Fall Allergies in St. Louis, Missouri
“Had my first appointment with Dr. Cajigal. She’s wonderful. A different doctor had said there wasn’t much I could do for my allergies, except maybe move out of state. I was desperate and came to Dr. Cajigal for help. She listened and was very thorough in diagnosing my problems. ”
– Rosana B, November 2021

About Fall Allergies in St. Louis
Fall Allergies Overview
Allergies are often associated with spring and summer when trees, grass, and other vegetation are at the peak of their annual pollination cycles. However, certain pollens become more prevalent during the fall than spring and summer.
Fall allergy season in St. Louis starts with the bloom of ragweed in August and usually peaks in mid-September. Burning bush, cocklebur, lamb’s-quarters, mugwort, pigweed, russian thistle, sagebrush, and tumbleweed pollen are also prevalent in the Missouri fall time, and remain active until the first frost of winter.
In addition to fall vegetation, decaying grass and leaves also contribute to an increase in mold spores. Mold grows quickly during rainy periods, and also during hot and humid periods. This makes mold particularly prevalent in the midwestern fall, where weather can quickly shift between warm and humid, and damp and cool.
Perennial (year-round) allergies like indoor mold, pets, dust, and dust mites can also get worse in the Missouri fall due to the changing weather, and because individuals tend to spend more time indoors as the weather gets cooler.
in St. Louis, Missouri
Fall Allergy Symptoms
Fall allergy symptoms are similar to those of other seasonal allergies in the spring and summer. The most common fall allergy symptoms include any or all of the following:
- Coughing
- Sneezing
- Runny nose
- Itchy, red eyes
- Congestion
- Itchy mouth and lips
- Asthma symptoms such as wheezing, shortness of breath, or chest tightness
It’s also possible for winter allergies in Missouri to trigger more severe symptoms, including:
- Hives
- Worsening eczema
- Swollen eyelids
- Wheezing
- Upset stomach
Every allergy sufferer’s experience can be unique.
Fall Allergies vs Spring Allergies
Many allergy sufferers are curious about the differences between fall allergies vs spring allergies. Allergy symptoms are similar between the two seasons, but what causes fall allergies vs spring allergies can vary significantly. Fall allergies are more often caused by ragweed, whereas spring allergies are typically caused by pollinating trees and grass. Mold can be prevalent during both fall and spring. Depending on what you’re allergic to, you might experience worse symptoms during the fall vs the spring.
in St. Louis, Missouri
Testing for Fall Allergies
A fall allergy diagnosis can usually be confirmed with a simple skin prick test, but Dr. Cajigal may order intradermal testing or blood testing as needed if a skin prick test is inconclusive or cannot be performed.
Fall Allergy Treatment
Tips to Avoid Fall Allergies
These fall allergy tips can help you minimize your exposure to allergens during the fall allergy season:
- Check your local pollen counts whenever you check the weather
- Limit outdoor activities during times of high pollen counts
- Wear sunglasses and a wide brimmed hat to reduce pollen exposure when outdoors
- Change clothes as soon as you get home if you’ve spent a lot of time outdoors
When you visit us at St. Louis Family Allergy, Dr. Cajigal will have additional recommendations for you based on your unique case.
Removing Fall Allergens from Your Home
- Wash your bed linens and pillowcases in hot water and detergent frequently to reduce allergens
- Steam clean carpets or remove carpets altogether, especially if they tend to get damp
- Vacuum with a HEPA filter to reduce dust in your home
- Use dust mite proof covers for pillows, comforters, duvets, mattresses and box springs
- Regularly clean garbage cans and refrigerator drip pans
- Regularly clean your gutters and ensure drainage flows away from your home’s foundation
- Quickly clean up any spills, leaks, or messes to prevent mold from growing
- Keep pets out of the bedroom to reduce pet dander in your bedding
- Keep pets off of upholstered furniture
- Consider replacing upholstered furniture to minimize pet dander accumulation
Some of this advice only applies if you have a specific allergy. When you visit us at St. Louis Family Allergy, Dr. Cajigal will provide personalized advice for your unique circumstances.
Fall Allergy Medications
Allergy Shots (Immunotherapy)
References
[2] Asthma and Allergy Foundation of America: https://www.aafa.org/
Asthma
Drug Allergies
Eye Allergies
Food Allergies
Nasal Allergies
Skin Allergies
Allergy Shots
Allergy Testing
Biologic Therapy


Fall Allergy Specialist
Dr. Sonia Cajigal
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