Thank you for writing to us.
It does seem that you have moderate to severe persistent rhinitis/rhinosinusitis.
House dust mite allergy
must definitely be excluded. You can get skin prick tests or specific IgE blood tests to know all your allergies. Blood mixed with nasal secretions can appear like streaks and are NOT worms.
If you have parasitic disease in your airways and coming out of the nose, it happens in tropical pulmonary eosinophilia
due to filarial worms and believe me, you will be quite unwell!
Long acting oral antihistamines plus nasal sprays (either flixonase or flumast-AZ with azelastine
) 2 sprays per nostril
twice daily for 2 months is the initial treatment duration for severe house dust mite allergy.
I hope this was useful.