Second Location: Beginning in August 2026, we will see patients on Tuesdays at our new location: 8888 Ladue Road, Suite 105, St. Louis. Our primary location at 4800 Mexico Rd in St. Peters will be closed on Tuesdays. We look forward to welcoming you to our new space!

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Cat Allergy Causes, Symptoms, Testing & Treatment

Cat allergies are one of the most common household allergies. While many people assume the problem comes from cat hair, the real trigger is a set of proteins found on a cat’s skin, saliva, and urine. This guide explains what cat allergies are, why they happen, how to recognize symptoms, how testing works, and what treatment and management options are available.

When you’re ready to see an allergist, Dr. Sonia Cajigal is a board-certified pet allergy doctor in St. Peters, Missouri that’s accepting new patients throughout the St. Louis area. Schedule your first visit at St. Louis Family Allergy today!

“This office was AMAZING! I am so very impressed. I have never had more of a thorough doctor. The office staff was great too. I brought a newborn in and they all treated the situation of me having my baby there great. She made sure to lay everything out on the table of what could be the cause of my symptoms. She was so helpful.”

– Rachel M, February 2022

Cat Allergy Doctor Sonia Cajigal of St. Louis Family Allergy in St. Louis, Missouri
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About Cat Allergies

Cat Allergy Overview
Cat Allergy Symptoms

Cat Allergy Diagnosis

Cat Allergy Treatment
A cat allergy occurs when the immune system reacts to cat proteins—especially Fel d 1, the major allergen cats produce. These proteins are extremely small, sticky, and airborne, which means they spread easily throughout homes and cling to clothing, carpeting, furniture, and even people who don’t own cats.

When someone with a cat allergy breathes in or touches these proteins, the immune system responds with inflammation and allergy symptoms.

Allergy vs Irritation Around Cats

Not every reaction around cats is a true allergy. Some symptoms may come from irritants like dust, fragrances, or household cleaners carried on cat fur. A true cat allergy involves an immune response, which usually produces more consistent symptoms whenever cat exposure occurs.

Why Cat Allergies Develop

Cat allergies develop when the immune system mistakenly treats cat allergens as harmful. This causes the release of histamine and other chemicals that lead to symptoms.

You may be more likely to develop a cat allergy if:

  • You have seasonal allergies, asthma, or eczema
  • You have a family history of allergic conditions
  • You were exposed to allergens at an early age

Cat allergy symptom severity varies. Some people have mild cat allergy symptoms only with direct contact, while others react even when a cat is not present because allergens linger in the environment.

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Cat allergies in St. Louis, Missouri

Common Cat Allergy Symptoms

Cat allergy symptoms may begin within minutes or develop more gradually. They can include:

  • Sneezing, runny nose, or nasal congestion
  • Itchy or watery eyes
  • Coughing or wheezing
  • Chest tightness or shortness of breath (especially in people with asthma)
  • Itchy skin or hives after touching a cat
  • Postnasal drip or throat irritation

These symptoms may resemble viral infections, sinusitis, or non-allergic rhinitis, so a medical evaluation by an allergist can help determine the true cause.

Cat Allergy Diagnosis

 

A cat allergy diagnosis is done by an allergis through a combination of symptom history and testing.

  • Medical History: Your provider will ask where and when symptoms occur to determine whether they are linked to cat exposure.
  • Skin Prick Test: A tiny amount of cat allergen is applied to the skin. If a raised, itchy bump appears, it suggests an allergy.
  • Blood Test (IgE Test): This measures the level of cat-specific IgE antibodies. It is helpful when skin testing is not possible.

Cat Allergy Cross-Reactivity

A rare condition known as cat–pork syndrome may cause people allergic to cats to react to pork. This occurs because of shared proteins (albumins) and is worth discussing if you experience unusual reactions after eating pork.
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Cat Allergy Treatment & Management Options

The most effective cat allergy treatment is avoiding cats, but this is not always practical or desired. Many people successfully live with or around cats using a combination of medical treatment and environmental strategies.

Medications

These relieve cat allergy symptoms but do not cure the allergy.

  • Antihistamines for sneezing, itching, and runny nose
  • Nasal steroid sprays for congestion and inflammation
  • Eye drops for itchy or watery eyes
  • Asthma medications if breathing issues occur

We recommend reviewing your treatment options with your allergist before starting any new medications.

Cat Allergy Shots (Allergy Immunotherapy)

Cat allergy shots expose the immune system to small amounts of allergen over time to reduce sensitivity.

What to expect:

  • Early improvement usually begins within several months
  • Maximum benefit typically takes 1–2 years
  • Results vary, but many patients need fewer medications and experience fewer symptoms

Cat allergy shots are especially helpful for people with moderate to severe symptoms or asthma triggered by cats.

Preventative Strategies

These steps can help reduce allergen exposure, especially for people living with cats:

  • Keep the bedroom cat-free
  • Use HEPA air purifiers in common areas
  • Vacuum carpets and upholstered surfaces with a HEPA-filter vacuum
  • Wash hands after petting or playing with a cat
  • Launder bedding, blankets, and furniture covers regularly
  • Minimize fabric surfaces, which trap allergens


Cat-Focused Strategies

Some families also use:

  • Regular cat wiping or bathing (temporary reduction of allergens)
  • Certain veterinary diets designed to reduce active allergen levels (discuss with your veterinarian)


When to Seek Medical Care

You should contact a healthcare provider if:

  • Symptoms persist or interfere with daily activities
  • You experience breathing difficulties around cats
  • You are unsure whether your symptoms are allergy-related
  • You want to discuss allergy shots or long-term management

When to Seek Emergency Care

Seek immediate help if you experience:

  • Severe shortness of breath
  • Wheezing that does not improve with asthma medication
  • Swelling of the lips, tongue, or throat

These symptoms are rare but require urgent evaluation.

References

[1] American College of Allergy, Asthma & Immunology: https://acaai.org/
[2] Asthma and Allergy Foundation of America: https://www.aafa.org/
More Specialties

Asthma

Drug Allergies

Eye Allergies

Food Allergies

Nasal Allergies

Skin Allergies

Allergy Shots

Allergy Testing

Biologic Therapy

St. Louis Family Allergy
Visit Pet Allergy Specialist Dr. Sonia Cajigal of St. Louis Family Allergy in St. Louis, Missouri

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Dr. Sonia Cajigal

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"Dr. Cajigal was friendly, professional, and informative. She took the time to explain the tests and what was going on with my allergies. She is so knowledgeable and really cared about how I was feeling. I would highly recommend this practice if you suffer from allergies and asthma."

- Sue D, July 2020

“Dr Cajigal is a great listener. She trusts her patients instead of treating them as if they are not the experts of their own bodies. I really appreciate that (many doctors do not have that quality). She also immediately treats the symptoms instead of waiting to see if things clear. I use her for my children and myself. We have never left her office feeling as if it was a waste of time.”

– Stephanie, August 2020

"Great Allergist!"

- Ann H, December 2018

"She is the best."

- Stephen W, June 2020

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We are currently accepting new adult and pediatric patients at St. Louis Family Allergy!

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