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For many people, hay fever symptoms lead to absences from work or school. Poor sleep. Hay fever symptoms can keep you awake or make it hard to stay asleep, which can lead to fatigue and a general feeling of being unwell (malaise). Worsening asthma. Hay fever can worsen signs and symptoms of asthma, such as coughing and wheezing. Sinusitis.
Hay fever is caused by outdoor allergens. Perennial allergic rhinitis is caused by indoor allergens, such as dust mites, pet dander, and mold. Symptoms of allergic rhinitis are similar to cold symptoms. But they are not caused by a virus the way a cold is.