instruction: hello doctor I have horror mornings after I open my eyes and I get out the bed only after I stand up I start sneezing maybe 20 times I have itchy eyes and years and runny I feel like I have sand in my eyes I have done prick tests for allergies and all come back negative I also have done nasal corvettes turbine reduction and all in vain my mornings are the same what is the cause of this
output: hello allergic rhinitis is a perrinial manifestation of allergic reactions to unknown triggers also you may have coexisting allergic conjunctivitis though prick test is negative for most of the allergens we can not neglect the role of unknown allergies in your case so I advise you to do blood allergy test with all full panels including environmental food drugs and medicines vegetarian and non vegetarian foods fungus pollen etc definitely we will be able to find out the single cause for your allergy about medications all drugs whatsoever you take are only helpful symptomatically so as long as you take medication you feel good but there is no choice as there is no permanent cure for allergies so I advise you to start montelukast 10mg one at night continue rhinocort nasal spray and claritin it is must to repeat blood allergy test as prick test can not test all available allergens and role of unknown allergens can not be neglected so avoiding the known trigger allergen and continuing the symptomatic treatment is the best solution for your problem continuous scrutiny must be going on to find out exact allergens in your surroundings