It sounds like you are experiencing hives (urticaria), which are very common and usually harmless. These temporary, migrating red patches are typically an allergic reaction and nothing to panic about. To relieve the itching and help the patches clear up, you can take an over-the-counter second-generation antihistamine, such as cetirizine, loratadine, or fexofenadine. Applying a cool compress can also soothe the skin. Try to identify and avoid potential triggers like heat, stress, or certain foods. If the symptoms persist for more than a few days, or if you ever experience swelling of the lips or difficulty breathing, please seek immediate medical attention.

Your evening symptoms suggest conditions like silent reflux (laryngopharyngeal reflux) or post-nasal drip from allergies. For relief, you may try: Antihistamines (such as cetirizine or fexofenadine) to reduce itchiness and mucus. Acid reducers (such as famotidine) if reflux is irritating your throat. Saline nasal sprays and warm water gargles to clear congestion. Steam inhalation to soothe your vocal cords. Avoid straining your voice and eating heavy meals close to bedtime. Since you experience breathing difficulty, please consult a healthcare professional for a proper, safe evaluation.

Since Nazomac AF (a potent steroid and antihistamine nasal spray) only provides temporary relief, you likely need a different management strategy. For long-term relief, your doctor might suggest adding an oral antihistamine (like Fexofenadine) or Montelukast. However, the definitive treatment for chronic, long-term relief is Allergen Immunotherapy (allergy shots or drops), which desensitizes your body to specific allergy triggers. I strongly recommend consulting an Allergist or ENT specialist for allergy testing. They can identify your exact triggers and prescribe a targeted, long-term treatment plan rather than just managing daily symptoms. Please avoid self-medicating.

Since this has recurred annually for 10 years, I highly recommend consulting an ENT specialist to evaluate if a tonsillectomy is needed. For seasonal prevention, getting an annual flu vaccine can be very helpful. To manage active symptoms: Fever and Throat Pain: Take paracetamol. Cold and Runny Nose: Use antihistamines like cetirizine or fexofenadine. Cough: Use dextromethorphan for a dry cough or warm fluids. Tonsil pain: Do warm saline gargles three times a day. Avoid taking antibiotics without a doctor's prescription, as these seasonal episodes are often viral or allergic. Please stay hydrated and rest.