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!

Allergy Care in St. Louis

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

Pine Tree Allergy Doctor Sonia Cajigal of St. Louis Family Allergy in St. Louis, Missouri
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About Pine Tree Allergy

Pine Tree Allergy Overview
Pine Tree Allergy Symptoms
Pine Tree Allergy Diagnosis
Pine Tree Allergy Treatment
Pine tree allergies, while not very common, can stem from two sources: pine nuts and pine pollen. Pine nuts, the edible seeds of certain pine species, are frequently used in dishes like pesto and are a key ingredient in the Mediterranean Diet. Pine pollen, on the other hand, is a springtime allergen released during the tree’s reproductive cycle and can travel long distances in the air.

If you’ve been experiencing symptoms related to pine exposure, an allergist can help identify the source and guide your treatment.

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in St. Louis, Missouri

Pine tree allergy 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.

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in St. Louis, Missouri

Pine tree allergy symptoms in St. Louis, Missouri

Pine Tree Allergy Diagnosis

An allergist can help determine if pine nuts or pine pollen are causing your symptoms. Diagnosis often involves the following steps:

  • 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

Avoiding pine nuts is the safest approach for managing this allergy. This includes:

  • 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.

Pine tree allergies, whether caused by pine nuts or pine pollen, can be managed with the right strategies and support. If you suspect an allergy, don’t wait—get in touch with us at St. Louis Family Allergy to get the answers and care that you need.

References

[1] American College of Allergy, Asthma & Immunology: https://acaai.org/
[2] Asthma and Allergy Foundation of America: https://www.aafa.org/
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Visit Pine Tree 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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St. Louis Family Allergy Google review score badge
"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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