Medically reviewed by
Kena Shah, DO
As the leaves change color and the air turns crisp, North Carolina residents eagerly anticipate the beautiful fall season. However, for many, this time of year also brings the challenge of seasonal allergies. In 2024, understanding and managing fall allergies is more crucial than ever, especially as climate change continues to impact pollen production and allergy seasons.
What’s New for Fall Allergies in 2024?
- Extended Allergy Seasons: Due to climate change, fall allergy seasons are starting earlier and lasting longer. In North Carolina, ragweed season may now extend well into October or even early November.
- Increased Pollen Production: Warmer temperatures and higher CO2 levels are causing plants to produce more pollen, leading to more intense allergy symptoms for many sufferers.
- New Allergy Triggers: Changes in temperature and precipitation patterns are altering plant distribution, potentially introducing new allergenic plants to the region.
- Advanced Treatment Options: New immunotherapy options and targeted medications are becoming available, offering hope for those with severe allergies.
Common Fall Allergy Triggers in North Carolina
Ragweed becomes prevalent when cool nights and warm days convince the ragweed to shed its pollen – this cycle lasts well into the fall, and allergies can be worse at night.
Moreover, people who have allergies to plants that bloom in spring and summer have a 75% probability of reacting to ragweed. Don’t think you can get away from ragweed symptoms by moving away from the source – ragweed pollen travels hundreds of miles with only the wind to carry it.
Trees also release pollen in the fall so this may be another issue for allergy sufferers. To see what trees are releasing pollen now, check out our local Charlotte pollen and mold counter.
Foods can also mimic the symptoms of fall pollen allergies. People with ragweed sensitivity have a high correlation with allergy symptoms from eating bananas, melon, and zucchini among other fruit and vegetables. This is called Oral Allergy Syndrome. We can help with this too.
Molds are another substance that triggers fall allergies. These molds are no different from the more familiar molds that tend to grow in damp places like your bathroom or kitchen. Molds also love to snuggle into damp piles of leaves that collect on your lawn and sidewalk. They are particularly bad in the southeast and very common in our areas. Molds are easily airborne too, so gusty winds stir them up.
Symptoms of Fall Allergies
- Runny or stuffy nose
- Watery, itchy eyes
- Sneezing and coughing
- Congestion
- Wheezing or asthma exacerbation
- Dark circles under the eyes (allergic shiners)
- Fatigue
Managing Fall Allergies in 2024
- Stay Informed
- Use local pollen and mold counting services to track allergen levels.
- The Carolina Asthma & Allergy Center provides daily updates on our website.
- Minimize Exposure
- Keep windows closed during high pollen days.
- Change clothes and shower after outdoor activities.
- Use air purifiers with HEPA filters in your home.
- Treatment Options
- Over-the-counter antihistamines and nasal sprays
- Prescription medications (consult with an allergist)
- Immunotherapy (allergy shots or sublingual tablets)
- New targeted biologic treatments for severe cases
- Lifestyle Adjustments
- Consider planting low-allergen plants in your garden.
- Use a dehumidifier to control indoor moisture and reduce mold growth.
- Wear a mask when doing yard work or on high pollen days.
Enjoying Fall Activities Despite Allergies
North Carolina offers numerous fall activities. Here are some allergy-friendly options:
- Visit indoor museums or art galleries
- Enjoy scenic drives to view fall foliage (keep windows closed)
- Attend indoor fall festivals or craft fairs
- Try indoor rock climbing or visit the U.S. National Whitewater Center’s indoor facilities
- Explore local breweries and restaurants with indoor seating
- Take up fall photography, focusing on less pollen-heavy areas
When to See an Allergist
If over-the-counter treatments aren’t providing relief, it’s time to consult a board-certified allergist. They can:
- Perform allergy testing to identify specific triggers
- Develop a personalized treatment plan
- Prescribe stronger medications if needed
- Discuss immunotherapy options
While fall allergies in North Carolina can be challenging, with proper management and treatment, you can still enjoy the beauty of the season. Stay informed about local pollen levels, take preventive measures, and don’t hesitate to seek professional help if your symptoms persist. By taking control of your allergies, you can make the most of North Carolina’s spectacular autumn.
For more information or to schedule an appointment, contact Carolina Asthma & Allergy Center at one of their 16 allergy center locations across the Charlotte metro area.
