Three of Tennessee’s four major metros rank in the top 20 allergy capitals in the U.S. If you’re sneezing, sniffling, and suffering, you’re not alone.
“Tennessee’s allergy season can be brutal,” says Dr. Monica Peeler, a medical director at BlueCross BlueShield of Tennessee.
“Tennessee has a long pollen season, often February through late fall,” Dr. Peeler says. “This, combined with mild winters and high tree density, makes Tennessee an allergy hotspot.”
Why Tennessee is so tough on allergy sufferers
Dr. Peeler: Places like Nashville and Chattanooga sit in valley-like areas surrounded by hills. This geography can trap pollen in the air, so it lingers longer instead of blowing away. Due to our mild winters, many Tennesseans may start to notice allergy symptoms as early as February.
Spring is tree pollen season in Tennessee. The most common culprits include oak, maple, hickory, cedar/juniper and birch. Grass pollen becomes the dominant allergen from late spring into early summer.
That’s why some people may see slight improvement after tree pollen season, then develop symptoms again in the summer.
How to manage Tennessee allergies
Dr. Peeler: Here are effective strategies for reducing your exposure:
Stay indoors on dry, windy days. The best time to go outside is after rain, which helps clear pollen from the air. Try to avoid outdoor activity in the early morning when pollen counts are highest.
Remove clothes you’ve worn outside and shower to rinse pollen from your skin and hair. Close doors and windows at night when pollen counts are high.
Check pollen forecasts and current pollen levels. If high pollen is expected, start taking allergy medications before your symptoms start.
Over-the-counter options that work
Dr. Peeler: Several types of medications can help ease allergy symptoms:
Oral antihistamines can relieve sneezing, itching, runny nose, and watery eyes.
Corticosteroid nasal sprays can improve nasal symptoms.
Consistency is key. So is a proactive approach. Many people find it helpful to start taking medications before symptoms begin rather than after symptoms worsen.
When to see a doctor
Dr. Peeler: See a doctor if allergies affect your breathing, sleep, ability to work or function at school. You should also consult a doctor if symptoms last more than a few weeks despite consistent over-the-counter treatment, or if you experience wheezing, chest tightness or frequent sinus infections.
Allergy testing can help pinpoint what you’re allergic to. It can also help determine if immunotherapy might be appropriate for longer-term relief.
“Tennessee’s geography makes us particularly susceptible to trapped pollen,” Dr. Peeler says. “But with the right preparation and treatment, you can be better equipped to get through allergy season successfully.”
More from Dr. Peeler on WellTuned
Get more information about specific health terms, topics and conditions to better manage your health on bcbst.com. BlueCross BlueShield of Tennessee members can access wellness-related discounts on fitness products, gym memberships, healthy eating and more through Blue365®. BCBST members can also find tools and resources to help improve health and well-being by logging into BlueAccess and going to the Managing Your Health tab.