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Suggest Treatment For Cough And Wheezing
hello Docs. i am 22 Years old male . height 168 and weight 64 .
i am having cough since 3 Years + i have a childhood history of asthma , even today i hear some wheezing so i use Brochidilators .and i feel better ,tht is not a Problem But i usually have cough through out the day , its just one cough Out as if i am emptying my throat ,i met a local doc he said it can be urti and suggested me amoxicillin . i used it But the days i use it i feel better but rest sucks .i Dont have any sputum .i fell something blocks my troat near pharynx .and feel dyspenic these days i have a Problem With Nose also early morning i feel one nostril blocked .or two sometimes With some very little sputum .But i am Not Dyspenic when i go to jog or something i Jog 5 Kms everyday [not in winters] wat must be the likely Problem . ?
i am having cough since 3 Years + i have a childhood history of asthma , even today i hear some wheezing so i use Brochidilators .and i feel better ,tht is not a Problem But i usually have cough through out the day , its just one cough Out as if i am emptying my throat ,i met a local doc he said it can be urti and suggested me amoxicillin . i used it But the days i use it i feel better but rest sucks .i Dont have any sputum .i fell something blocks my troat near pharynx .and feel dyspenic these days i have a Problem With Nose also early morning i feel one nostril blocked .or two sometimes With some very little sputum .But i am Not Dyspenic when i go to jog or something i Jog 5 Kms everyday [not in winters] wat must be the likely Problem . ?
Mon, 21 Jul 2014
Hello.
Thank you for asking at HCM.
I went through your history and I would first think of allergic rhinosinusitis with asthma.
I would answer your query step by step:
1. From your history, in my opinion, your most bothering symptoms are related to nose-sinus-throat and throat rather than asthma. Your throat/pharynx symptoms are due to long standing repeated irritation of pharynx due to post-nasal drip as well as exposure to allergens and irritants.
So I would first consider intranasal corticosteroids and montelukast daily for at least 2 weeks. Daily steam inhalation and warm saline gargles will also hasten the recovery. Please try to avoid exposure to dust, smoke and air pollution as much as possible. I would also suggest to avoid cold beverages, alcohol and smoking (if it applies to you).
It is very important for you to remember that chronic rhinosinusitis requires a long treatment with patience and careful precautions.
2. As you have mentioned, you can use inhaled bronchodilators when you have wheezing. But if you have wheezing more than 2 days a week, I would suggest you to start inhaled corticosteroids for at least 6 weeks in addition to above. However, montelukast will also help for your asthma.
3. It is very good for you as you jog 5 kms everyday. Please continue!
4. I would also suggest you regular breathing exercises/Pranayama/Yoga which will help you in long run.
5. A healthy diet rich in vitamins, minerals and anti-oxidants is equally important.
6. I would personally suggest you to consult an Allergist-Immunologist who will suggest you allergy skin testing and may advise allergen specific immunotherapy. This will help you avoiding allergy causing substances and immunotherapy may improve your immune system to improve allergy symptoms and reduce need for medicines on long term basis.
Hope this will be helpful to you.
Wish you the best of the health.
Regards.
Thank you for asking at HCM.
I went through your history and I would first think of allergic rhinosinusitis with asthma.
I would answer your query step by step:
1. From your history, in my opinion, your most bothering symptoms are related to nose-sinus-throat and throat rather than asthma. Your throat/pharynx symptoms are due to long standing repeated irritation of pharynx due to post-nasal drip as well as exposure to allergens and irritants.
So I would first consider intranasal corticosteroids and montelukast daily for at least 2 weeks. Daily steam inhalation and warm saline gargles will also hasten the recovery. Please try to avoid exposure to dust, smoke and air pollution as much as possible. I would also suggest to avoid cold beverages, alcohol and smoking (if it applies to you).
It is very important for you to remember that chronic rhinosinusitis requires a long treatment with patience and careful precautions.
2. As you have mentioned, you can use inhaled bronchodilators when you have wheezing. But if you have wheezing more than 2 days a week, I would suggest you to start inhaled corticosteroids for at least 6 weeks in addition to above. However, montelukast will also help for your asthma.
3. It is very good for you as you jog 5 kms everyday. Please continue!
4. I would also suggest you regular breathing exercises/Pranayama/Yoga which will help you in long run.
5. A healthy diet rich in vitamins, minerals and anti-oxidants is equally important.
6. I would personally suggest you to consult an Allergist-Immunologist who will suggest you allergy skin testing and may advise allergen specific immunotherapy. This will help you avoiding allergy causing substances and immunotherapy may improve your immune system to improve allergy symptoms and reduce need for medicines on long term basis.
Hope this will be helpful to you.
Wish you the best of the health.
Regards.
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