Hello.
Thank you for asking at HCM.
I went through your nephew's history and understand your concern.
I would like to know more details about his symptoms like - Does he have nose allergies (nasal block, running nose, symptoms),
asthma (
wheezing, difficulty in breathing) or both? If asthma, what is the frequency of episodes of wheezing/breathing difficulties? Does he smoke? or is he exposed to smokes/dusts/air pollution?
From your given history, I would like to make following suggestions to him:
1. Were I treating him, I would suggest him regular
montelukast for at least 2-3 months.
2. If nose allergies, I would add an antihistamine like cetirizine/
levocetirizine to above treatment.
3. If asthma, I would add inhaled
corticosteroids with metered dose inhaler to the above treatment.
4. I would also suggest him
allergy testing which will help him to identify the substances that he may be allergic to and also to avoid them.
5. In general, I would suggest him to avoid exposure to dusts, smokes and air pollution as much as possible.
6. Personally I would suggest him regular breathing exercises and a diet rich in
vitamins & minerals (adequate green leafy vegetables, fruits, sprouts, etc) which will help him in a long run.
Hope above suggestions will be useful to him.
Should you have any further query, please feel free to ask at HCM.
Wish your nephew the best of the health.
Thank you & Regards.