Brief Answer: allergy and sinusitis Detailed Answer: Hello and welcome to health care magic, I am Dr Sriram Nathan an ENT surgeon and i will try to help you with your problems. At the offset let me first assure you that allergy affects everyone and is very common though the extent varies. Coming to your problems one by one : - regarding your allergy, since you are getting good relief with nasal spray and minimal medication I would advice you to continue using them for symptom control. We say that what works should not be interfered with. But personally I would always recommend an antihistamine like levocetrizine which I believe is more safer and effective. But of course I would leave it to your convenience and your doctors opinion. - regarding your blood from the nose. If it does not bother you and if the incidence is not frequent then you have nothing to worry about as you rightly opined it may be due to dryness. However if you have recurrence and massive bleed then you must get a complete bleeding profile and CT PNS and get back to me or any ENT with the reports. - regarding the hole which may have been either caused by the dryness or the block or the injury which you mentioned. In any case if it does not bother you then you just do not meddle and wait and watch. If you feel any discomfort then you must get a nasal endoscopy and get back to me or any ENT surgeon with the report. These are specifics for your symptoms. In general you must avoid dust and cold and also do steam inhalation whenever possible. Also do not pick or meddle with your nose. Hope your doubts are clearer and I will be more than happy to answer any more doubts. Get well soon and take care Regards Dr Sriram Nathan

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