Black mold is a type of fungus that thrives in damp environments, such as on paper, cardboard, soil, and areas with high humidity. It can release harmful chemicals through dust and spores into the air.

Typical symptoms of black mold exposure include coughing, wheezing, nasal congestion, and sore throat. People with asthma, mold allergies, chronic lung diseases, or weakened immune systems may experience more severe reactions.

While some research has suggested links between mold exposure and problems like difficulty concentrating, balance issues, anxiety, and depression, strong scientific evidence for these associations is limited.

Common Symptoms of Black Mold Exposure

When inhaled, black mold triggers an immune response that mainly affects the respiratory system. This reaction happens because the immune system releases immunoglobulin E (IgE) antibodies to fight the perceived threat.

Common symptoms include:

  • Persistent coughing
  • Frequent sneezing
  • Shortness of breath and wheezing
  • Chest discomfort or tightness
  • Sore throat and pain while swallowing
  • Nasal congestion and postnasal drip
  • Red, itchy, or watery eyes
  • Skin irritation or rashes

Asthma and Mold Exposure

People with pre-existing asthma, mold allergies, or lung conditions may experience worsened symptoms. Mold exposure can even contribute to asthma development in children. Asthma attacks linked to mold exposure may cause:

  • Severe coughing
  • Tightness in the chest
  • Difficulty breathing
  • Wheezing sounds

Less Common Symptoms

In certain cases, black mold can lead to more serious respiratory problems, particularly in vulnerable individuals. Less common complications include:

  • Bronchitis: Mold can cause inflammation in the airways, leading to symptoms like coughing up thick mucus, a runny nose, low-grade fever, chest congestion, and fatigue.
  • Upper respiratory infections: Exposure can irritate the sinuses and throat, increasing the risk of infections characterized by cough, fever, body aches, chills, and sore throat.
  • Eczema (atopic dermatitis): In some children, mold exposure may trigger skin conditions, with symptoms like dry, scaly skin, swelling, redness, itching, and oozing blisters.

Rare but Serious Symptoms

Long-term or heavy exposure to mold, particularly in occupational settings like farming or construction, can cause a condition called hypersensitivity pneumonitis. Although rare, it can be very serious, especially for those with severely compromised immune systems.

Symptoms of hypersensitivity pneumonitis may include:

  • Difficulty breathing
  • Persistent coughing
  • Abnormal crackling sounds in the lungs (rales)
  • Flu-like symptoms such as fever, chills, muscle pain, and headaches
  • Chest pain
  • Chronic fatigue
  • Unintended weight loss
  • Finger or toe clubbing (rounded, swollen fingertips)

While some isolated reports have associated mold with headaches, memory loss, infant lung bleeding, and cognitive difficulties, strong evidence remains lacking.

Symptoms of Black Mold Exposure in Children

Children are particularly sensitive to mold because their immune systems are still developing. About 6.5% of American children under 18 have asthma, putting them at greater risk.

Common signs of mold sensitivity in children include:

  • Nasal congestion and runny nose
  • Frequent sneezing
  • Noisy or labored breathing
  • Recurrent nosebleeds
  • Eye redness and irritation
  • Sore throat
  • Asthma attacks
  • Skin redness or rashes

When You Should See a Doctor

Because black mold can cause both temporary and long-term health issues, it's important to know when to seek medical attention. Contact your healthcare provider if:

  • Symptoms become severe or affect your daily activities
  • Symptoms persist even after home treatments
  • You notice a musty, rotten smell that may indicate mold
  • You or your child have existing health conditions that weaken the immune system

Questions To Ask Your Healthcare Provider

When visiting a doctor about potential mold exposure, consider asking:

  • Could my symptoms be due to another condition?
  • What can I do to manage respiratory issues and asthma triggered by mold?
  • Should I have my home or workplace inspected for mold?
  • What preventive steps can I take to avoid mold-related symptoms?
  • Are there medications that can help relieve my symptoms?

Summary

Exposure to black mold happens when individuals inhale mold spores or toxins in damp environments. For many, it leads to symptoms similar to allergies, such as coughing, sneezing, nasal congestion, and eye irritation.

Mold can trigger asthma attacks and may cause chronic symptoms in individuals with existing respiratory issues or weakened immunity. If you suspect mold is impacting your health, reaching out to a healthcare provider is important for diagnosis and management.