Dr. Hanif warmly welcomes you! Thanks for consulting at my virtual clinic HCM. I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns. Most probable causes:- Nasal Sinus infections Nose partition in the middle of both the nostrils is deviated. Nasal polyps (a growth of mucosa inside nose causing irritation, infections and allergic symptoms) Chronic throat and tonsils infection. Allergy Precautions:- Gargles with Listerine (continue). Nasal douches with warm saline water 3 times a day. Take plenty of water and proper physical activity. Avoid dust, animal dander, no pets inside home, no carpets inside bedroom, change bed sheets daily along with pillow cover, avoid extremes of weather changes and sudden temperature differences, avoid humid areas, Air conditioner at low temperature isn t so good for you, avoid fried and spicy foods, no coffee no chocolates no tea. Management:- If I was your treating physician I would have prescribed you with... Amoxicillin Ibuprofen Prednisone Ebastine (Follow up after a week so as to see how the treatment is working) Hope I answered all of your questions. Please don t forget to add your precious positive feedback to help me able to assist you better in future too. Have a wonderful time ahead. Keep in touch for a follow-up too to let me know if you have any doubts & need further assistance. I am available 24/7 for your help. Have a blessed time ahead. Regards! DR. MUHAMMAD HANIF USA