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Suggest Remedies For Nasal Allergy

Posted on Sat, 18 Jun 2016

Question: Hello Doctor,

Greetings!

I m suffering from nasal allergy for quite a long time. In my childhood i use to take cetrizine to get rid off my sneezing n itchy eyes. Now for last few years I started taking Nasal spray , Combinase AQ German Remidies,whenever i feel like irritation or itching in my nose.

All this has severely impacted my personal n professional life quite badly.

Could you please suggest how can I eliminate this allergy.

Anticipated Thanks.

Warm Regards
XXXX XXXXXXX

Answered by Dr. Drkaushal85 (19 minutes later)

Brief Answer:
You should start combination of anti allergic and anti histamine drugs.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
You are mostly having allergic rhinitis.
Best treatment for allergic rhinitis is
1. Inhaled corticosteroids and anti histamine. You are taking combinase AQ and this is appropriate.
2. Combination of anti histamine (levocetrizine or fexofenadine) and anti allergic (montelukast) drugs daily at night time.
And you should take these drugs regularly for at least 1 year, not when you are symptomatic.
Best treatment for allergy is identification of allergen and if possible complete avoidance of it.. So please let me know
1. Have you ever undergone allergy testing?
2. Have you ever tried Montelukast?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (16 minutes later)

Thank you Doctor for your quick response.

will taking the prescription for 1 year regularly make me resistant and free from this issue?

I dont remember exactly if I had gone thru allergy test.

I specifically do not know if I had taken this medicine but I have long history of allergy, sinus, breathing problem at times.

Thanks and Regards
XXXX

Answered by Dr. Drkaushal85 (19 minutes later)

Brief Answer:
Have you ever consulted pulmonologist?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
In my opinion, your case is not treated according two current standard practice.
You told that you also had breathing problems.
You didn't tell this in your first question.
This is very important symptom.
Please let me know
1. Have you ever consulted pulmonologist?
2. Have you ever undergone PFT (pulmonary function test) testing?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (41 hours later)

yes intermittently whenever i use to get severe breathing issues. right now i use foracort 200 at times when i have breathing obstruction.

Answered by Dr. Drkaushal85 (1 hour later)

Brief Answer:
You should get done PFT first.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
In my opinion, you are mostly having allergic rhinitis and asthma.
Best treatment for this is identification of allergen and if possible complete avoidance of it.
Also get done PFT (pulmonary function test).
PFT will not only diagnose asthma but it will also tell you about severity of the disease and treatment is based on severity only.
You should take regular inhaled corticosteroids (budesonide or fluticasone) and inhaled bronchodilator (formoterol or salmeterol).
Please let me know
1. Have you ever consulted pulmonologist?
2. Have you ever undergone PFT?
3. Have you ever consulted allergist?
4. Does your any family member is having allergy?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (6 minutes later)

Thank you Doctor. However m not sure if I ever had these tests.

Answered by Dr. Drkaushal85 (3 minutes later)

Brief Answer:
Where do you live?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Please let me know
1. Where do you live?
2. Until now, whom did you consult for all these symptoms and treatment?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (43 hours later)

Hello Doctor,
My profile involves travelling out of XXXXXXX In XXXXXXX I live in XXXXXXX XXXXXXX Pradesh.
I have always been supported by Dr. XXXXXXX Chauhan, from St. Stephen's College XXXXXXX
Regards
XXXX

Answered by Dr. Drkaushal85 (5 minutes later)

Brief Answer:
Is he a pulmonologist?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
You should definitely ask PFT in your next visit with him.
If PFT is showing asthma like changes then you may also need meter dose inhaler (MDI).
Please let me know
1. Is he a pulmonologist?
2. When will you meet him again?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (4 minutes later)

No he is a physician but he recommends few medicines when i have severe breathing issue.
I may be meeting him once m back to XXXXXXX .. may after few months.

He always recommends me to have Foracort 200 when i have high breathing issues like during Oct Nov or may be when sand storm etc are high.

Regards
XXXXX

Answered by Dr. Drkaushal85 (3 minutes later)

Brief Answer:
Where are you at present?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
So, you are not in XXXXXXX at present.
I will tell you medicines which will definitely help you.
Please let me know
1. Where are you at present? I mean in which country?
2. Will you be able to get medicines without prescription?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (2 minutes later)

Thanks for your quick replies.
Right now m In UAE.
I don't know if I can get medicines without prescription. (Though I feel it should be ok here to get some.)

Answered by Dr. Drkaushal85 (4 minutes later)

Brief Answer:
Where in UAE?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
In UAE, you can get over the counter drugs.
But please let me know your exact place in UAE, so that I can guide you better.
I have 2-3 patients from dubai, Oman etc. They get drugs without prescription. So please let me know your exact place, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (23 minutes later)

m based out in Abu Dhabi. Thanks

Answered by Dr. Drkaushal85 (10 minutes later)

Brief Answer:
You will mostly get in Abu Dhabi.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
You will mostly get medicines without prescription in Abu Dhabi.
Start following drugs.
1. Combination of anti allergic (montelukast) and anti histamine (levocetrizine or fexofenadine) once daily at night. Brand names are Montek LC, montair LC, Allegra M etc.
2. Start nasal spray containing fluticasone.
Brand names are Fluticone, Flomist etc.
Please let me know
1. Where do you work? I mean do you have constant dust exposure at work place?
2. Is your work place very humid?
All these are important in management of your disease.
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar