It’s that time of year again for a lot of allergy sufferers in the United States: Fall, for some people, can be as bad for people with allergies and asthma as Spring can, even if it doesn’t have such a bad reputation. Ever wonder why your allergies might get worse in the Fall? Here are some things to think about, especially if you’ve had allergy testing done that indicates you react to any of these common allergens.

Allergy shots may be an option to help desensitize you to what you are allergic to. Allergy medicines, like antihistamines, and nasal sprays and rinses can also help to manage your allergy symptoms this fall.

If you have asthma, remember that seasonal allergies can also make your asthma worse. It’s important to wear a medical ID bracelet or necklace so that if you are caught off guard by a sudden allergic reaction or asthma attack, you can receive the care you need. Carry your inhaler with you at all times, too.