Hello Sanjeev Kumar, Thank you for asking at HCM. I went through your history and would like to make following suggestions to you: 1. Sinusitis and ear symptoms are closely linked. With treatment of sinusitis, ear symptoms also improve, but they take more time to show improvement as compared to sinusitis. 2. Were I treating you, I would prescribe you an antibiotic for 14 days, intranasal corticosteroids for at least 14 days, montelukast and daily nasal irrigation with saline. 3. I would also suggest you to regular check up by your ENT doctor to identify any change in ear. Ideally, you should get your eardrum checked every 3 to 6 months by an ENT doctor. 4. Personally I would suggest you allergy testing which will help you to identify the substances that you may be allergic to. Avoiding these substances is the best strategy in managing allergies. 5. Please try to avoid exposure to dusts, smokes and air pollution as much as possible. Please get professional opinion to help you quitting smoking. With above suggestions, I am sure you will feel much better and improve gradually. Wish you the best of the health. Thank you & Regards.