Is my nasal allergy pointing to rhinitis?

Hi,

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Your symptoms point towards chronic rhinosinusitis superimposed or worsened by an allergy. All symptoms can be explained by this. Singers are more troubled by this condition because they require clear sinonasal cavities for good voice and resonance. I suggest you get some investigations done and I will tell you why. Complete blood count to detect any infection. Total serum IgE to check for allergy (type 1 hypersensitivity or atopy). Non-contrast CT (computed tomography) scan of paranasal sinuses to check for sinus inflammation or fungus or any other condition inside sinuses causing constant secretion of mucus and post-nasal drip. A laryngoscopy can also be done to throw some light into the vocal cord and understand if there is any local pathology in the vocal cord secondary to the sinus disease or de novo.

If you were to come to me, in addition to the above advice I would start you on the following medicines. An intranasal steroid spray is to be taken twice daily in each nasal cavity. An antihistaminic with Montelukast combination was taken once daily. A Mucolite medicine to help lighten the mucus and bring it out better. An antacid medicine like Protonix (Pantoprazole) reduces acid secretion in the stomach and also reflux laryngitis it. Lastly, some dietary and lifestyle modifications will also be required. Desist from gargles and steam inhalation.