### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi , I am Prashant age 28/height 6 feet and weight 87kgs.) I stay at Mumbai.I have allergic rhinits, Sinitus and RAD. The allergy test has shown that I Have dust mite allergy . IgE Test results at 340.The PFT test is normal also the doctor says the chest is clear. Currently I am taking MontiCop LC, Nasal spray and Allergy drops. Since last 5 months I am taking this but no improvement . whenever I have allergy attack I suffer with shortness of breath,nasal congestion , runny nose and restlessness ( Just like panic attack). It happen mostly in the evening or night or in the cold air ( but not in AC) but in day time also in some days. I have observed that the symptoms were worst in winter but still I have above mention problem. Please help me.Should I change the medicine? Why I get panic attack whenever I have allergy attack with shortness of breath. Is shortness of breath a common sign of allergic rhinitis? Please help me to overcome from this.

### output:

Hello, I would like to make the following suggestions to you:-No, shortness of breath is not a sign of allergic rhinitis. At the most, nose block may create an impression that you are feeling difficulty in breathing. But if it is not due to nasal obstruction, it may be due to bronchoconstriction caused by reactive airway disease.-A panic attack can also cause a feeling of suffocation. In my opinion, measuring peak expiratory flow rate during the attack and after the subsidence of the attack is an easy option to identify the cause of breathing difficulty for you.-By allergy Chat Doctor.  It takes a few months (six months or more) for immunotherapy to become maximally effective, so I would suggest you continue it under the guidance of your allergist.-I agree with your treatment with Motion LC, nasal spray (intranasal corticosteroids) and allergy 