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

### input:
For almost 6 months now, I have been plagued with a runny nose, itchy eyes, and a red spotted rash that comes and goes. My rash tends to be small red dots, splotchy, and very itch. My nose runs clear, and runs at home and at work.  I have been living in Beijing for 3 years now, and have been working at a small kindergarten for 2 years. The only thing that has changed in my lifestyle/life is the location(classroom) that I am teaching in. I believe it is dust mites, but I have been fighting them for months to no avail. I tend to only get the rash at work, and if on antihistamines the rash is weaker or does not appear at all. However my nose continues to run at home, at work, and everywhere else. I have had a cleaning crew clean my apartment, gotten two blueair filters, and a hepa12 vacuum. What can I do, try, etc? I am 28 male, and have never had this long of what many doctors have said is seasonal allergies. If it is dust mites, how to I beat them and continue to beat them? If it is another kind of mite, what should I do?

### output:

Hello. Thank you for asking at Chat Doctor. I went through your history. I would suggest you to take regular montelukast and levocetirizine. If this does not improve your nasal symptoms, I would suggest taking intranasal corticosteroid spray for 1-2 weeks. In addition, daily nasal cavity irrigation with saline nasal sprays 3-4 times a day will also help. Usually regular treatment of nasal symptoms will also take care of eye symptoms. I would also suggest washing your eyes with clean water 3-4 times a day, that will help in addition. Levocetirizine and montelukast will also work for skin symptoms. For identification of allergy causing allergens, I would suggest you to consult an Allergist-Immunologist who will advise you allergy testing and help to identify the allergen. Common allergens are apart from house dust mites, molds, pollen, animal dander, cockroach and other insects, etc. As general measures, I would suggest you to avoid dusts, smokes and air pollutants as much as possible. Please have a nutritious diet rich in vitamins, minerals and anti-oxidants. Hope this will be helpful to you. Wish you the best of the health. Regards.