Many people across Texas and Oklahoma are experiencing symptoms that mimic a cold or the flu during the winter months, but the cause isn’t always a virus. It could be “cedar fever,” an allergic reaction to pollen from mountain cedar trees. While the name suggests a fever, most sufferers don’t actually run a fever, but experience a range of uncomfortable allergy symptoms.
Dr. William Neaville with Southwest Allergy & Asthma Center explains that cedar fever, more accurately described as an allergy to mountain cedar or the juniper family, causes what he calls “classic rhinitis symptoms.” These include a runny nose, nasal congestion and post-nasal drip. Fatigue can also be a significant symptom.
The timing of cedar fever often leads to confusion with other illnesses. Symptoms typically appear between late November and February, coinciding with cold and flu season. “I’m seeing people think they have the flu and it ends up being allergy symptoms or people think they have allergies and it ends up being an infectious process,” Dr. Neaville notes.
Pollen counts tend to surge after a cold front passes, making it particularly important to consider allergies when experiencing symptoms. While a slightly elevated body temperature can occur, a high fever is more indicative of an infection than cedar fever.
Understanding Cedar Fever and its Symptoms
Mountain cedar trees, part of the juniper genus, are prevalent in states like Texas, Oklahoma, Arkansas, Missouri, New Mexico, Arizona, and even parts of Mexico and Japan. Only male cedar trees produce pollen, which is released in small, orange-brown cones. This pollen is the culprit behind the allergic reactions experienced by many.
The symptoms of cedar fever closely resemble those of a cold, flu, or even COVID-19, making accurate diagnosis challenging. Beyond the typical allergy symptoms of a runny nose, congestion, and sneezing, individuals may also experience a sore or scratchy throat, difficulty smelling, coughing, and plugged ears.
Managing and Treating Cedar Fever
Fortunately, Notice several ways to manage and alleviate cedar fever symptoms. Dr. Neaville suggests a tiered approach to treatment, starting with readily available over-the-counter medications. “Topical nasal steroids such as Flonase, and oral antihistamines, like Zyrtec, Claritin, or Allegra,” are often effective as a first line of defense.
For those with more severe or persistent symptoms, consulting an allergist is recommended. Allergists can adjust medication regimens, discuss environmental precautions to minimize pollen exposure, and explore options like allergen immunotherapy – commonly known as allergy shots.
While completely avoiding cedar pollen is difficult, as Dr. Neaville points out, “no one lives in a bubble,” there are steps individuals can take to reduce their exposure. Keeping windows closed, using air purifiers with HEPA filters, and showering after being outdoors can all help minimize pollen contact.
Distinguishing Cedar Fever from Other Illnesses
The overlap in symptoms between cedar fever, colds, the flu, and other respiratory illnesses can make self-diagnosis difficult. It’s crucial to consider the timing of symptoms – are they occurring during peak cedar pollen season (late November to February)? Have there been recent cold fronts that could have increased pollen counts?
If symptoms are mild and primarily involve nasal congestion, sneezing, and itchy eyes, cedar fever is a likely possibility. However, if a high fever, body aches, or significant fatigue are present, it’s important to consider other potential causes and seek medical attention.
The key takeaway is that what feels like a winter cold might actually be an allergic response to mountain cedar pollen. Understanding the symptoms and available treatment options can help individuals navigate cedar fever season and find relief from their discomfort.
