Hidden Household Triggers of MCAS

Many people living with mast cell activation syndrome (MCAS) struggle with ongoing symptoms—despite following strict diets, taking medications, or avoiding known allergens. But one major source of flare-ups often hides in plain sight: the products you use every day in your home.

Even if you’re “doing everything right,” exposure to certain chemicals, fragrances, or preservatives in common household products can silently trigger mast cells to release excessive amounts of histamine and other inflammatory mediators. This can lead to persistent symptoms like fatigue, brain fog, headaches, itching, hives, flushing, digestive issues, or respiratory problems—without an obvious cause.

Common Household Products That May Trigger MCAS

Be mindful of these everyday items, which often contain fragrances, volatile organic compounds (VOCs), preservatives, or other mast cell triggers:

  • Surface cleaners and disinfectants (sprays, bleach, wipes)

  • Lotions and moisturizers

  • Candles, incense, and wax melts

  • Makeup and skincare products

  • Laundry detergent

  • Air fresheners and plug-ins

  • Fabric softeners

  • Shampoos and conditioners

  • Deodorants and antiperspirants

  • Scented trash or rubbish bags

  • Dish soap and dishwasher detergent

  • Hand soap and body wash

  • Dryer sheets

These products may appear harmless but can create low-level, chronic exposure to chemical triggers—especially in poorly ventilated spaces or when used frequently.

What Makes These Products Problematic?

Many conventional products contain:

  • Fragrance: a catch-all term for potentially hundreds of undisclosed chemicals

  • VOCs: chemicals that easily evaporate into the air and are linked to inflammation

  • Preservatives: including formaldehyde-releasing agents, parabens, or phenoxyethanol

  • Surfactants and dyes: may irritate skin and airways

Even small exposures can activate mast cells in sensitive individuals, particularly if your baseline inflammation is already elevated.

MCAS-Friendly Household Product Swaps

When looking for safer alternatives, aim for products labeled:

  • Fragrance-free (not just unscented)

  • Hypoallergenic

  • Low-VOC

  • Free & Clear

  • Preservative-free when possible

Brands marketed as non-toxic, clean, or medical-grade may also be safer alternatives, though it’s important to check labels closely and can be helpful to test new products gradually.

If you’re dealing with persistent or unexplained flares, your household environment may be contributing more than you realize. Cleaning up your environment by eliminating chemical irritants is a powerful and often overlooked step in managing MCAS symptoms.

Your home should be a healing space—not a hidden source of inflammation.


Want more tips?

Subscribe to Dr. Gould’s Neurenity Notes Newsletter—a free, supportive newsletter filled with ideas and strategies for navigating life with MCAS, delivered to your inbox on a regular basis.


PMID: 37987446; Miller et al. (2021); Mast Cell Action 

Disclaimer: This blog post is for informational purposes only and shall not be construed as behavioral health or medical advice. It is not intended or implied to supplement or replace treatment, advice, and/or diagnosis from your own qualified healthcare provider.

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