Hello,
Thank you for asking at HCM.
I went through your history and would like to make suggestions for you as follows:
1. Were I treating you, I would suggest you an intranasal corticosteroid (fluticasone or mometasone) for at least 2 weeks and montelukast and
levocetirizine at least for 4 weeks. I also prescribe my such patients salbutamol inhaler to be used on as-and-when-needed basis for asthma symptoms.
2. I would also suggest you allergy testing which will help you identify the substances causing problems and also to know how to avoid exposure to them.
3. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific
immunotherapy which works on immune system to improve your allergy symptoms gradually.
4. I would also suggest you regular steam inhalation (please be careful to avoid burns) and saline
nasal irrigation for nose obstruction and sinus problems.
5. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.
6. Regular breathing exercises will help you in a long run by improving your lung capacity.
7. I would never suggest my patients to use daily oral
corticosteroids (like
prednisolone) and I would keep this option as a last option as oral corticosteroids can cause many side effects like gastritis,
hypertension, obesity,
diabetes mellitus, cataract, glaucoma, reduced immunity, psychiatric problems, etc etc. So please do not attempt such treatment without your doctor's guidance.
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.