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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Allergic Wheezing And Cough

Recently , after total blood test , Doc prescribed Predmet 4 and nitrest . whenever I keep a gap of 2-3 weeks , again the same problem like whizzing , cough , Eye lids get reddish ,with tremendous headache . Pls Advice which medicine should I take , Already allergy test has been carried out but it's within limit . I have dust and smoke allergy also . pls help
Mon, 11 Aug 2014
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Allergist and Immunologist 's  Response
Hello.

Thank you for asking at HCM.

I went through your history and would like to know more about you like - What is your age? Since when you are having these symptoms? Do you have nose congestion/sneezing/running nose etc? Do you have regurgitation of food/fluid in throat/burning in chest, especially after hot/spicy meal? Do you have repeated throat irritation/frequent need to clear throat? Which seasons are worst for you? Are you frequently exposed to dusts/smokes/air pollution? etc.

From your given history, I would like to make following suggestions for you:

1. Were I treating you, I would suggest you intranasal corticosteroid sprays like mometasone or fluticasone propionate for at least 2 weeks. I would also suggest you montelukast and an antihistamine like cetirizine/levocetirizine for 2-4 weeks depending upon response.

2. I would suggest you using salbutamol or levosalbutamol inhaler for wheezing on as-and-when-needed basis.

3. Should you have any throat problems, I would suggest you regular warm saline gargles which may help.

4. Personally I would suggest you regular breathing exercises and a healthy diet rich in vitamins & minerals (that is, adequate amounts of green leafy vegetables, fruits, sprouts, etc) which may help you in a longer run.

5. Please avoid exposure to dusts, smokes & air-pollution as much as possible.

Hope above suggestions will be helpful to you.

Should you have further query, please feel free to ask at HCM.

Thank you & Regards.
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Suggest Treatment For Allergic Wheezing And Cough

Hello. Thank you for asking at HCM. I went through your history and would like to know more about you like - What is your age? Since when you are having these symptoms? Do you have nose congestion/sneezing/running nose etc? Do you have regurgitation of food/fluid in throat/burning in chest, especially after hot/spicy meal? Do you have repeated throat irritation/frequent need to clear throat? Which seasons are worst for you? Are you frequently exposed to dusts/smokes/air pollution? etc. From your given history, I would like to make following suggestions for you: 1. Were I treating you, I would suggest you intranasal corticosteroid sprays like mometasone or fluticasone propionate for at least 2 weeks. I would also suggest you montelukast and an antihistamine like cetirizine/levocetirizine for 2-4 weeks depending upon response. 2. I would suggest you using salbutamol or levosalbutamol inhaler for wheezing on as-and-when-needed basis. 3. Should you have any throat problems, I would suggest you regular warm saline gargles which may help. 4. Personally I would suggest you regular breathing exercises and a healthy diet rich in vitamins & minerals (that is, adequate amounts of green leafy vegetables, fruits, sprouts, etc) which may help you in a longer run. 5. Please avoid exposure to dusts, smokes & air-pollution as much as possible. Hope above suggestions will be helpful to you. Should you have further query, please feel free to ask at HCM. Thank you & Regards.