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

### input:
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................MeenakshiThanks

### output:

Hello Meenakshi, Thanks for posting on Chat Doctor, Your symptoms are suggestive of an upper respiratory tract affection and I suspect either one of two most common conditions that cause this kind of symptoms i.e. allergic rhinitis and chronic sinusitis. However, 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 exam 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, these may seem to be big words, but be rest assured that you can handle the situation at your level. First, 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 pollen 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 witChatDoctormonly used classes being antihistamines (1st and 2nd generations) such as cetirizine, loratadine, chlorpheniramine, defense Chat Doctor.  Chronic sinusitis, on the other hand, requires in addition to some of the above treatments, antimicrobial therapy such as penicillin, cephalosporins, accolades 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