Itchy eyes and a runny nose at night

Bedding and mattresses can collect house dust mites, while a pet in the bedroom may add animal allergens. Lying down can also make nasal drainage feel more noticeable. Allergic rhinitis may cause an itchy or runny nose and sneezing; allergic conjunctivitis may cause itchy, watery eyes. Dry air, fragrance, smoke or a fan can irritate the nose and eyes without being an allergy. Keep a note of whether symptoms begin after changing bedding, opening windows, using a particular product or spending time with a pet. Nighttime timing alone cannot confirm the cause.

Keep pets out of the sleeping area, avoid smoke and scented sprays, and wash hands and face before bed if you have been outdoors. Do not rub your eyes. A cool compress can soothe itching. Saline nasal spray or rinse may remove irritants; use sterile or previously boiled and cooled water for a rinse. Wash bedding regularly and follow care instructions for pillows and mattresses. Ask a pharmacist or clinician whether allergy medication is appropriate and how to use it, especially if you have other conditions or take medicines.

Book a review when symptoms repeatedly interrupt sleep, persist despite reducing bedroom triggers, or come with blocked breathing through the nose. Seek urgent help for breathing difficulty, facial or tongue swelling, faintness, severe eye pain, light sensitivity or changes in vision. Prompt advice is also sensible for marked eyelid swelling, thick discharge or symptoms affecting one eye.

Could my bedroom be exposing me to dust mites or pet allergens? Would testing help identify a trigger? Which nasal or eye treatment fits my symptoms? How should I use it before sleep, and which warning signs need urgent care?