Thank you for writing to us.
Your dust allergy
is steadily worsening upto the point now that you have developed respiratory problems from just nasal blockage and sneezing
Skin prick tests or the specific IgE blood test
is recommended against the inhalant panel to delineate what your allergies are. Lung function tests with reversibility studies are also required.
The treatment involves dust avoidance (wear a mask while cleaning), keep the room well lit by natural sunlight and remove soft toys, allegra 180mg in the morning, nasonex 2 sprays/nostril once daily and montelukast
10mg at night with asthalin
inhaler as stand by. This should be continued for 3 months and a review undertaken again.