In France, it is estimated that 20 to 30% of the population suffers from respiratory allergies (ScienceDirect). Behind what seems like a simple “lingering cold” may actually be an allergy to pollen, dust mites, or dust. However, the symptoms are often similar, which makes identification difficult.
The first essential distinction is based on the concept of seasonality. A seasonal allergy, such as a pollen allergy, appears during certain times of the year. In contrast, a persistent allergy, such as a dust mite allergy, can cause symptoms throughout the year, with fluctuations depending on the environment.
So how can you recognize the signs and identify the allergen responsible? Here are the key points to know.

Before distinguishing between the different allergens, it is important to understand that respiratory allergies share a common set of symptoms. They result from an excessive reaction of the immune system to substances that are normally harmless.
Allergic rhinitis is the most common form. It is characterized by repeated sneezing, often in bursts, clear nasal discharge, a blocked nose, and nasal itching.
Unlike a viral cold, the secretions remain fluid and transparent. There is generally no fever or body aches. Symptoms can last for several weeks, or even throughout the year.
The eyes are often affected at the same time. Common signs include redness, excessive tearing, sometimes intense itching, and a burning sensation.
This condition corresponds to allergic conjunctivitis. People affected frequently describe a constant urge to rub their eyes, which worsens the irritation.
For some people, allergies are not limited to the nose and eyes. They may also be accompanied by a persistent dry cough, breathing discomfort, or even wheezing when exhaling.
Allergies are also a major trigger or aggravating factor for asthma. According to the international ISAAC study (International Study of Asthma and Allergies in Childhood), published in The Lancet, respiratory allergic diseases are increasing significantly in many countries, particularly among children.
Even though it is called a “respiratory” allergy, the skin can also react. Eczema patches, diffuse itching, or more reactive skin may accompany allergic flare-ups, particularly in people with an atopic predisposition.
These symptoms form the common foundation. Certain clues can help point to a specific allergen. But how can you tell the difference?

The key lies in analyzing the context: when do the symptoms appear? Where are they more noticeable? At what time of day?
Pollen allergy mainly occurs in spring and summer, depending on the plants involved. It intensifies during dry, sunny, and windy days, and often improves after rain.
Symptoms mainly occur outdoors. Sneezing attacks can be sudden and intense. The eyes are often very irritated, red, and watery. Symptoms are generally stronger during the daytime, when exposure is highest.
This condition is known as seasonal allergic rhinitis, sometimes called “hay fever”.

In contrast, dust mite allergy is considered persistent. Dust mites are microscopic organisms invisible to the naked eye that thrive in mattresses, pillows, carpets, and textiles, particularly in warm and humid environments.
Symptoms are mainly present indoors, with a typical worsening at night or upon waking. A blocked nose in the morning, nighttime coughing, facial pressure, or more frequent asthma symptoms are highly suggestive signs.
When symptoms decrease during vacations, especially in the mountains or by the sea, the dust mite hypothesis becomes more likely.
People commonly refer to a dust allergy, but in most cases it is actually a dust mite allergy, as dust mites are the main allergenic components of household dust.
Dust may also contain mold, pet hair, or various irritating particles. However, dust mites remain the main trigger of chronic indoor allergy symptoms.
Understanding this nuance is essential to implement truly effective measures.
The first signs are often subtle but characteristic:
In practical terms, the person wakes up with a blocked nose, starts sneezing repeatedly when getting out of bed, and may feel respiratory irritation at the end of the night. Over time, the discomfort becomes daily and can affect sleep quality.
Identifying these signals early helps prevent worsening into allergic asthma.

When symptoms persist or disrupt daily life, an allergy assessment is recommended.
The prick test is the reference examination. Small drops containing allergen extracts are placed on the skin, usually on the forearm. A slight superficial prick is made. The result is visible within 15 to 20 minutes. The appearance of a small red bump indicates sensitization.
A blood test can detect specific IgE antibodies against certain allergens. It is useful when the prick test is difficult to interpret or contraindicated.
For children, the principle is the same. Tests are quick and well tolerated. In case of persistent symptoms (nighttime cough, chronic rhinitis, suspected asthma), it is advisable to consult a doctor or allergist to prevent long-term issues.

A consultation is necessary when symptoms become persistent, disrupt sleep, cause breathing discomfort, or suggest asthma.
A chronic blocked nose is never trivial. Beyond discomfort, prolonged inflammation of the airways can lead to ENT or bronchial complications.
Once the allergen is identified, management relies on two main pillars: reducing exposure and treating inflammation.
Daily ventilation of your home remains essential, even in winter. Anti-dust mite covers for bedding, a high-performance vacuum cleaner with an appropriate filter, and regular maintenance of textiles help limit allergen load.
An effective air purifier can also play a key role. The TEQOYA T200 uses French ionization technology to significantly reduce fine particles, allergens, and pollutants suspended in indoor air, without emitting harmful ozone. By lowering airborne allergen concentration, it helps create a healthier environment, particularly beneficial for people allergic to dust mites or sensitive to dust.
During pollen season, monitoring pollen peaks and adjusting outdoor activities can also make a difference.
Antihistamines relieve itching and sneezing. Nasal corticosteroids reduce local inflammation and are often very effective as a long-term treatment.
In some cases, desensitization (allergen immunotherapy) may be recommended. This involves gradually exposing the body to the allergen to durably modify the immune response.
Does the air around your home contain pollutants? How has it changed in recent months? Is there a risk to your health?

Symptoms generally include a blocked or clear-running nose, repeated sneezing, nasal itching, irritated eyes, and dry cough. They are often more pronounced indoors, especially at night or upon waking. Breathing discomfort or asthma may also occur in sensitive individuals.
Persistent symptoms throughout the year, worsened indoors and particularly in the morning upon waking, suggest a dust mite allergy. Diagnosis is based on a medical interview and allergy tests (prick test or blood test for specific IgE).
Frequent sneezing upon waking, a blocked nose in the morning, nighttime coughing, and itchy eyes can be indirect signs. Since dust mites are invisible, only the repeated appearance of indoor symptoms can suggest their presence.
The most common test is the prick test, performed on the forearm. A small amount of allergen is placed on the skin, then a slight superficial prick is made. The result is visible in 15 to 20 minutes. A blood test may also be offered if necessary.
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