Javascript is not enabled.

Javascript must be enabled to use this site. Please enable Javascript in your browser and try again.

Skip to content
Content starts here
CLOSE ×
Search
CLOSE ×
Search
Leaving AARP.org Website

You are now leaving AARP.org and going to a website that is not operated by AARP. A different privacy policy and terms of service will apply.

5 Types of Allergies That Can Become More Common With Age

Reactions to foods, medications, pollen and insects can develop later in life


medical professional holding a hand of a patient with a skin condition

 Key takeaways

  • It’s not just kids who develop allergies; older adults can develop them too.
  • Hay fever, skin reactions, food, insect and drug allergies can appear as you age.
  • Your doctor can help you find the right treatment for your allergy.

More than 50 million Americans suffer from allergies, and some expert groups estimate the number is even higher. According to the Asthma and Allergy Foundation of America, allergies are the sixth leading cause of chronic illness in the U.S.

While most allergic reactions develop in childhood or young adulthood, an estimated 5 to 10 percent of Americans over the age of 65 are either living with chronic allergic reactions or experiencing allergic reactions for the first time. And as the population ages, the number of older Americans with allergies will continue to increase.

What is an allergy?

An allergic reaction occurs when the immune system mistakenly identifies a typically harmless substance, or allergen, as an intruder. Those substances can include dust mites, pollen, mold, pet dander, insect stings, medicines or foods that don’t cause a reaction in most other people. The immune system responds to these allergens by trying to fight them off as it would a germ or virus. However, with most allergic reactions, it’s responding to a false alarm. 

This can cause a host of aggravating symptoms, including coughing, sneezing, hives, rashes, itchy eyes and a runny nose. Sometimes symptoms can be more severe. 

Because allergy symptoms are so common, your first stop for diagnosis should be your primary care physician. If your symptoms are chronic or intolerable, make an appointment with an allergist. Skin and blood tests are the most common diagnostic tests.

“As we age, our immune systems get weaker, putting older Americans at higher risk for disease, including allergic reactions,” says Dr. Tiffany Owens, an allergist at the Ohio State University Wexner Medical Center.

Here are five types of allergies that can develop as we age.

1. Hay fever

During the spring, summer and fall, trees, weeds and grasses release pollen into the air. That pollen can get into your nose and throat, triggering an allergic reaction commonly known as hay fever (allergic rhinitis).

Nearly 20 million American adults and more than 5 million children suffer from hay fever.

Symptoms: Sneezing; runny or stuffy nose; coughing; postnasal drip; itchy eyes, nose and throat; red and watery eyes; dark circles under the eyes.

Treatment: The most effective treatment is a nasal steroid or an anti-inflammatory medicine that you spray into your nose and can buy over the counter. You can also control your environment by spending more time indoors when pollen counts are high outside and using air purifiers and air conditioners.

If you spend a lot of time outdoors, wash your hands and face often to remove pollen that may have collected there.

“Antihistamines or drugs used to treat symptoms of allergies can sometimes cause cognitive issues. When possible, rely on topical medications or second-generation antihistamines such as Claritin, Allegra or Zyrtec,” says Dr. Jennifer Namazy, an allergist and immunologist at the Scripps Clinic in La Jolla, California.

2. Insect allergies

Approximately 2 million Americans suffer from insect allergies.

Allergic reactions occur when the immune system overreacts to the venom from an insect sting. They’re most often caused by yellow jackets, honeybees, paper wasps, hornets and fire ants.

This isn’t a super common allergy to develop as you age, but it can happen.

Symptoms: Pain, redness and swelling at the site of the sting can be part of a normal reaction. A serious allergic reaction occurs when the immune system overreacts to venom. When this happens, you could experience some of the following symptoms: swelling of the face, throat or tongue, difficulty breathing, coughing, shortness of breath, dizziness, stomach cramps, nausea and diarrhea, and itchiness and hives on your body.

Anaphylaxis, a severe and potentially life-threatening reaction often characterized by difficulty breathing, tingling in the hands, vomiting, diarrhea and swelling of the lips, feet and scalp, usually occurs within 5 to 30 minutes of being stung or bitten.

Treatment: If you have a serious adverse reaction, call 911 immediately so emergency medical services can assess the situation and, if needed, administer epinephrine (also known as adrenaline), a medication that effectively manages anaphylaxis by relaxing the muscles in the airways and tightening the blood vessels.

Patients with a history of anaphylactic reactions to insect stings should carry an epinephrine auto-injector device such as an EpiPen to use, if needed, to treat reactions.

“If you haven’t had this kind of reaction and don’t carry an epinephrine auto-injector, you need to be evaluated immediately,” says Dr. John James, an allergist and spokesperson for the Asthma and Allergy Foundation of America. “And consultation with a board-certified allergy specialist is highly recommended.”

3. Skin allergies

A skin allergy (allergic contact dermatitis) occurs when the skin comes into direct contact with an allergen such as poison ivy, poison oak or poison sumac. Other substances, such as the nickel in jewelry or the chemicals in lotions and skin care products, can cause similar reactions.

Namazy says it is sometimes challenging to determine exactly what’s causing the allergic reaction. Patch testing, a diagnostic method that involves placing small amounts of potential allergens on the skin under special tape, can often help determine the specific substances that are causing the inflammation.

