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Suggest Treatment For Chronic Cough
Question: I have chronic cough since last 2 years. Recently I consulted with allergiest and checked allergy with Total IgE 1200.2 with eosinophil 11. He is proposing to go for immunotherapy. What to do?
Brief Answer:
Better to consult pulmonologist first.
Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
Possibility of either asthma or bronchitis or lung infection is high in your case.
In my opinion, you should first consult pulmonologist and get done
1. Clinical examination of respiratory system
2. Chest x ray
3. PFT, (Pulmonary Function Test).
Chest x ray is needed to rule out lung infection.
PFT is must for the diagnosis of bronchitis or asthma. PFT will also tell you about severity of the disease.
You may need inhaled bronchodilators and inhaled corticosteroid (ICS).
Oral combination of antihistamine and anti allergic drugs are also useful in your case.
Immunotherapy is the last option for uncontrolled allergies. You should first try other things for allergies.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health. Thanks.
Better to consult pulmonologist first.
Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
Possibility of either asthma or bronchitis or lung infection is high in your case.
In my opinion, you should first consult pulmonologist and get done
1. Clinical examination of respiratory system
2. Chest x ray
3. PFT, (Pulmonary Function Test).
Chest x ray is needed to rule out lung infection.
PFT is must for the diagnosis of bronchitis or asthma. PFT will also tell you about severity of the disease.
You may need inhaled bronchodilators and inhaled corticosteroid (ICS).
Oral combination of antihistamine and anti allergic drugs are also useful in your case.
Immunotherapy is the last option for uncontrolled allergies. You should first try other things for allergies.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I consulted with pulmologist as well. Both pft and chest X ray done. Pft is normal. In chest xray nothing found except prominent vessels. I am a smoker recently gave up smoking. Doctor gave me three medicines flutiflo nasal spray, airtec puff and glemont f tablet.
Brief Answer:
Better to get done specific IgE s.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
You might be having allergic rhinitis only.
Best treatment of allergy is identification of allergen and if possible complete avoidance of it.
Your IgE is raised. But IgE is general marker for allergy. Subsets of IgE are also tested for specific allergies like food, dust, smoke, chemicals, pollens, animal fur, dander etc.
So better to get done specific IgE. Also observe yourself from which you are allergic.
Immunotherapy is beneficial only if you avoid allergen. If allergens are continuously present then you have to repeat immunotherapy every year. And immunotherapy is not cheap. So better to avoid specific allergens as much as you can.
You are smoker and having allergies with coughing, it's strange to have normal PFT.
Can you please send me your PFT report in attachment, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
Better to get done specific IgE s.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
You might be having allergic rhinitis only.
Best treatment of allergy is identification of allergen and if possible complete avoidance of it.
Your IgE is raised. But IgE is general marker for allergy. Subsets of IgE are also tested for specific allergies like food, dust, smoke, chemicals, pollens, animal fur, dander etc.
So better to get done specific IgE. Also observe yourself from which you are allergic.
Immunotherapy is beneficial only if you avoid allergen. If allergens are continuously present then you have to repeat immunotherapy every year. And immunotherapy is not cheap. So better to avoid specific allergens as much as you can.
You are smoker and having allergies with coughing, it's strange to have normal PFT.
Can you please send me your PFT report in attachment, 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
I will forward u complete TIgE report shortly.
Brief Answer:
I will wait for the detailed report.
Detailed Answer:
Thanks for your follow up question on HCM.
No worries. I will wait for your detailed IgE report.
I will be happy to help you further .
Wish you good health. Thanks.
I will wait for the detailed report.
Detailed Answer:
Thanks for your follow up question on HCM.
No worries. I will wait for your detailed IgE report.
I will be happy to help you further .
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I am attaching PFT report, allergy test report and doctors prescription. Please review.
PFT report is not very clear. But at least u can see the graph.
PFT report is not very clear. But at least u can see the graph.
Brief Answer:
Have you ever consulted ENT doctor for DNS?
