Your symptoms suggest a few possibilities, such as allergic contact dermatitis (perhaps from metal in earrings or fasteners) or papular urticaria, which is an allergic reaction to bites. Since fexofenadine and calamine are only offering temporary relief, a mild over-the-counter hydrocortisone cream may help reduce the inflammation. I highly recommend visiting a doctor or dermatologist for a physical exam to pinpoint the exact trigger and get a targeted treatment plan to help you heal quickly..

Since your antihistamines, like cetirizine and Allegra, are no longer helping, you might try a mild over-the-counter hydrocortisone cream applied sparingly to the itchy areas twice daily. For moisturizing, switch from Aqua lotion to a thick, fragrance-free emollient cream to help restore your skin barrier. Avoid hot water, harsh soaps, and tight clothing to prevent further irritation. Keep cool and try not to scratch. If you experience any swelling of your face or difficulty breathing, please seek immediate medical care. Otherwise, please consult your doctor in three days for a tailored treatment plan.

Since your symptoms have not improved with levofloxacin and other medications, and you are having trouble inhaling and speaking, it is very important to consult a doctor promptly for an in-person evaluation. Recommended diagnostic steps include a chest X-ray to check your lungs, spirometry to evaluate your breathing, and possibly a sputum test. For treatment, your doctor may consider inhaled bronchodilators or corticosteroids to ease your airway inflammation and help you breathe more comfortably.

Since fexofenadine and montelukast (Allegra M) provide only temporary relief, your symptoms may be triggered by bedroom allergens like dust mites or mold, or possibly nighttime acid reflux. To help, try washing your bedding weekly in hot water and using allergen-proof covers. I highly recommend seeing a doctor or allergist. They can help identify the exact trigger and may suggest adding a generic corticosteroid nasal spray or adjusting your therapy for more consistent, long-term relief.

Since Allegra 180 and cetirizine aren't fully helping, and long-term use of Otrivin can actually worsen congestion, we should look at sustainable options. A great next step is discussing daily nasal corticosteroid sprays with your doctor; these safely reduce inflammation over time. For a permanent solution, allergen immunotherapy (allergy shots or sublingual drops) can desensitize your body to dust. Additionally, using a daily saline nasal rinse and wearing a scarf over your nose in cold weather can help. Please consult an allergist to safely transition off Otrivin and create a personalized plan.

Your symptoms, especially since they occur annually, could point to seasonal asthma or exercise-induced bronchoconstriction, which can sometimes be triggered by physical exertion like sexual activity. Because Allegra-M has not provided relief, your doctor recommended a chest specialist to perform specialized lung function tests. This is a very positive and proactive step to pinpoint the exact cause of your breathing difficulties and find a more effective, tailored treatment to help you feel like yourself again.