No, allergies typically do not cause fevers. Allergies are immune responses to harmless triggers like pollen, dust mites, or pet dander. While they can cause uncomfortable symptoms like sneezing, nasal congestion, sore throat, and itchy eyes, they do not raise your body temperature. If you have a fever, it’s likely due to a viral or bacterial infection rather than allergies.
Some people believe allergies cause fever, but the reality is more complex. In many cases, it’s the secondary infections from complications like sinusitis that actually cause a fever.
Book a Same-Day Appointment
What Are Allergies and How Do They Affect the Body?
Allergies occur when the immune system overreacts to substances it mistakenly identifies as harmful. These substances, known as allergens, can include pollen, dust mites, pet dander, mold spores, ragweed pollen, and certain foods.
The immune system identifies these harmless allergens as threats and activates an immune response. This causes the body to release chemicals like histamines, which lead to typical allergy symptoms, such as:
- Sneezing
- Runny or stuffy nose
- Nasal congestion
- Itchy eyes and itchy nose
- Sore throat
- Postnasal drip
- Watery eyes
- Coughing
This condition is often called seasonal allergic rhinitis, commonly known as hay fever. People with allergic rhinitis may experience these allergy symptoms frequently during peak pollen seasons. Those with seasonal allergies tend to notice patterns of increased discomfort during spring and fall. Other allergy symptoms like fatigue, mild headaches, or coughing can further complicate daily routines.
One of the more confusing questions for patients is whether allergies cause fever. While allergies themselves do not, the resulting conditions might. And for people wondering, “can allergies cause body-wide issues like fatigue and congestion,” the answer is yes—though they don’t usually raise your temperature.
These symptoms often result from the body’s allergic response to irritants such as airborne mold spores, pollen, or dander. When exposed, white blood cells in your immune system activate, trying to defend the body. Agencies like the Centers for Disease Control also recognize allergy-related complications as triggers for other respiratory issues.
Can Allergies Cause Fever or Low-Grade Fever?
The short answer: Allergies do not directly cause fever. Your body temperature remains stable during allergic reactions because there is no actual infection present. However, certain allergy-related symptoms may be mistaken for infection symptoms, especially when discomfort levels rise.
So, can allergies cause fever? While they don’t directly cause it, the complications that stem from allergic rhinitis can create conditions like sinus infections that might lead to mild fevers. Allergies cause fever confusion mostly arises when symptoms overlap.
That said, allergic reactions may indirectly lead to fever in cases where complications develop, such as:
- Sinus infections: Prolonged nasal congestion from allergies can block sinus drainage, leading to bacterial buildup and eventual sinusitis, which can cause a low-grade fever. This buildup of bacteria is often what will cause a fever.
- Otitis media: Allergies affecting the ear canal can lead to inflammation, fluid buildup, and infection, resulting in ear pain and fever. Again, it is the infection that will cause a fever.
- Throat irritation: Postnasal drip can cause throat irritation, and in rare cases, secondary infection may cause a low-grade fever. Any infection may cause a fever if untreated.
Another contributor can be inhaled airborne mold spores, especially in damp environments. These spores can trigger an intense allergic response, involving elevated activity from white blood cells that attempt to neutralize the allergens. Public health entities like the Disease Control branches across the U.S. monitor mold-related risks closely.
Need an Expert’s Opinion? Schedule Your Virtual Visit Today
How to Tell If It’s Allergies or an Infection
Distinguishing between allergy symptoms and infection symptoms can help you decide whether to treat at home or seek medical attention.
Common Allergy Symptoms
- Sneezing, runny nose, itchy eyes
- Sore throat due to postnasal drip
- No fever or body aches
- Lasts as long as exposure to environmental allergens like dust mites, grass pollen, or pet dander
- Not contagious
- Often triggered by seasonal allergies such as pollen in spring and fall
- Other signs of hay fever can include fatigue and puffy eyelids
- Can allergies cause ongoing runny nose or itchy eyes without infection? Yes—these are common symptoms of allergies.