Detailed Answer:
Thanks for your follow up question on HCM.
I have gone through the reports you have attached.
PFT report is normal.
Somewhere in the notes it is written that DNS is present.
Sometimes severe DNS (deviated nasal septum) can also cause such symptoms.
Amongst the susceptible antigens, aspergillus fumigatus is worrisome. It infect lungs and stays there. It is commonly misdiagnosed as asthma. On simple chest x ray it looks as prominent vascular markings (same as your case).
So for confirmation you need to get done HRCT (high resolution CT thorax).
So please let me know
1. Have you ever undergone HRCT thorax?
2. Have you ever consulted ENT doctor for DNS?
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.
Have you ever consulted ENT doctor for DNS?
Detailed Answer:
Thanks for your follow up question on HCM.
I have gone through the reports you have attached.
PFT report is normal.
Somewhere in the notes it is written that DNS is present.
Sometimes severe DNS (deviated nasal septum) can also cause such symptoms.
Amongst the susceptible antigens, aspergillus fumigatus is worrisome. It infect lungs and stays there. It is commonly misdiagnosed as asthma. On simple chest x ray it looks as prominent vascular markings (same as your case).
So for confirmation you need to get done HRCT (high resolution CT thorax).
So please let me know
1. Have you ever undergone HRCT thorax?
2. Have you ever consulted ENT doctor for DNS?
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
I already diagnosed with DNS and evaluated by ENT specialist. Within 3 months I will go for septoplasty. It is moderate DNS. I never done HRCT Throx. Is this aspergillus fumigatus dangerous. I searched in Internet. Am I immuno compromised. I don't have fever or other weakness. I had a risky sexual exposure long back. After 21 months I did HIV antibody test and result negative.
Brief Answer:
Aspergillus fumigatus is common in allergic patients.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
You should definitely get done septoplasty as early as possible, because in some cases this is the main contributing factor for your symptoms.
For aspergillus fumigatus, it is actually not a fungus. It is common in allergic patients. You are not immunocompromised. But this infection is common in XXXXXXX especially in allergic individuals.
It can cause ABPA (allergic bronchopulmonary aspergilosis). It is not life threatening condition but it is chronic condition.
In this HRCT is better than chest x ray. So to rule out this, you should definitely get done HRCT thorax.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on XXXX
Wish you good health. Thanks.
Aspergillus fumigatus is common in allergic patients.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
You should definitely get done septoplasty as early as possible, because in some cases this is the main contributing factor for your symptoms.
For aspergillus fumigatus, it is actually not a fungus. It is common in allergic patients. You are not immunocompromised. But this infection is common in XXXXXXX especially in allergic individuals.
It can cause ABPA (allergic bronchopulmonary aspergilosis). It is not life threatening condition but it is chronic condition.
In this HRCT is better than chest x ray. So to rule out this, you should definitely get done HRCT thorax.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on XXXX
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
No IgE level has nothing to do with HIV testing.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
No, raised IgE level has nothing to do with HIV testing.
If your HIV test after 21 months is negative then no need to worry for HIV infection. You are safe.
Allergy is not a sign of poor immunity.
It is actually seen in susceptible individuals who are more sensitive to some substance. So allergy is actually a protective phenomenon, to prevent those substances from getting into the body.
So allergy is not at all sign for poor immunity.
Hope I have solved your query.
I will love to hear your progression.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on XXXX
Wish you good health. Thanks.
No IgE level has nothing to do with HIV testing.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
No, raised IgE level has nothing to do with HIV testing.
If your HIV test after 21 months is negative then no need to worry for HIV infection. You are safe.
Allergy is not a sign of poor immunity.
It is actually seen in susceptible individuals who are more sensitive to some substance. So allergy is actually a protective phenomenon, to prevent those substances from getting into the body.
So allergy is not at all sign for poor immunity.
Hope I have solved your query.
I will love to hear your progression.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on XXXX
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
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