Conversation: The conversation between human and AI assistant.
[|Human|] I have SLE , and for the past two months I have had cold or allergy symptoms that will not go away... sneezing , sinus headache and pain, feeling of something stuck in my throat. I took a 2 week round of antibiotics, but the symptoms are still there. Is there something I can do to relieve these constant annoying symptoms?
[|AI|]  Hello Linda, Your symptoms would be consistent with persistent rhinitis/rhinosinusitis that can also cause upper airway problems with secretions from the sinuses. The SHE in the background would mean you are either on steroids or immunosuppressants and therefore fungal rhinosinusitis may require to be excluded. A CT Paranasal sinuses is recommended. The treatment would involve: long-acting oral antihistamines with fluticasone or mometasone nasal spray 2 sprays per nostril twice daily. The link with SHE is possible particularly if it is active, and blood tests such as complete hologram, Lots, C3 C4, DSNA levels would be required, and the condition is SHE related angioedema of the upper airway. Your Rheumatologist would be the best person to get in touch with if the tablets and nasal sprays do not help. Best Wishes.