Learn More

Allergy Treatment – American Academy of Allergy, Asthma & Immunology (AAAAI)
https://www.aaaai.org/tools-for-the-public

Provides information about medications, allergy shots, and other treatment options.

Lifestyle Changes

Avoiding known allergy triggers is one of the most effective ways to reduce symptoms. Small changes at home, school, or work can often make a noticeable difference.

Helpful lifestyle changes include:

  • Monitor local pollen forecasts during allergy season.
  • Keep windows closed on high-pollen days.
  • Shower and change clothes after spending time outdoors.
  • Wash bedding regularly in hot water.
  • Use high-efficiency (HEPA) air filters if recommended.
  • Avoid smoking and secondhand smoke.
  • Read food labels carefully if you have food allergies.
  • Wear a medical alert bracelet if you have a severe allergy.

Learn More

Allergy Prevention – American Academy of Allergy, Asthma & Immunology (AAAAI)
https://www.aaaai.org/tools-for-the-public

Provides practical tips for reducing allergen exposure and preventing allergic reactions.

Medications

Several medications can help reduce allergy symptoms or prevent allergic reactions. Your healthcare provider can help determine which medications are most appropriate based on your symptoms and medical history.

Common medications include:

  • Antihistamines: Help reduce sneezing, itching, runny nose, and hives.
  • Nasal Corticosteroid Sprays: Reduce inflammation inside the nose and improve congestion.
  • Decongestants: Provide short-term relief of nasal congestion.
  • Leukotriene Receptor Antagonists: May help some people with allergies and asthma.
  • Epinephrine Auto-Injector (EpiPen®): Used to treat severe allergic reactions (anaphylaxis).

Learn More

Antihistamines – NIH MedlinePlus
https://medlineplus.gov/antihistamines.html

Explains how antihistamines work, common side effects, and safe use.

Epinephrine Injection – NIH MedlinePlus
https://medlineplus.gov/druginfo/meds/a603002.html

Provides important information about using epinephrine to treat severe allergic reactions.

Procedures

Most people with allergies do not need surgery or an invasive procedure. However, certain treatments may be recommended if symptoms are severe, difficult to control, or significantly affect your quality of life.

Common procedures and treatments include:

  • Allergy Immunotherapy (Allergy Shots): Small amounts of an allergen are given over time to help your immune system become less sensitive.
  • Sublingual Immunotherapy (SLIT): Allergy tablets placed under the tongue for certain pollen allergies.
  • Supervised Food or Medication Challenge: Performed by an allergy specialist to confirm or rule out certain allergies.

Learn More

Allergy Shots (Immunotherapy) – American Academy of Allergy, Asthma & Immunology (AAAAI)
https://www.aaaai.org/tools-for-the-public/conditions-library/allergies/allergy-shots-(immunotherapy)

Learn how allergy shots work, who may benefit, and what to expect during treatment.

What Should You Expect Long-Term?

Many people successfully manage their allergies by avoiding triggers, taking medications when needed, and working closely with their healthcare provider. Some allergies improve over time, while others may last throughout life.

Regular follow-up is important, especially if your symptoms change or you have experienced a severe allergic reaction in the past.

What Can You Do At Home?

Managing your allergies at home can help reduce symptoms and improve your quality of life. Identifying and avoiding your allergy triggers is one of the most effective ways to prevent reactions.

Helpful tips include:

  • Monitor local pollen counts during allergy season.
  • Keep windows closed on high-pollen days.
  • Shower and change clothes after spending time outdoors.
  • Wash bedding regularly in hot water.
  • Vacuum frequently using a HEPA-filter vacuum if possible.
  • Avoid smoking and secondhand smoke.
  • Read food labels carefully if you have food allergies.
  • Carry your prescribed medications, including an epinephrine auto-injector if recommended.

Learn More

Allergy Prevention – American Academy of Allergy, Asthma & Immunology (AAAAI)
https://www.aaaai.org/tools-for-the-public

Provides practical tips for reducing allergen exposure and preventing allergy symptoms.

Frequently Asked Questions

Can allergies develop later in life?

