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Suggest Treatment For Upper Respiratory Anaphylaxis
Question: What can you tell me about the signs and symptoms such as severe nasal itchiness, redness, swelling and bruising after the event, that have been diagnosed by a GP as "upper respiratory anaphylaxis" in an 8 yr old boy please.
Does it require an epipen beyond the treatment for 'allergic rhinitis' and 'post nasal drip' eg zyrtec and antihistamine/saline nasal spray as we live more than 20 min away from our local hospital?
Caelan also recently proved to respond well to a ventolin trial for asthma. Up until recent bushfires (2013) he had only recurrent croup and stridor at night which his brother's allergist suggested would indicate he would be likely to go on to develop asthma.
Does it require an epipen beyond the treatment for 'allergic rhinitis' and 'post nasal drip' eg zyrtec and antihistamine/saline nasal spray as we live more than 20 min away from our local hospital?
Caelan also recently proved to respond well to a ventolin trial for asthma. Up until recent bushfires (2013) he had only recurrent croup and stridor at night which his brother's allergist suggested would indicate he would be likely to go on to develop asthma.
Brief Answer:
EPi pen is good option but last reserve, focus on preventive measures
Detailed Answer:
Thank you for asking
I read your question and i understand your concern. Allergies and anaphylaxis with the history of asthma needs both preventive and precautionary care as well as prompt care. Epinephrine pen would be wise to keep at your dispense as the center is 20 minutes away the time oyu cant afford. But keep it the last resort. Anti histamines, corticosteroids and epinephrine are the main stay triad of these anaphylaxis reports.
Rest continue these allergic rhinitis symptoms and others conservatively. You should more focus though on allergen prevention and make sure the allergens which are responsible are not repeatedly exposed to.
You may consider allergen immunotherapy and bronchial thermoplasty for the long term relief and increase tolerance of the kid. With the passing of age till adult hood the symptoms it self will resolve to most of the extent.
You should have a look at this article to read about common allergens which can be responsible for these anaphylaxis and allergies episodes and try to avoid them.
http://goo.gl/ETkoIF
I hope it helps. Take good care of yourself and dont forget to close the discussion please.
Regards.
Khan
EPi pen is good option but last reserve, focus on preventive measures
Detailed Answer:
Thank you for asking
I read your question and i understand your concern. Allergies and anaphylaxis with the history of asthma needs both preventive and precautionary care as well as prompt care. Epinephrine pen would be wise to keep at your dispense as the center is 20 minutes away the time oyu cant afford. But keep it the last resort. Anti histamines, corticosteroids and epinephrine are the main stay triad of these anaphylaxis reports.
Rest continue these allergic rhinitis symptoms and others conservatively. You should more focus though on allergen prevention and make sure the allergens which are responsible are not repeatedly exposed to.
You may consider allergen immunotherapy and bronchial thermoplasty for the long term relief and increase tolerance of the kid. With the passing of age till adult hood the symptoms it self will resolve to most of the extent.
You should have a look at this article to read about common allergens which can be responsible for these anaphylaxis and allergies episodes and try to avoid them.
http://goo.gl/ETkoIF
I hope it helps. Take good care of yourself and dont forget to close the discussion please.
Regards.
Khan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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