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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cleaning With 409 Every Day, Losing My Voice. Have Asthma And Several Attacks. Taking Omeprazole, Certraline. Is There Anything Else I Can Do?

I have been cleaning with 409 every day for the last week, and am losing my voice. I also have asthma and have had several attacks, since the trees and grass are now growing in our area. The last time I had this much trouble with my voice, it was discovered that I have acid reflux. I have been taking Omeprazole for the last 3 days,using an albuterol inhaler, taking certraline (generic zyrtec) and using Flonase. Is there anything else I can do? How long will it take for my voice to get better?
Tue, 7 May 2013
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Allergist and Immunologist 's  Response
your allergies are increasing and your inhalers can cause loss of voice it is necessary to take lot of water during inhalers otherwise it causes dryness and voie problems
there can be associated sinuses and pnd of it can cause congestion in vocal cords
you gerd can also be factor
you have to treat keeping in view of all the factors
you can consult after wards the allergy specialist in your area who can guide you for immunotherapy which can clear all your allergies
now till then
tab metrogyl 200 mg bd for 10 days
tab allegra 120 mg od
tabsingular 10 mg bd
add liquid antacid gelusil 2 tsf tds
apply neosporin h eye ointment on nose bd
sea water drops 2 drops at night in each nose to clear the back of throat and voice box
continue with other medicines you are using but stop cetrizine
take metrogy 10 days others you can continue for 3-4 wk till your voice clears up
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  User's Response
Naso-bronchial allergy and asthma may co-exist with gasto-esophageal reflux disease (GERD) as well. Its a good practice to take a combination of omeprazole 20 mg + domperidone 10 mg twice a day if symptomatic for GERD. For long term asthma control a high dose inhaled gluco-corticoid like fluticasone along with a long acting beta-2 agonist broncho-dilator like salmeterol is a good choice.
Your symptoms suggest acute laryngitis and you may take a course of antibiotic like azithromycin along with paracetamol and cetirizine for 6 days; give rest to your voice and do gargles with warm saline.
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Cleaning With 409 Every Day, Losing My Voice. Have Asthma And Several Attacks. Taking Omeprazole, Certraline. Is There Anything Else I Can Do?

your allergies are increasing and your inhalers can cause loss of voice it is necessary to take lot of water during inhalers otherwise it causes dryness and voie problems there can be associated sinuses and pnd of it can cause congestion in vocal cords you gerd can also be factor you have to treat keeping in view of all the factors you can consult after wards the allergy specialist in your area who can guide you for immunotherapy which can clear all your allergies now till then tab metrogyl 200 mg bd for 10 days tab allegra 120 mg od tabsingular 10 mg bd add liquid antacid gelusil 2 tsf tds apply neosporin h eye ointment on nose bd sea water drops 2 drops at night in each nose to clear the back of throat and voice box continue with other medicines you are using but stop cetrizine take metrogy 10 days others you can continue for 3-4 wk till your voice clears up