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" Question I have had problems with my sinuses my whole life.  My nose is always blocked up and although I have tried lots of medication none of it seems to be effective.  My doctor thinks it may be an allergy of some sort but I&amp;#039;ve never been diagnosed as allergic to anything.  I also have a really good diet and am rarely in contact with animals, so I&amp;#039;m not convinced of this.  I&amp;#039;d like to know what else it could be caused by and where I could look for further advice and treatment.   Answer If you have not already been assessed by an ear, nose and throat (ENT) consultant, I think you should ask your GP to refer you for an opinion regarding your sinuses.  You certainly sound as if you are suffering from a chronic sinus problem, and allergy is one of the chronic causes here.  Note that you do not need to be in contact with animals or have other symptoms to be allergic to something.  A simple steroid nasal spray however will prove or disprove this, and would probably be suggested by a consultant anyway so your doctor should be happy to try this.  Alcohol, dust, pollen, hot spicy foods and even petrol fumes can all exacerbate sinusitis, so try to eliminate these whenever possible.  Cutting out caffeine and refined sugars from your diet should also help. Take 500mg of vitamin C twice a day.  Goldenseal taken as tea or in tincture form is one of the most effective herbal remedies for a sinus infection.  Drink lots of fluid too, in the form of water and juices. I hope this helps. Yours sincerely The NetDoctor Medical Team   Other Qs &amp;amp; As Blocked nose Ear eczema I find it hard to breathe out of my nostrils I have a watery discharge from my nose I suffer badly with catarrh  I&amp;#039;m allergic to horses Is it ok for me to run long distances? Is there a natural alternative to nasal spray for my allergy? My nose blocks up My sneezing is driving me insane My three-year-old daughter is coughing badly Sore eyes but sensitive to drops: is there a remedy?  Throat problems Weight loss and persistent coughing What treatments are available for bronchial hyperreactivity? Where does this mucus come from?   Last updated 01.02.2011 "^^<http://www.w3.org/2001/XMLSchema#string>
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