How to Tell If It’s Allergies or Pregnancy Rhinitis

Many women notice they sneeze more often during pregnancy and wonder if it’s due to allergies or something else. This blog will help you understand the difference between seasonal allergies and pregnancy rhinitis. You’ll learn what causes them, how to spot the symptoms, and easy ways to manage both. With the right tips, you can feel more comfortable and in control during your pregnancy.

Pregatips.com
coughing cold
Pregnancy is a time of many changes for your body, some obvious and others less so. One such hidden factor is nasal congestion or frequent sneezing. If you have never had allergies before, this can get confusing. Could this be a seasonal issue, or does pregnancy somehow cause this discomfort?



To gain a clearer understanding of what your body is going through, it would be helpful to understand the difference between allergies and pregnancy rhinitis. They may seem similar, but they have definite discrepancies in symptoms, causes, and treatment options. Let's break down together.


What Is Pregnancy Rhinitis?

Pregnancy rhinitis occurs in a condition where you feel like you have a cold without fever or infection. It generally starts around the second or third month of pregnancy and lasts until childbirth.

This happens because of hormonal changes, mainly increased oestrogen and blood volume, that stimulate swelling of your nasal lining—the effect is a blocked or runny nose that does not seem to go away.

You might experience:
  • Nasal congestion (blocked nose)
  • Runny nose
  • Sneezing
  • Postnasal drip (when mucus drips down your throat)
These symptoms may worsen at night or when lying down, and they usually appear without any fever or itching.


What Are Allergies During Pregnancy?

The immune system can develop allergies whenever it interacts with allergens, such as dust, pollen, pet hair, or specific foods. If you’ve had seasonal or year-round allergies before, you might continue to have them during pregnancy. In some cases, allergies may even start for the first time while you’re pregnant.

Common allergy symptoms include:
  • Itchy nose, eyes, or throat
  • Sneezing fits
  • Runny nose
  • Watery or red eyes
  • Mild headache
  • Skin rashes or hives (sometimes)
These are typically triggered by something in the environment and may come and go, depending on what you’re exposed to.


How to Tell the Difference Between the Two?

Let’s compare both sides by side to make it easier for you:

SymptomPregnancy RhinitisAllergies
SneezingYesYes
Runny NoseYesYes
Nasal CongestionYesSometimes
Itchy Eyes/Nose/ThroatNoYes
CoughSometimesSometimes
FeverNoNo
TriggerHormonal changesEnvironmental (dust, pollen, etc.)
DurationSeveral weeks or monthsComes and goes with exposure

When Does Pregnancy Rhinitis Start and End

It can start anytime during pregnancy, but it’s more common in the second or third trimester. The majority of women experience relief shortly after having a delivery. Pregnancy rhinitis is unrelated to seasons or allergens, unlike seasonal allergies. It just happens during your pregnancy.


Should You Be Worried?

Pregnancy rhinitis is not dangerous, but it can be uncomfortable, especially if it affects your sleep or makes you tired. On the other hand, allergies may be more troublesome if they cause additional symptoms, such as coughing, sneezing, or skin issues. Severe allergies can sometimes affect your breathing and sleep, too, so it’s essential to manage them effectively.

Always consult your doctor before taking any medication, especially during pregnancy.


How Can You Manage the Symptoms

Here are some safe and simple ways to find relief, whether you’re dealing with allergies or pregnancy rhinitis:
1. Use a saline nasal spray: This helps clear your nasal passages without using any strong chemicals. It’s safe to use during pregnancy.
2. Stay hydrated: Breathing becomes easier when you drink sufficient water, which helps keep your mucus thin.
3. Use a humidifier: Dry air can exacerbate your symptoms. Dry air can exacerbate your symptoms. A humidifier can improve your breathing by increasing the moisture in the air in your room.
4. Elevate your head while sleeping: Keep your head slightly raised at night using extra pillows. This helps reduce nasal congestion.
5. Avoid allergy triggers: If you’re sure it’s allergies, try to stay away from dust, pets, smoke, and pollen. Clean your home often, use air purifiers, and keep windows closed during high pollen seasons.
6. Discuss safe medications with your doctor: Some antihistamines or decongestants may be safe during pregnancy, but only your doctor can decide that. Never self-medicate.


When Should You See a Doctor

You should visit your doctor if:
  • Symptoms are affecting your daily life.
  • You’re unable to sleep properly.
  • You experience wheezing or shortness of breath.
  • You have eye swelling, skin rash, or a strong cough.
  • Symptoms continue even after delivery.
Your doctor can help you determine whether it’s allergies, pregnancy rhinitis, or a different condition, such as a sinus infection.


How Long Will It Last?

If allergies are the cause, symptoms may resolve and return after exposure. Allergies may continue after the delivery as well.

If it's pregnancy rhinitis, it typically clears within 2 weeks after giving birth. But until then, home remedies and lifestyle modifications will help you cope with the feelings of discomfort.

The journey of pregnancy is indeed beautiful, but sometimes, puzzling symptoms may arise along the way. If you are experiencing more sniffles or sneezes than usual, try to determine if your condition is due to allergies or a change in your body's normal functioning.

Both pregnancy rhinitis and allergies share similarities, but there are distinct differences. Identifying such differences will enable you to make informed choices or take steps towards seeking help. And do keep in mind: you never have to endure in silence. Always communicate with your doctor, stay informed, and take these small steps towards feeling better.

FAQs on How to Tell If It’s Allergies or Pregnancy Rhinitis?

  1. Can pregnancy rhinitis affect my baby?
    Pregnancy rhinitis will not harm your baby. It can be quite annoying for you (especially if you can't sleep), but, at worst, pregnancy rhinitis does not harm your baby's health.
  2. Can I take allergy medicines during pregnancy?
    Some allergy medications are safe in pregnancy, but you should consult with your doctor before taking any medication. Do not think about taking any over-the-counter medications without the advice of your doctor.
Disclaimer: Medically approved by Dr Rakshita Bhutale, Consultant - Obstetrics & Gynecology, Narayana Hospital - HSR Layout