[ovalanche]

I’m really glad to see this side discussion on dust mite allergy happening here. I’ve had dust mite allergy since childhood, and I even had adenoid removal surgery at age ~7 to address it. Nothing seems to help.

I think dust mite allergy imitates some of the symptoms of sleep apnea, because your nasal passage gets blocked at night, waking you in a similar way to choking.

I’ve reached my mid-30s, largely ignoring the symptoms, but over the past few months I’ve been experiencing a truly terrible bout of insomnia.

I think it’s time to take the allergy seriously again. I’ll follow your guide and make some changes. If I could suggest an improvement to your guide: it may be useful to have a section (perhaps chapter 5?) on symptom relief. I’ve had friends say that a neti pot works wonders, for example.

Either way thanks for posting!

[grumpy-de-sre]

There's an interesting "subcategory" of sleep apnea under the moniker of UARS. I'm pretty confident that a big chunk of folks in that community actually have allergenic rhinitis (or structural issues).

I actually had a home sleep study done before I figured out it was allergies. Came back negative for OSA but my RIP [1] band data showed a lot of paradoxical breathing and flow limitation indicating significant respiratory effort. So more or less struggling to breathe all night long.

The poor sleep quality really destroys your quality of life.

1. https://en.wikipedia.org/wiki/Respiratory_inductance_plethys...