Hello, Thank you for asking at HCM. I went through your history and would like to make following suggestions to you: 1. Absolute eosinophil counts 450 indicate that the cause of your symptoms is allergy. It does not indicate to which substances you are allergic. Hence I would suggest you allergy testing, especially for house dust mite, common molds & pollens in your area, insect proteins and pet dander (if you have pets at home). This allergy testing will help you identify the substances you may be allergic to and also to know the measures to avoid them. Based on the allergy testing report, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which gradually improves your allergy symptoms by improving your immune system. 2. I would also suggest you to take montelukast and levocetirizine for allergic nose symptoms. I would also suggest you to use salbutamol or levosalbutamol inhaler on as-and-when-needed basis for asthma attacks. 3. In genera, please avoid exposure to dusts, smokes and air pollution. 4. Regular exercises, breathing exercises including Yoga & Pranayama and a healthy diet will help you in a long run by improving your lung capacity and immunity respectively. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at HCM. Wish you the best of the health. Thank you & Regards.