An invisible housemate
The house dust mite is an arthropod 0.2–0.3 mm long, too small to see with the naked eye. It feeds on flakes of skin shed by people and pets. It likes warm, humid conditions, which is why it lives mostly in beds, upholstered sofas and carpets.
What triggers the allergy is usually not the mite itself but proteins in its faecal pellets. The best known of these is Der p 1. The pellets are 10–40 micrometres across; when you shake out the bedding or plump up a pillow, they become airborne and mix with the air you breathe.
Why is it worse at night?
We spend an average of 7–8 hours a day on the same pillow. Mite allergen builds up right next to our faces. A study of 591 allergic rhinitis patients in France found that rhinitis disrupted every dimension of sleep; the more severe the symptoms, the worse the sleep.
Someone with a blocked nose who sneezes or coughs at night can't get into deep sleep. That's one reason for waking up tired.
What can probiotics do here?
A clinical trial in Belgium tested mattress covers impregnated with Bacillus probiotics. In the laboratory, Der p 1 on the cover fabric fell by 89%. In the 8-week trial with 20 patients, allergen levels in mattress dust fell by a similar amount with both the probiotic and the placebo covers; but those using the probiotic cover saw a marked improvement in rhinitis symptoms and quality of life.
Probiotic bacteria compete for the organic debris mites feed on, and enzymes produced by Bacillus species can break down protein-based allergens. The results are promising, but it is not a treatment on its own. That's why we say it 'helps reduce'.
What can you do in the bedroom?
The things that reduce the mite load are simple, but they need to be done regularly.
- 01Wash bed linen and pillowcases once a week at 60 °C; mites can't survive high heat.
- 02Keep bedroom humidity low, and in the morning leave the bed uncovered to air.
- 03Before bed, apply a probiotic spray to your pillow and bed linen from 20–30 cm away and let it dry.
- 04If your symptoms persist, see an allergist; adjusting your environment is no substitute for treatment.
