Hello
Please note down these things about allergic rhinitis:
Inflammation of the nasal membranes with major symptoms and sings :
-Nasal itching
-watery rhinorrhea
-nasal obstruction
-
sneezing -post nasal discharge
Others may be :
Headache ( as sometimes in your case)
impaired smell
morning cough
conjuctival symptoms , eye pruritus
As in most of patient these symptoms present.
Reason is clearly due to
allergy , allergens may be ;
Pollen, mold, fine dusting powder, sudden change of temperature, dust , hay , fodder,
smoking, pests ( cockroaches ).
If possible avoid these predisposing factors.
Measures:
Use allergen-impermeable covers for mattresses & pillows
wash sheets and blankets in hot water , every week.
vacuum-clean beds every week
clean furniture in the bedroom w/damp rags.
use airconditioning .
Don't allow animals in house.
When such patient visit my clinic I advise them to take
montelukast + levoceterizine .
But if breathlessness present I advise my patient to take montelukast+ bambuterol tablet once or twice in day and this provide complete relief.
Whenever necessary take these tablets , and stop once relief . Recurs , take again .
Hot coffee and steam inhalation also provide relief in such cases. Good luck.