<s>[INST] I violently sneeze upon waking in the mornings and get through several tissues. Troughout the day its the same,and this has been so for months.Somedays I can have slight earache which can be either ear.Am extremely tired every day and have no energy.I notice I often breath through my mouth.Have had antibiotics,but to no avail. [/INST] Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. Were I treating you, I would prescribe you intranasal corticosteroid nasal spray for at least 2 weeks. If your symptoms are completely under control, I would stop intranasal corticosteroids and suggest you montelukast and levocetirizine regularly thereafter.2. I would suggest you allergy testing, especially for indoor air-borne allergens like house dust mite, common indoor molds in your region, cockroach allergen, pet dander (if you have pets). If you are keeping windows open during night, I would also suggest you testing for common pollen in your region. This will help you to know the substances causing troubles to you as well as to know how to avoid them. Based on the report, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on your immune system and improve allergy symptoms gradually.3. I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible.4. Regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) will also help improve your lung capacity and immunity respectively and will help you in a long run.5. I would think earache as related to repeated nasal obstruction and hence it will improve with improvement of nose symptoms. If you feel severe earache, ear discharge or reduced hearing, I would suggest you to consult an ENT specialist. Hope above suggestions will be helpful to you. Should you have any further concern, please feel free to ask at Chat Doctor. Thank you & Regards. </s>