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Fall Allergies or a Cold? 6 Clues That May Help You Tell the Difference

A stuffy nose in September can leave you wondering whether pollen or a respiratory virus is responsible. These six clues may help you better understand your symptoms.

Fall Allergies or a Cold? 6 Clues That May Help You Tell the Difference

This content is provided for informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment.

Sneezing during sweater weather does not automatically mean you caught a cold. Ragweed, mold and other airborne allergens can remain active well into fall, creating symptoms that look surprisingly similar to a respiratory infection.

The short answer

How can you tell fall allergies from a cold?

Itchy or watery eyes, repeated sneezing and symptoms that follow pollen exposure lean more toward allergies. Sore throat, body aches, fever and symptoms that develop and then improve over several days lean more toward a respiratory infection. There is enough overlap that no single clue provides a definite diagnosis.

More allergy-like Itchy, watery eyes
More cold-like Aches or fever
Shared symptom Runny or stuffy nose

Six clues that may help

Clue What it may suggest
Itchy or watery eyes More commonly associated with seasonal allergies.
Fever or body aches More suggestive of a respiratory infection than allergies.
Sore throat Common with a cold, although drainage can also irritate the throat.
Symptom timing Allergies may continue with exposure; cold symptoms often peak within several days.
Repeated sneezing Can occur with either condition but is especially common with allergies.
Exposure pattern Symptoms after yardwork or time outdoors may point toward pollen exposure.

Why fall allergies can feel like a cold

Both conditions can produce sneezing, congestion and a runny nose. Fall pollen exposure may also cause red, watery or itchy eyes. A cold is caused by a respiratory virus and may include coughing, sore throat, headache, mild aches or a low-grade fever.

Notice the pattern A brief symptom diary can help. Record when symptoms appear, whether you were outdoors, the local pollen level and whether anyone around you has been sick.

Choosing symptom relief

If symptoms appear allergy-related, compare the active ingredient, directions and drowsiness warnings on allergy products. Cetirizine, fexofenadine and levocetirizine are different active ingredients even though they are all antihistamines.

A mucus-relief product does not treat allergies or eliminate a respiratory virus. Select products according to the symptoms and uses stated on their Drug Facts, and avoid accidentally combining products containing the same active ingredient.

When to get medical help Seek prompt care for trouble breathing, chest pain, dehydration, confusion or symptoms that are severe or rapidly worsening. Testing may be appropriate when flu or COVID-19 is possible.
Find your fall routine

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Start with the symptom

Compare the Drug Facts before selecting a product.

Shop allergy relief Always read and follow the selected product’s Drug Facts.

Frequently asked questions

Do fall allergies cause a fever?

Seasonal allergies do not typically cause fever. Fever may suggest an infection or another cause.

Can fall allergies cause a cough?

Allergies may contribute to coughing, particularly when drainage irritates the throat.

Are itchy eyes more likely with allergies?

Yes. Red, watery or itchy eyes are commonly associated with pollen exposure.

How long does a common cold usually last?

The CDC states that colds usually last less than a week, although individual symptoms can vary.

Sources

  1. CDC: About the Common Cold
  2. CDC: Allergens and Pollen
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