Brief Answer:
Allergic rhinosinusitis...

Detailed Answer:
Hi

Thanks for posting the query

I have gone through the history thoroughly and understood your problem; I will try my best to help you with this.

1. You seem to be suffering from allergic rhinosinusitis. High levels of IgE indicates constant allergic process in the body.

2. You would require a CT scan of the paranasal sinuses to assess the status of the sinuses and blockage if any.

3. Consult a good allergy & immunology specialist to undergo skin prick test to identify the cause of allergy and depending upon the allergen identified, you can get immunotherapy done.

4. Although you are taking the right set of medicines, you would require antihelminthic such as albendazole for deworming and a short course of oral steroids to bring down the allergy levels in the body.

5. Finally, allergy doesn't have cure; prevention is the best treatment. Avoid those things which induces allergy and you will feel better.

Hope this answers your query; I will be available for the follow-up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

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Brief Answer:
Yes, steam can reduce the sinus congestion...

Detailed Answer:
Hi

Thanks for writing back

I have gone through the reports thoroughly and my opinion is as below.

1. Your allergy is getting triggered by dust, fungus and mites which are present in plenty in our environment, particularly inside the house. If you are using air conditioner and carpet, it can worsen your problems, hence avoid it.

2. Steam inhalation will given you excellent relief. You should perform at least 2-3 times a day for 3 minutes.

3. Drink plenty of warm water. Use saline nasal spray at least 4-5 times in a day to keep the nasal mucosa moist and for easy clearance of the secretions. You can also try taking mucolytics such as ambroxol or bromhexine to relieve the thick secretions in the sinuses.

4. Septoplasty is required if at all there is gross deviation of the nasal septum which is causing the nasal and sinus block.

My other suggestions are:

1. Drink plenty of warm water
2. Avoid coffee/fizzy drinks/chilled food and beverages
3. Avoid using room fresheners, carpets, perfumes or incense sticks at home
4. Do not sleep directly in front of the air conditioner or under the fan
5. Change your pillow cover every night before going to bed
6. Whenever you are exposed to dust or smoke cover your nose with a clean handkerchief
7. Get the filters of the AC cleaned at least once in a week

Hope this clarifies your doubts. Wish you good health.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

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Brief Answer:
Yes, individuals can be affected at point of time in their life...

Detailed Answer:
Hi

Welcome back

I'm sorry for the delayed reply.

Yes, many of the individuals who were perfectly normal for years can get affected by allergy at any point of time in their life. The reason could be the reduced threshold in he sensitivity for certain allergens.

Hope this clarifies your doubts. Wish you good health.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

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Brief Answer:
Its a normal finding...

Detailed Answer:
Hi

Welcome back

"Prominent pulmonary vessels" are usually noticed in the hilar regions of the lungs. This is the area through which blood vessels and nerves, etc., enter and leave the service of the lungs.

Prominent vessels in the hilar region could mean any number of things or could mean absolutely nothing. Hence, it is considered normal unless there is any other lesions seen associated with it.

Hope this clarifies your doubts.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

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