Conversation: The conversation between human and AI assistant.
[|Human|] I am a 45 yr old female. I have had sinus problems most of my life. Allergies since I started college. Have tried almost every otc and prescription medication out there. And have been undergoing allergy shots for almost 5 yrs and still suffer with my allergies. I need options. I don t know what else to do or try. Suggestions?
[|AI|]  Hello. Thank you for asking at Chat Doctor. From your history, I guess you have chronic rhinosinusitis, most probably due to allergy. If you have not consulted an ENT surgeon, that will be my first suggestion. He will examine and look for some anatomical problems like deviated nasal septum, etc. He will also examine your nasal cavities and sinus entry point with a small endoscope, if he feels the need to do so. But if you have no such problems, I would suggest you to take intranasal corticosteroids and montelukast and levocetirizine for 2 weeks. Please do not use OTC decongestant sprays unless you really need them. I would also suggest you to use nasal saline spray 3-4 times a day. Daily steam inhalation, avoidance of dust-air pollution-smoke & regular breathing exercises will also help you on a long run. Hope this will be helpful to you. Wish you the best of the health. Regards.