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  • Writer's pictureJo Soria

Allergies or Asthma? When It’s Not Just the Seasonal Sniffles

As the world awakens with vibrant colors and fresh scents, many of us grapple with the less welcome heralds of spring: seasonal allergies. With trees and flowers in full bloom, pollen saturates the air, often resulting in the telltale signs of sneezing, coughing, and itchy eyes. But what happens when these seemingly mundane symptoms linger longer than the blossoms?

For some individuals, this could be a signal that they are dealing with something more persistent and disruptive than seasonal allergies—namely, asthma. This connection between allergies and asthma is not only common but can complicate diagnosis and management.

woman in field; seasonal allergies; allergies or asthma

Join us here at #TRN as we delve into understanding these two conditions, their overlap, and how to tell them apart so you can enjoy the season to its fullest without letting them hold you back.

Understanding Allergies

What we call allergies is a collection of reactions the body's immune system deploys toward harmful substances, known as allergens. Typical allergens include pollen, dust mites, pet dander, and certain foods. When exposed to these allergens, the body releases histamines, leading to the typical allergy symptoms.

Common Seasonal Allergies

  • Pollen: Springtime often brings a surge in pollen levels, triggering allergic reactions in many individuals. Symptoms include sneezing, runny or stuffy nose, itchy or watery eyes, and sometimes coughing.

  • Dust and Mold: While indoor allergens like dust and mold can cause allergy symptoms year-round, they can see exponential growth during warm, humid periods like spring. Dust mites thrive in warm, humid environments, while mold can quickly generate in damp areas like bathrooms and basements.

Other Common Allergy Triggers

  • Pet Dander: Substances found in pet dander, saliva, and urine can provoke allergic reactions in susceptible individuals. Even if you're not allergic to one type of pet, you may still react to others.

  • Food Allergies: Certain foods, such as nuts, shellfish, eggs, and dairy, can trigger allergic reactions, ranging from mild itching to severe anaphylaxis.

Understanding Asthma

Asthma is a chronic respiratory condition associated with inflammation and narrowing of the body's airways, leading to difficulty breathing. While allergies can mimic or even exacerbate asthma symptoms, asthma is a separate condition with distinct characteristics.

  • Chronic Airway Inflammation: In asthma, the airways become inflamed and sensitive, making them prone to constricting in response to various triggers.

  • Bronchoconstriction: Inflammation and subsequent constriction of the airways leads to symptoms like wheezing, chest tightness, shortness of breath, and coughing, which may worsen at night or in the early morning.

Asthma Triggers and Risk Factors

  • Allergens: For many asthma patients, allergens like pollen, dust mites, and pet dander can trigger asthma symptoms and lead to an exacerbation known as an asthma attack.

  • Non-Allergic Triggers: Asthma may be triggered by non-allergic factors, such as smoke, pollution, respiratory infections, cold air, exercise, and stress.

  • Genetic Predisposition: A family history of chronic asthma or allergy problems increases the likelihood of developing asthma. Additionally, certain environmental factors during childhood can influence asthma risk.

man in doctor office breathing through apparatus; allergies or asthma

Differentiating Allergies From Asthma

So, how does one know if it is allergies or asthma? That's a good question! While allergies and asthma can share similar symptoms, there are core differences that can help us distinguish between the two conditions.

Allergies: Symptoms of seasonal allergies typically come and go with exposure to allergens. They're also more likely to improve with over-the-counter antihistamines or avoiding triggers.

Asthma: Asthma symptoms can persist even in the absence of typical allergens and may require long-term management with controller medications like inhaled corticosteroids or bronchodilators.

Response to Treatment

Allergies: Allergy symptoms often respond well to antihistamines, decongestants, nasal sprays, and allergen avoidance.

Asthma: Asthma management involves a combination of stabilizer medications to keep inflammation at bay and rescue medications (e.g., inhalers) for acute symptom relief.

Diagnostic Tests

Allergies: Standard allergy screenings, such as skin pricks or blood tests, can help identify specific allergens that trigger symptoms.

Asthma: Diagnosis of asthma may involve pulmonary function tests (e.g., spirometry) to assess lung function and determine the presence of airway obstruction.


Seeking Medical Advice

If you're experiencing persistent respiratory symptoms, consult a healthcare professional for an accurate diagnosis and personalized treatment. Based on your symptoms, your primary care physician may handle the diagnosis themselves or may refer you to a specialist.

Allergy Specialist (Allergist)

An allergist can perform allergy screenings to identify specific triggers and recommend appropriate allergy management strategies, including medications and allergen immunotherapy (allergy shots)


A pulmonologist specializes in diagnosing and treating respiratory conditions like asthma. They can assess your lung function, prescribe asthma medications, and help you develop an asthma action plan for managing flare-ups.

Bringing it All Together: Protecting Your Respiratory Health

While seasonal allergies and asthma might appear as twins with overlapping symptoms, they're more like distant cousins, each with unique underlying causes. Understanding what sets them apart can empower you to steer your respiratory health in the right direction and secure the treatment that best suits your needs.

If you find yourself puzzled over whether your symptoms stem from allergies or asthma, it's time to consult with a healthcare professional. Don't leave it to guesswork. Embrace proactive management—it's the key to thriving even when the flowers bloom, and pollen fills the air. With the right strategies, you can relish spring splendor, free from the shackles of troublesome respiratory symptoms.

Let this season be your time to breathe easy and enjoy life to the fullest!


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