Brief Answer:
Please provide more details

Detailed Answer:
Hello,

Thank you for asking at HCM.

I went through your history and would like to know more about your symptoms as follows:

a. What are your nose symptoms - congestion, sneezing, running nose, nose itching? Since how many days?

b. Do you have fever? high or low? Since how many days?

c. Do you have headache, facial heaviness?

d. Do you have excessive watering from eyes, eye itching, red eyes?

e. Do you have throat pain, difficulty in swallowing, painful swallowing?

f. Do you have coughing?

g. Do you have breathing difficulty, wheezing or shortness of breath?

h. Do you have known allergies to any particular substance? Have you ever been investigated for allergies? If yes, when? What were the reports?

i. Which drugs are you taking for high blood pressure?

j. Have you recently experienced environmental change or air pollution or dusting or exposure to smoke etc?

k. You have mentioned similar symptoms before 12 years. How your health was during these 12 years? Did you have allergy symptoms during this period?

Above symptoms would help me to know more about you and therefore to make suggestions for you more specifically.

At present, from your provided details, I would like to make suggestions for you as follows:

1. In addition to your current medicines, I would suggest you to take cetrizine or levocetirizine (might cause sedation).

2. I would also suggest you nasal saline washes with saline spray 2-4 times a days.

3. Please avoid exposure to dusts, smokes and air pollution as much as possible.

4. Please have rest and maintain hydration by taking adequate fluids during day.

5. Further suggestions can be made after knowing details.

Hope above suggestions will be helpful to you.

Should you have any further query, please feel free to ask at follow-up.

Wish you the best of the health and a very good recovery.

Thank you & Regards,

Dr Parin N Parmar

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Brief Answer:
intranasal corticosteroids, salbutamol inhaler

Detailed Answer:
Hello,

Thank you for your follow-up.

From your provided details, I would like to make suggestions for you as follows:

1. As your allergy symptoms are very severe, in addition to your current medications, I would prescribe my such patient intranasal corticosteroids (fluticasone propionate or mometasone) for 5-7 days depending upon response.

2. I would also prescribe my such patient salbutamol or levosalbutamol in tablet or inhaler form. Please note that it can increase heart rate and cause other side effects so it is best to get it prescribed by a doctor after he/she examined you. However, it is an important medicine for wheezing and shortness of breath.

3. Please have adequate fluids to maintain hydration.

4. Please avoid exposure to dusts, smokes and air pollution as much as possible.

5. Saline nose washes and warm saline gargles will help recovery.

6. I shortness of breath increases, please visit emergency room.

Hope above suggestions will be helpful to you.

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

Wish you the best of the health ahead.

Thank you & Regards,

Dr Parin N Parmar

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