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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic Sneezing, Runny Nose, Itchy Eyes. Doing Breathing Exercises. What Are The Symptoms Indicative Of?

Hi Doctor, For a last couple of months I have been suffering from chronic sneezing. My day starts with sneezing and the symptoms get better by the evening. Throughout the day I keep sneezing with continuous runny nose and itching eyes. I am tired now even eating anti allergents like avil as it makes me dry mouthed and very drowsy. Ple help as my daily life is now badly affected. Yes sleeping makes it worse. I do breathing exercises but it is not helping. Regards................Meenakshi
Thanks
Mon, 4 Nov 2013
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General & Family Physician 's  Response
Hello Meenakshi,

Thanks for posting on HCM,

Your symptoms are suggestive of an upper respiratory tract affection and I suspect either one of two most common conditions that cause these kind of symptoms i.e allergic rhinitis and chronic sinusitis.
How ever, both conditions require thorough medical evaluation (with ruling out of other conditions too) and both also require different treatments.
A specialist doctor such as an ENT will be best suited to run a complete medical exams and therefore provide you with treatment.
The management of allergic rhinitis consists of 3 major categories of treatment
- environmental control measures and allergen avoidance
- Pharmacological management
- Immunotherapy
Now, these may seem to be big words, but be rest assured that you can handle the situation at your level. First of all, you will need to identify by yourself if they are any new elements in your life that might be provoking any allergies i.e identifying common allergens. Common allergens include pollens and outdoor molds, indoor allergens such as dust mites, animal allergens, cockroach etc. You will need to see if any are responsible, then you try avoiding them.
Immunotherapy is only indicated in case medical therapy fails.
There are a wide range of medications available with commonly used classes being antihistamines (1st and 2nd generations) such as cetirizine, loratadine, chlorpheniramine, diphenhydramine etc, corticosteroids such as prednisone, and anticholinergics etc.
Chronic sinusitis, on the other hand, requires in addition to some of the above treatments, antimicrobial therapy such as penicillin, cephalosporins, macrolides etc.
Your doctor should be able to indicate the right treatment ones a conclusion as to the exact cause of your symptoms is derived.

hope this helps
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Chronic Sneezing, Runny Nose, Itchy Eyes. Doing Breathing Exercises. What Are The Symptoms Indicative Of?

Hello Meenakshi, Thanks for posting on HCM, Your symptoms are suggestive of an upper respiratory tract affection and I suspect either one of two most common conditions that cause these kind of symptoms i.e allergic rhinitis and chronic sinusitis. How ever, both conditions require thorough medical evaluation (with ruling out of other conditions too) and both also require different treatments. A specialist doctor such as an ENT will be best suited to run a complete medical exams and therefore provide you with treatment. The management of allergic rhinitis consists of 3 major categories of treatment - environmental control measures and allergen avoidance - Pharmacological management - Immunotherapy Now, these may seem to be big words, but be rest assured that you can handle the situation at your level. First of all, you will need to identify by yourself if they are any new elements in your life that might be provoking any allergies i.e identifying common allergens. Common allergens include pollens and outdoor molds, indoor allergens such as dust mites, animal allergens, cockroach etc. You will need to see if any are responsible, then you try avoiding them. Immunotherapy is only indicated in case medical therapy fails. There are a wide range of medications available with commonly used classes being antihistamines (1st and 2nd generations) such as cetirizine, loratadine, chlorpheniramine, diphenhydramine etc, corticosteroids such as prednisone, and anticholinergics etc. Chronic sinusitis, on the other hand, requires in addition to some of the above treatments, antimicrobial therapy such as penicillin, cephalosporins, macrolides etc. Your doctor should be able to indicate the right treatment ones a conclusion as to the exact cause of your symptoms is derived. hope this helps