Conversation: The conversation between human and AI assistant.
[|Human|] good moning dr.  i have allergic rhinitis.. i hd undergone tonsillectomy whn i was 6 yrs old.. i used to hav frequent sore throat and high fever.. so i hd to undergo it. until 15 yrs old i didnt really hav a prob xcept once whn i was down with sm undiognized fever 4 20 days. frm d past 5 yrs ,on slightest exposure of cold wind on my hands n ears.. i strt sneezing n i feel my body fails to keep warm than others.. i always  carry a sweater with me. m having dark circles since 10 yrs nw.. are thy cause of allergy?  n how should i treat it? steroids n antihistamines hav failed to work.. d allergy is back after i discontinue their use. how should i get rid of it? i hav undergone allergic test tht says i m allergic to fungus, dust, house mites, dander?  plz help me overcome it.. dis allergy is hindering my day to day activities..
[|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. I usually suggest my such patients skin prick testing for molds, house dust mites, animal dander, pollen and insect proteins. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms over long period for long term basis.2. For symptom control, I usually prescribe my patients regular Montelukast + Levocetirizine.3. Dark circles under eyes usually occur due to long-standing allergic rhinitis. With treatment of allergic rhinitis, they may improve or may not improve, especially if they are since long duration.4. If you have nose obstruction despite use of above-mentioned Chat Doctor. 5. Regular steam inhalation will also help you in a long run.6. In general, please avoid exposure to dusts, smokes, cold air and air pollution as much as possible.7. Regular breathing exercises and a diet rich in vitamins & minerals will also help you in a long run by improving your nose symptoms and immunity respectively. 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.