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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Elevated IgE Level In A 7 Years Old Child With Problems Like Greying Of Hair,asthma And Snoring?

Hi, My 7 year old son has elevated IgE level (260 kUA/L). For last 5 years he has problems in breathing (wheezing, enlarged adenoids and so on). He still breathes through his mouth. He was given seroflo125 initially then montair and he still takes montair. We stopped all medicines in between though but he develops the symptoms again in 1-2 months. Recently I got his Comprehensive allergy profile (including dust panel, food, mold, weed, grass, tree & animal panels). All are negative but IgE is 260kUA/L.
Kindly advise on the further treatment or is he having Asthma. Is it curable. Any further testing be done?
For last 3 years his hair started greying (number of grey hair are still growing). He is active, good at studies and his height and weight are normal (120cm, 22KG). Only problems are;
- Greying of Hair
- Breathing though mouth
- Snoring
- Disturbed sleep (due to breathing through mouth)

Kindly advise on diagnosis/treatment. Is it curable? what medicine can be given without side effects?

Awaiting your reply.
God Bless.
posted on Sat, 18 Jan 2014
Twitter Sat, 18 Jan 2014 Answered on
Twitter Sat, 18 Jan 2014 Last reviewed on
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  User's Response
HI
Thank for asking to HCM
I really appreciate your concern, this could be allergic constitution in this condition the steroid is worth trying, if I would be his doctor then I would certainly treat him with the "Dexamethasone" either tablet form or syrup form 8 mg thrice in day, along with this I would start "Salbutamol" this is the best bronchodilator,20 ml three times in day gives good result, looking to the history the chances of infection is very likely and for that antibiotic has to be given and I would preferred "Erythromycin" 500 mg three times in day for 7, days for the allergic condition, "Levocetirizine 10mg three times in day I would choose, encourage him for drinking more water, I hope this regime would cure the problem, take care and have nice time.(Grey hair could be premature one and this is related with genetic mutation nothing much can be done for this)
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How To Treat Elevated IgE Level In A 7 Years Old Child With Problems Like Greying Of Hair,asthma And Snoring?

HI Thank for asking to HCM I really appreciate your concern, this could be allergic constitution in this condition the steroid is worth trying, if I would be his doctor then I would certainly treat him with the Dexamethasone either tablet form or syrup form 8 mg thrice in day, along with this I would start Salbutamol this is the best bronchodilator,20 ml three times in day gives good result, looking to the history the chances of infection is very likely and for that antibiotic has to be given and I would preferred Erythromycin 500 mg three times in day for 7, days for the allergic condition, Levocetirizine 10mg three times in day I would choose, encourage him for drinking more water, I hope this regime would cure the problem, take care and have nice time.(Grey hair could be premature one and this is related with genetic mutation nothing much can be done for this)