I am vaccinated and I have nasal congestion without fever, cough or headache.Kindly help.

Hello doctor,

Welcome to icliniq.com.

I suggest you stop steam inhalation and Bromhexine. Instead of tablet Cetirizine (antihistamine), I suggest you take tablet Allegra 120 mg (Fexofenadine hydrochloride) once a day in the morning for five days. And please use Nasoclear drops (saline nasal drops) instead of Otrivin.

Take care.

Hello doctor,

Welcome back to icliniq.com.

I suggest you continue tablet Allegra 120 mg (Fexofenadine hydrochloride) once a day for ten days and the Nasoclear drops (saline nasal drops). You may use Vicks for external applications. And it is better to avoid saline nebulization. And yes, the reason could be the AC sometimes. I suggest that you try keeping the AC at 26 degrees Celsius and no lesser than that. Also, where do you stay? Have you noticed excessive dust? I think the allergy is more of an indoor factor. You have also mentioned the severity increases when you lay on the bed. Is it in any one particular position that you experience this? Also, I would want to know about any history of similar episodes or history of allergy to food or pets or any miscellaneous item? History of any surgical procedure to the ear, nose, or throat or history of any medications you have been taking? Any previous diagnosis related to the nasal anatomy (a deviated nasal septum in particular)?

I suggest you try this mode of treatment for at least five to seven days and try eliminating the allergen if you can point it out. If this does not work, I would recommend you to get a CBC (complete blood count) with an absolute eosinophil count and IgE (Immunoglobulin E) levels. Considering the distress it is causing you, a physical evaluation done by an ENT specialist would be ideal in case the above treatment does not make a difference to your condition.

Take care.