Yes. Although many allergies begin during childhood, new allergies can develop at any age.

Can allergies go away?

Some allergies improve over time, while others continue throughout life. This varies from person to person.

What’s the difference between an allergy and a cold?

Colds are caused by viruses and usually improve within one to two weeks. Allergies are caused by your immune system reacting to allergens and often continue as long as you are exposed to the trigger.

Can allergies cause fatigue?

Yes. Allergies, poor sleep due to congestion, and some allergy medications can all contribute to feeling tired.

Should I always carry an epinephrine auto-injector?

If your healthcare provider has prescribed one because of a history of severe allergic reactions or anaphylaxis, you should carry it with you at all times.

Questions To Ask Your Provider

Consider asking your healthcare provider:

  • What is most likely causing my allergies?
  • Should I have allergy testing?
  • Which medications are best for my symptoms?
  • Would allergy shots help me?
  • How can I reduce my exposure to allergens?
  • Should I carry an epinephrine auto-injector?
  • When should I schedule a follow-up appointment?

Specialist Referrals

Many allergies can be managed by your primary care provider. If your symptoms are severe, difficult to control, or you have experienced a serious allergic reaction, your provider may recommend seeing a specialist.

You may be referred to:

  • Allergist/Immunologist: Specializes in diagnosing and treating allergies and immune system conditions.
  • Dermatologist: May evaluate chronic skin allergies or eczema.
  • Pulmonologist: May help manage allergies associated with asthma or other lung conditions.
  • Registered Dietitian: Can help develop a safe nutrition plan for food allergies.

Learn More

Find an Allergist – American College of Allergy, Asthma & Immunology (ACAAI)
https://acaai.org/find-an-allergist/

Locate a board-certified allergist near you and learn more about specialty allergy care.

Are Allergies Curable?

Most allergies cannot be permanently cured, but they can often be managed successfully. Many people experience fewer symptoms by avoiding allergy triggers and using medications as directed.

For some people, allergy immunotherapy (allergy shots or tablets) can reduce symptoms over time and decrease the need for medications.

Emergency Symptoms / When To Seek Immediate Help

Call 911 or seek emergency medical care immediately if you experience:

  • Difficulty breathing
  • Wheezing or severe shortness of breath
  • Swelling of the tongue or throat
  • Difficulty swallowing
  • Trouble speaking due to swelling
  • Widespread hives with difficulty breathing
  • Loss of consciousness
  • Severe dizziness or fainting
  • Symptoms of anaphylaxis, a life-threatening allergic reaction

If you have been prescribed an epinephrine auto-injector, use it immediately as directed and then call 911, even if you begin to feel better.

Learn More

Anaphylaxis – NIH MedlinePlus
https://medlineplus.gov/anaphylaxis.html

Learn to recognize the signs of anaphylaxis and understand why immediate treatment is critical.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

Allergies – NIH MedlinePlus
https://medlineplus.gov/allergy.html

Easy-to-understand information about allergies, symptoms, diagnosis, treatment, and prevention.

American Academy of Allergy, Asthma & Immunology (AAAAI)
https://www.aaaai.org/tools-for-the-public

Evidence-based patient education on seasonal allergies, food allergies, medications, immunotherapy, and allergy prevention.

American College of Allergy, Asthma & Immunology (ACAAI)
https://acaai.org/patients/

Provides reliable patient education about allergy testing, treatment options, asthma, eczema, food allergies, and anaphylaxis.

Centers for Disease Control and Prevention (CDC) – Allergies
https://www.cdc.gov/

Provides general public health information related to allergies, asthma, and environmental health.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, or treatment from your healthcare provider. Always follow the recommendations of your healthcare team regarding your individual health needs. Contact your healthcare provider if your allergy symptoms worsen or are not controlled with treatment. Call 911 immediately if you experience signs of a severe allergic reaction or anaphylaxis.

Get personalized care for Allergies

At APNS, our providers take the time to understand your condition and your goals. We offer comprehensive telehealth visits at a fixed rate — no membership fees, no insurance required, and no unexpected charges. Whether you’re newly diagnosed or looking for a provider who actually listens, we’re here to help.