- Other symptoms may include mild headache, sinus pressure, or wheezing
Common Infection Symptoms (Cold, Flu, or Sinus Infection)
- Fever (usually above 100.4°F or 38°C)
- Body aches and fatigue
- Green mucus, cough, or congestion
- Symptoms resolve within 7–10 days
- May include flu symptoms like chills, sore throat, or nausea
- Infections cause a fever through immune response and inflammation.
If your symptoms worsen, or you have difficulty breathing, a bacterial infection or viral infection may be present and should be evaluated by a healthcare professional.
Why Allergies Can Sometimes Feel Like You Have a Fever
While allergies don’t actually cause fever, they can cause uncomfortable symptoms like:
- Body aches (due to fatigue or inflammation)
- General malaise
- Headaches
Your immune system is actively fighting off what it sees as a threat. The body releases histamines, which can cause swelling, congestion, and fatigue, mimicking flu symptoms. Those with seasonal allergies may feel more drained during high pollen counts, making it easier to confuse symptoms with infection. People with hay fever often feel run down during peak allergy seasons.
Because allergy-related complications can cause a fever indirectly, it’s important not to dismiss persistent or worsening symptoms.
This overlap can make it hard to know what you’re dealing with. If symptoms like body aches, low-grade fever, or ear pain persist beyond a few days, it’s time to contact your doctor. Some other symptoms to look out for include nausea, wheezing, and sleep disturbances.
Treating Allergies to Prevent Infection
If left untreated, chronic allergies may evolve into more serious issues like sinus infections, otitis media, or prolonged fatigue.
Here are some treatment options to control allergy-related symptoms and reduce your risk:
💼 Short-Term Relief
- Over the counter antihistamines like cetirizine or loratadine
- Nasal sprays (saline or corticosteroid-based)
- Nasal sprays can also be used regularly during high allergy seasons to prevent congestion buildup
- Nasal irrigation using a neti pot or saline rinse
- Over the counter medications for headaches or body aches
⚖️ Long-Term Management
- See an allergy specialist or primary care provider
- Consider allergy shots or sublingual tablets (immunotherapy)
- Avoid common allergens like dust mites, pet dander, and ragweed pollen
- Use HEPA filters and keep indoor air clean
- Wash bedding weekly in hot water
- Track seasonal allergies with apps or weather alerts to manage hay fever and reduce exposure
If you’ve developed a secondary condition like a sinus infection, it may cause a fever until the infection is treated. Can allergies cause symptoms that mimic infections? Absolutely—which is why diagnosis matters.
Need Allergy Relief Fast? Book a Walk-In or Online Appointment Now
When to See a Doctor for Allergy Problems
Consult a healthcare professional if:
- You experience fever with runny or stuffy nose for more than 3 days
- OTC allergy medicine isn’t working
- You have difficulty breathing, ear pain, or ongoing fatigue
- You suspect food allergies causing digestive issues
- You have a persistent sore throat, worsening congestion, or signs of bacterial infection
Timely evaluation helps avoid complications and ensures you’re getting the right treatment.
Frequently Asked Questions About Can Allergies Cause Fever
Can allergies cause a low-grade fever?
Allergies don't cause fever directly, but sinus infections or ear infections caused by allergy complications might result in a low-grade fever. These infections often cause a fever as your immune system responds.
Can allergies make you feel achy and feverish?
Yes, allergies can cause body aches and general fatigue, which might feel similar to fever. But your actual body temperature stays normal.
How long does allergy fever last?
Since allergies don’t cause fever, any fever likely comes from a secondary infection. These usually resolve in 7–10 days with treatment. If the infection continues to cause a fever after this point, contact your provider.
What are 5 severe symptoms of allergies?
Difficulty breathing Anaphylaxis (in food or insect sting allergies) Chronic sinus infections Otitis media Severe skin rashes or hives
Disclaimer
This blog is for informational & educational purposes only, and does not intend to substitute any professional medical advice or consultation. For any health related concerns, please consult with your physician, or call 911.
-
About The Author
Dr. Syra Hanif M.D.Board Certified Primary Care Physician
Dr. Syra Hanif is a board-certified Primary Care Physician (PCP) dedicated to providing compassionate, patient-centered healthcare.
Read More