How to get rid of runny nose and sneezing problems that has been for more than a year?

Hi,

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The most common reason for the symptoms you are having could be severe allergic rhinitis with associated sinusitis. Before we jump to the treatment, I have tried to explain the cascade of events in a very simple manner below, even though it is not as simple as it looks. Exposure to dust (or any irritative substance that your body is hypersensitive to) will initiate reflexes such as sneezing to remove the offending agent. If this fails, mucosal cells in your nose start to hyperfunction producing loads of mucus to trap dust (owing to its sticky nature). This mucus has nowhere to go other than either being blown out of the nose or getting pushed into the throat due to mucociliary activity, entering into a new zone. The throat initially reacts by activating cough impulses to push out the mucus. Still, if that fails, a local inflammation around the throat starts, which often leads to symptoms such as a feeling of a lump in the throat and repeated feeling to clear the throat. Chronic long-standing inflammation around the nose leads to involvement of the eustachian tubes, which ventilate air and equalize pressure between the nose and the ear. Inflammed tubes do not function well, which leads to a resultant negative pressure in the ear, causing ringing sensations, muffled noise, and sometimes decreased hearing. Long-standing inflammation in the nose also blocks the sinuses' outflow tract, leading to secretions getting collected, which then accumulate infected and cause a pressure headache around your eyes, forehead, and cheeks. Your glands also get swollen for the same reason. I know the problem has been there for a long time. Still, I am unsure if you have followed any specific treatment chart, which is usually recommended before considering any patient for surgery. This treatment chart is custom-made according to your symptoms and does follow the guidelines to treat both allergy and sinusitis. I suggest the following: 1) Wear an n95 mask at all times, do not allow any dust or irritative substance to enter your nose. This is the most important thing you should be following, and if you fail this step, no treatment will bring any relief. 2) Tablet Sinarest LP (Levocetirizine, Phenylephrine, Paracetamol) (or its equivalent) one tablet two times a day after food 12 hours apart for 15 days. 3) Tablet Allegra M (Fexofenadine) (or its equivalent) one tablet two times a day after food 12 hours apart for 15 days. 4) Tablet Zerodol TH (Aceclofenac, Thiocolchicoside) 4 mg (or its equivalent) one tablet two times a day after food for five days. 5) Tablet Clarithromycin 500 mg one tablet two times a day after food 12 hours apart for 15 days. 6) Duonase nasal spray (Fluticasone Propionate, Azelastine)(or its equivalent) 2 puffs two times a day in both nostrils for three months (do not inhale while you spray the drug). 7) Tablet Mucomix (Acetylcysteine) 600 mg (or its equivalent) one tablet two times a day 12 hours apart after food for one week. 8) Tablet Wysolone (Prednisolone) 10 mg one tablet after breakfast for one week. 9) Steam inhalations three to four times a day. 10) Saltwater gargles eight to ten times a day for one month. 11) Do not smoke or consume alcohol as it slows down mucociliary clearance mechanisms. All precautionary measures have to be followed strictly for maximum relief. Otherwise, medications will not be helpful in the long term. Surgery can be considered (if the above medications and preventive measures do not give any relief), but there is a catch to it. The symptoms might come back sometimes, even on a larger scale, after a brief replacement following surgery if the preventive measures are not followed. Ideally speaking in a nutshell, I again emphasize preventing any irritative substance from entering the nose and throat, thereby triggering an allergic cascade of events and reproducing the symptoms you have mentioned above. You do not need to worry about anything. Once you follow the abovementioned advice, your symptoms should start coming down, and I am sure you will recover with time. I hope I have answered your query in detail. If there is anything more you need to know or enquire about, please do let us know, and we will get back to you. Warm regards.