What causes my morning sneezing and a runny nose?

Question

Hello doctor,

I have horror mornings. After I open my eyes and I get out of bed (only after I stand up), I start sneezing maybe 20 times. I have itchy eyes and a runny nose. I feel like I have sand in my eyes. I have done prick tests for allergies, and all came back negative. I also had nasal concha turbinate reduction, but it was all in vain. My mornings are the same.

What is the cause of this?

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Allergic rhinitis is a perennial manifestation of allergic reactions to unknown triggers. Also, you may have coexisting allergic conjunctivitis. Though the prick test is negative for most of the allergens, we cannot neglect the role of unknown allergies in your case. So I advise you to do a blood allergy test with all full panels, including environmental, food, drugs and medicines, vegetarian and non-vegetarian foods, fungus, pollens, and others. Definitely, we will be able to find out the single cause of your allergy.

About medications, all drugs you take are only helpful symptomatically. So, as long as you take medication, you feel good. But there is no choice, as there is no permanent cure for allergies. So I advise you to start the tablet Montelukast 10 mg once at night, continue Budesonide nasal spray and the tablet Claritin (Loratadine). It is a must to repeat the blood allergy test, as the prick test cannot test all available allergens, and the role of unknown allergens cannot be neglected. So, avoiding the known trigger allergen and continuing the symptomatic treatment is the best solution for your problem. Continuous scrutiny must be going on to find out the exact allergens in your surroundings.

Hope I have solved your query. I will be happy to help you further.

Thank you.