An Absolute Eosinophil Count of 492 cumm is only mildly elevated and is very common in individuals with allergies; there is no cause for alarm. Your severe morning sneezing strongly suggests allergic rhinitis, often triggered by dust mites or pollen. To manage this, you can use a daily non-drowsy antihistamine (such as cetirizine, fexofenadine, or loratadine) to control itching and sneezing. Additionally, a daily corticosteroid nasal spray (like fluticasone or mometasone) is highly effective at preventing morning flare-ups. Please consult a physician for a proper evaluation and a tailored prescription.

It sounds like you are experiencing chronic rhinitis, which can be triggered by temperature changes when washing your face. To relieve your symptoms, a daily corticosteroid nasal spray (such as fluticasone or mometasone) is highly effective for both the sneezing and nasal blockage. Additionally, a non-drowsy oral antihistamine (like cetirizine or loratadine) can help control the sneezing fits. Using a saline nasal spray before these medications can also help clear your nasal passages. These options are safe and widely used, but please consult a doctor for a proper diagnosis and a personalized treatment plan.