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

### input:
i am getting a wet feeling on my head with some dizziness, i can also feel fluid in ears with stuffed nose, get some twitching in legs and arms occasionally, it happens in evenings. my primary care doctor says it might be because of allergy/sinus, what could cause this?

### output:

Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make following suggestions for you:1. Wet feeling on head, heaviness of head/face as well as fluid in ears, stuffed nose can be caused by sinusitis, especially if it is long-standing. Dizziness can also be caused by sinusitis due to disturbance in pressures in middle ear cavity.2. In my opinion, usually twitching in legs and arms may not be due to sinusitis or allergies, but they may be due to medicines as side effects or due to any other cause.3. From your symptoms, where I treating you, I would suggest you a prolonged treatment for sinusitis (at least 2-4 weeks). I would suggest you intranasal corticosteroids, montelukast, levocetirizine and daily regular steam inhalation. I would also suggest you antibiotics if you have fever.4. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible.5. I would also suggest you to take plenty of warm fluids during day as well as a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.). Hope above suggestions will be helpful to you. Should you have any other query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards.