Conversation: The conversation between human and AI assistant.
[|Human|] Hi I have severe allergies in the mornings when I wake up. I spend the next hour or two with a box of kleenex sneezing and blowing my nose. Then it subsides. A little later after that I get a lump in my throat feeling and like i keep swallowing mucus. But no coughing or anything. I was told years ago that I had acid reflux so i thought maybe...? or maybe its from all the sinus mucus draining?
[|AI|]  Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. If you have early morning sneezing, I would first think of allergic rhinitis, usually due to indoor allergens like house dust mites, indoor molds, insect proteins, animal proteins, etc.2. Of course, long-standing allergic rhinitis can affect sinuses, more so if you have long-standing nose obstruction.3. Were I treating you, I would suggest you allergy testing for above-mentioned allergens. This will help you identify the substances causing symptoms to you as well as to know the measures to avoid them.4. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system gradually to improve your allergy symptoms.5. For control of your current symptoms, I usually suggest my such patients' montelukast & levocetirizine for 30 days.6. As you have lump in throat feeling, I would also suggest you regular warm saline gargles for at least 2-4 weeks.7. If you have regurgitation of fluid/food after taking meal, especially heavy/spicy meal, repeated nausea, vomiting, burning pain in chest, etc. then I would think of acid reflux. In that case, I would suggest you an antacid like omeprazole or pantoprazole for 4-6 weeks 30 minutes before meal.8. In general, please avoid exposure to dusts, smokes & air pollution as much as possible. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards.