The Central Valley is one of the hardest places in the country to have allergies — surrounded by orchards, fields, and air that traps pollen for months. Our board-certified specialists test for what's actually triggering your symptoms and work with you on a plan to help manage them.
Different allergens dominate at different times of year — and some don't follow a season at all. Testing tells us which ones matter for you.
The Valley's earliest allergy wave. Almond, olive, oak, mulberry, and ash are common local sources — and with orchards on every side of Fresno and Merced, tree pollen can travel far from where it starts. Sneezing, itchy eyes, and congestion in late winter and spring often point here.
Grasses like Bermuda, rye, and timothy pollinate through late spring and summer, and irrigated fields and lawns keep them going. If your symptoms peak when lawns are being mowed or you react after time outdoors in early summer, grass is a common culprit.
Ragweed, pigweed, Russian thistle (tumbleweed), and sagebrush carry allergy season into fall. Weed pollen is the usual suspect when symptoms flare late in the year, after tree and grass seasons have wound down.
Not seasonal at all — dust mites live indoors in bedding, carpet, and upholstery, and mold thrives in damp spaces and after Valley fog and winter rain. If your symptoms don't let up when pollen drops, or they're worse indoors or at night, an indoor allergen may be the reason.
Our team tracks local pollen and air quality for Fresno and Merced so you can plan ahead — free, updated weekly.
Skin and blood testing to identify which pollens, molds, or dust mites are actually behind your symptoms — usually with same-visit results for skin tests.
Learn more →Antihistamines, nasal sprays, and practical avoidance strategies matched to your specific triggers and the Valley's calendar.
Allergy shots or sublingual options designed to gradually desensitize you to your triggers and help reduce symptoms over time.
Learn more →The Valley combines heavy agricultural pollen sources with geography that traps air between mountain ranges. Pollen and pollutants can linger longer here than in coastal areas, which is why many people notice symptoms for more months of the year.
Timing offers clues — spring points to trees, summer to grasses, fall to weeds, and year-round symptoms to indoor allergens — but testing is the only way to know. A skin or blood test at our clinic can identify your specific triggers.
If antihistamines aren't keeping up, an evaluation can help. Prescription options, trigger-specific avoidance plans, and immunotherapy are all approaches we may use, depending on your testing results.
Colds usually resolve in a week or two and may involve fever or body aches. Allergy symptoms — sneezing, itchy eyes, clear runny nose — persist as long as you're exposed to the trigger. Symptoms that recur the same time each year usually suggest allergies.
Yes — we test and treat children as well as adults. See our pediatric allergy page for how visits work for kids.
Book a visit and we'll work with you to identify your triggers and build a plan designed to help.