You can always go to an allergist for a skin prick test.
I'd say hallmark symptom would be chronic night time congestion worsening while in bed (an area of the house that has a very high density of mite allergen).
But running a bit of differential diagnosis on this,
Been doing immunotherapy for allergies for 3 years and it is a complete game changer. Last year was the first year I could breathe through my nose for the entire year. No more stuffy months.
I'd say hallmark symptom would be chronic night time congestion worsening while in bed (an area of the house that has a very high density of mite allergen).
But running a bit of differential diagnosis on this,
* Inflammatory & Allergic Conditions (allergic/non-allergic rhinitis, chronic rhinosinusitis, turbinate hypertrophy, nasal polyps).
* Obstructive Sleep Apnea (do a STOP-BANG).
* Structural Blockages & Airway Obstructions (deviated septum, adenoid/tonsil hypertrophy, nasal valve collapse, turbinate hypertrophy).
* Gastroesophageal Reflux Disease (GERD/LPR).