“Skin disorders become more prevalent as we age, because skin changes by becoming thinner and drier,” Namazy says.

Symptoms: Itching, redness, swelling.

Treatment: With most skin allergies, the more you scratch, the worse the condition becomes. Use moisturizers and topical ointments and steroids that reduce inflammation

Antihistamines can help reduce itching. If you have a rash that’s persistent or painful, spreads quickly over most of your body, causes a fever or is oozing yellow or green fluid, see a doctor.

4. Food allergies

As with insect allergies, reactions to certain foods can occur suddenly and quickly, and if not treated immediately, they can be life-threatening.

When you’re allergic to a food, your immune system overreacts to a particular protein found in that food. Often, it takes only a small amount of food to trigger the reaction, which usually occurs within a few minutes to two hours of eating the food. The foods most often responsible for allergic reactions include cow’s milk, eggs, fish, peanuts, shellfish, soy, tree nuts and wheat.

“While food allergies are more common in the young, as we age and introduce new foods, the potential to develop new allergies increases,” says Namazy.

An increasing number of people in the U.S. are developing an allergy to red meat after a tick bite, primarily from the lone star tick. What’s called alpha-gal syndrome affects as many as 450,000 people, the Centers for Disease Control and Prevention says. Most cases have been reported in adults, but people of all ages can develop the allergy.

Symptoms: Food allergies can cause mild to serious reactions. These include hives, red and itchy skin, itchy or stuffy nose, sneezing, itchy and tearing eyes, vomiting, stomach cramps, diarrhea and swelling. Symptoms of anaphylaxis include wheezing; tightening in the chest; trouble breathing; tingling in the hands; vomiting; stomach cramps; diarrhea; and swelling in the feet, lips and scalp.

Treatment: If you know you have severe allergic reactions to food, you should carry an epinephrine auto-injector with you at all times, in case of an anaphylactic reaction. 

If you have a reaction for the first time, see a specialist who can determine which foods you are allergic to, so you can avoid them. When you shop, read food labels to make sure you don’t eat anything that contains the food triggers you’ve reacted to. To prevent adverse reactions, always ask about ingredients when you eat in a restaurant or eat foods prepared by family or friends.

Since food allergies can be life-threatening, you must always be prepared by wearing a medical alert bracelet or necklace and carrying an auto-injector containing epinephrine.

5. Drug allergies

Because older people take three times as many medications as younger people, according to Namazy, they tend to have more frequent allergic reactions.

The chances of developing an allergy to a medication are higher when you take it frequently or when a medication is rubbed onto the skin or given by injection rather than taken by mouth.

The most common allergy-causing drugs include antiseizure drugs, insulin, iodine-containing substances (X-ray contrast dyes), antibiotics like penicillin, nonsteroidal anti-inflammatory drugs like ibuprofen, anticonvulsants and chemotherapy drugs.

“Allergic reactions to medications are sometimes difficult to identify, as they tend to recur with repeated exposure to the same medication and symptoms can be similar to other conditions,” Owens says.

Symptoms: Vomiting and hair loss with cancer chemotherapy drugs, upset stomach from aspirin or diarrhea from antibiotics, skin rashes (especially hives), itching, respiratory problems and facial swelling. As with insect and food allergies, anaphylactic shock symptoms can occur.

Treatment: If you have an allergic reaction to a medication, consult your doctor, but unless symptoms are life-threatening, don’t stop taking a medication without talking to a health professional. 

A doctor can determine whether you should temporarily or permanently cease taking your medication and should be able to offer an alternative. If you are allergic to a specific medication, that information should become part of your permanent medical record, and all your doctors should be informed.

Is It a Cold, the Flu or an Allergy?

How to tell the difference

Allergies, colds and the flu can all make you miserable. They all affect your respiratory system, making it difficult to breathe. People who suffer from airborne allergies often think they have a cold, and when symptoms are more severe, they may think they have the flu. The common cold and the flu are both caused by viruses, but an allergic reaction is caused by your immune system responding to a trigger.

“Usually, a cold will start with a sore throat, followed by a few days of sneezing and a runny nose,” says Dr. Gary J. Stadtmauer, an allergist and clinical immunologist in New York City. “The flu is more serious than a cold, with symptoms including fever, chills and coughing. Allergies do not cause fever.”

Airborne allergies

  • Symptoms last as long as allergens are present
  • Stuffy and runny nose
  • Itchy, watery eyes
  • Treat with antihistamines, decongestants, nasal steroids

Flu

  • Symptoms last one to two weeks
  • Fever
  • Aches, pains
  • Exhaustion, weakness
  • Chest discomfort and cough
  • Treat with fluids, rest, over-the-counter medicine and prescription antiviral drugs

Cold

  • Symptoms can last up to two weeks
  • Stuffy and runny nose
  • Sore throat and cough
  • Treat with antihistamines, decongestants, nasal steroids

Editor’s note: This story, originally published Dec. 1, 2022, was updated on April 9, 2026.

Unlock Access to AARP Members Edition

Join AARP to Continue

Already a Member?

Get instant access to members-only products and hundreds of discounts, a free second membership, and a subscription to AARP the Magazine.