Brief Answer:
Chaned lifestyle/ expert's advise & continuos efforts will help.

Detailed Answer:
Hi XXXX,
Thanks for the query under HCM forum.
I have gone through your query carefully, was amazed to see your tendency to fight back the unfortunate health factors you have ! Congratulations. I am sure you will win! where there is a will, there is a way.Lets see scientific ways to control & manage the problems you have so as to help you to lead a happy life .
You have multiple problems to deal with We will evaluate each separately -
1) allergic manifestations- you have multiple allergic manifestations. which need a through investigations to know the severity & origin of allergies.
They include- blood counts / allergy detection tests apart from those for assessing lungs condition( Physical examination, Vital capacity test, X ray chest)
* Management- will depend of the investigation report. They could be,
- Anti allergic medicines with decongestants( specially in the seasons when symptoms are more prevalent), Diethyl carbamazine citrate tablets, antibiotics, broncho dilators, inhalers ( both for management & prevention of asthmatic attacks,), Mast cell blockers,
_ Desensitization therapy for allergies found,
- self care with avoidance of allergens/ healthy life style including respiratory exercises, having optimum weight ( balanced permitted diet, exercises, rest )
2. Prothrombin mutation- IT is an inherited condition where blood clot formation is more frequent. & thrombosis is frequent.
3. Protein s deficiency- It's another inherited condition which increases incidence of venous thrombosis.
- Because of no 2 & 3 you have tendency of thrombosis & will have to be under care of a doctor ( Hematologist)& also follow lifestyle changes to prevent it.
* Treatment includes medication like Warferrin./ heparin- Dosage & timing of medication will be subjective to your health & will be decided by a hematologist.
* Self care-It consists of,
- Exercising regularly/ avoiding to be overweight/ avoiding long periods of immobility/Stop smoking,alcohol,/ avoid birth control pills/ seeking medical advise before planning for pregnancy.
4. Carpal tunnel syndrome-It is caused by nerve pressure on nerve supplying hand.
* - Treatment can be by NSAID anti inflammatory pills./ corticosteroids/ splints/ physiotherapy.( under guidance of orthopedic surgeon/ physio therapist)/ surgery.( be under care of an orthopedic surgeon.)
** Overall advise-
- Be under care of a hematologist regularly./ follow self care to prevent thrombosis.
- Be on guard for allergies .. one can conquer allergies with a preventive/watchful attitude & & regular/ seasonal medication as per physician's advise
- Regular physiotherapy & medications as per need for carpel tunnel syndrome.l
_ have a regular life style to keep control on your problems - with permitted balanced diet/ regular exercises/ optimum weight/ restrain from smoking, alcohol ( which you are already doing)good 8 hour sleep/ respiratory exercises/ Meditation/ positive attitude.
This is going to help you to lead comfortable life without hurdles of your genetic & allergic problems.
Believe in the slogan-Prevention is better than cure!
Hope, this has informed you well & helped too.
Any follow up query is welcome.
Thanks.

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