Hello.
Thank you for asking at HCM.
I went through your wife's history and would like to make suggestions for you as follows:
1. Were I treating you, I would suggest her intranasal
corticosteroids for 7-14 days (depending upon response).
2. I would also suggest her regular
montelukast and levocetirizine/cetirizine.
3. I would suggest her
allergy testing which will help her identify the substances causing troubles to her and also to know the measures to avoid them.
Based on the reports, an Allergist-Immunologist may prescribe her allergen specific
immunotherapy which works on immune system to improve allergy symptoms on a long-term basis.
4. In general, I would suggest her to avoid exposure to dusts, smokes, fumes and air pollution as much as possible.
Hope above suggestions will be helpful to her.
Should you have any further query, please feel free to ask at HCM.
Wish your wife the best of the health.
Thank you & Regards.