Q&A: North Texas-area internal medicine doctor discusses allergy symptoms, treatments

What time of year are allergies most prevalent, and why?

In Texas—and especially North Texas—seasonal allergies can occur nearly year‑round due to our climate and plant diversity.

• Winter (December-February): Cedar pollen is the main culprit.
• Spring (February-May): Tree pollens such as oak and pecan dominate.
• Summer (April-September): Grass pollen peaks.
• Fall (August-November): Ragweed surges until the first frost.

Which allergens are most prevalent in North Texas?

North Texas experiences a high burden of airborne allergens throughout the year. The most common include:

• Tree pollens: oak, pecan, cedar, elm
• Grass pollens: Bermuda and Johnson grass
• Weeds: ragweed, especially in the fall

What are common symptoms of allergies?

Symptoms often depend on how someone is exposed to the allergen, but typical signs include:

• Sneezing
• Runny or stuffy nose
• Itchy, watery eyes
• Coughing or wheezing
• Skin irritation or hives
• In some cases, swelling of the face or throat

How should people treat them?

Allergies can be challenging, but you don’t have to figure it out on your own. The right care team can help you develop a personalized plan to finally get them under control. Common treatments include over-the-counter antihistamines, nasal corticosteroid sprays and decongestants for short-term relief. Environmental controls—such as keeping windows closed, using air conditioning and regularly cleaning indoor spaces—can also help reduce exposure.

Baylor Scott & White offers a virtual-first allergy care program through the MyBSWHealth app, allowing patients to consult with a provider from home to discuss symptoms, treatment options and medication management. Starting treatment early, often before peak allergy season, can help reduce symptom severity and improve quality of life.