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!
Pine Tree Allergy
Do you have a pine tree allergy? Find out at St. Louis Family Allergy. Dr. Sonia Cajigal is a board-certified allergist in St. Louis, Missouri that can help you navigate your pine tree allergies. Contact us at St. Louis Family Allergy to learn more about pine allergy symptoms (pollen and nut), testing, and treatment options.
“The whole staff are friendly and helpful. Dr. Cajigal was friendly, professional, and informative, and 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
About Pine Tree Allergy
If you’ve been experiencing symptoms related to pine exposure, an allergist can help identify the source and guide your treatment.
in St. Louis, Missouri
Pine Nuts vs Pine Pollen: Two Different Allergies
Pine nuts can cause allergic reactions similar to those of other tree nuts, ranging from mild symptoms to severe, life-threatening anaphylaxis. Cross-reactivity has been reported between pine nuts and other allergens, such as peanuts and pine pollen.
Pine pollen allergies are more like seasonal hay fever and often occur in the spring. Some individuals allergic to pine pollen may also react to grass pollen. It’s important to note that pine tree allergies are distinct from reactions caused by Christmas trees. While pine pollen is a spring allergen, sensitivities to Christmas trees are typically caused by mold or weed pollen that collects on the tree before harvest.
Pine Allergy Symptoms
Pine Pollen Allergy Symptoms
Pine pollen allergy symptoms often mirror those of hay fever and may include:
- Red, itchy, or watery eyes
- Dark circles under the eyes
- Runny nose, sneezing, or nasal congestion
- Coughing
- Worsened asthma symptoms in some cases
Pine Nut Allergy Symptoms
Pine nut allergy symptoms can vary from mild to severe and may include:
- Breathing difficulties or chest tightness
- Swelling of the throat, lips, tongue, or nose
- Hives, skin irritation, or skin rashes
- Abdominal discomfort, diarrhea, or vomiting
- Dizziness, fainting, or anaphylactic shock
Important: Anaphylaxis requires immediate medical attention. If you experience symptoms such as difficulty breathing or fainting, use an epinephrine injector and call emergency services.
in St. Louis, Missouri
Pine Tree Allergy Diagnosis
- Skin Prick Testing: A small amount of allergen is applied to the skin and lightly pricked. Redness or swelling at the test site indicates sensitivity.
- Blood Testing: Antibody levels are measured to check for allergic reactions.
- Food Challenge (for Pine Nuts): Under strict medical supervision, a small amount of pine nut is consumed to confirm a food allergy. This test should never be attempted at home due to the risk of severe reactions.
Pine Tree Allergy Treatment
Managing Pine Nut Allergies
- Reading food labels carefully to spot hidden pine nuts
- Asking questions about ingredients when dining out
- Being cautious with foods like pesto, baked goods, or Mediterranean dishes
If you or your child has a pine nut allergy, carrying an epinephrine injector is essential. Severe reactions can occur even in those with a history of mild symptoms, so always be prepared.
Managing Pine Nut Allergies
Pine pollen allergy treatment focuses on relieving symptoms and reducing exposure:
- Use medications like antihistamines or nasal sprays to control symptoms.
- Stay indoors during peak pollen hours, typically early mornings.
- Keep windows closed and use air conditioning with a clean filter.
- Wait until after rainfall to go outdoors, as pollen levels drop significantly.
- Avoid drying clothes outside, as pollen can cling to fabric.
Immunotherapy, a long-term treatment option for other pollen allergies, may also be an option for pine pollen in the future.
References
[2] Asthma and Allergy Foundation of America: https://www.aafa.org/
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Dr. Sonia Cajigal
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