Hello,
Thank you for asking at HCM.
I went through your history and would like to make suggestions for you as follows:
1. I would suggest you skin prick tests for common aero-allergens like house dust mites, molds, regional pollens, insect proteins, animal dander, etc. Usually qualified Allergists perform such skin prick tests.
2. Based on allergy testing, an Allergist may prescribe you allergen specific
immunotherapy which works on immune system to gradually improve allergy symptoms over a long period and reduce recurrences.
3. For symptom control, I would suggest you to take combination of
montelukast +
levocetirizine. If you have wheezing/bronchial symptoms, I would also add
salbutamol to your treatment.
4. Regular nasal saline washes, steam inhalation and warm saline gargles will also help you in a long run.
5. In general, please avoid exposure to dusts, smokes and air pollution as much as possible.
6. If stress is an important factor for you, regular relaxation and
meditation will also help by reducing stress. Stress is an important trigger for allergies.
Hope above suggestions will be helpful to you.
Should you have any further query, please feel free to ask at HCM.
Wish you the best of the health ahead.
Thank you & Regards.