Brief Answer: Chronic Allergic Rhinosinusitis Detailed Answer: Dear XXXXX Thanks for contacting Ayurveda with your health query and following points needs clarifications for Ayurveda line of management 1. going by your history of blocked nose [it seems probably Maxillary sinus is affected], what was the opinion of ENT Specialist?? 2. any associated toothache, headache, eye strain, facial pain and pressure, nasal discharge, poor sense of smell,bad breath.?? 3. since it is coming back thus probably disease has progressed to CHRONIC Rhinosinusitis. [blocked nose, mucus build up] 4. Duration of taking Allopathic Medicine and any addiction? 5. as banana and milk causes you to suffer from cold, sneezing which probably means you are sensitive to the said products which triggers dilation of blood vessels in the nose, and releases chemicals from cells in the nose that cause swelling. [stuffy nose] 6. What about your immune status i.e. getting recurrent fever or any immunocompromised state [any history of diabetes, tuberculosis or kidney disease]?? PS: A poor immune system makes you more prone to any infection. 7. Asthma is a risk factor for sinus infection [as childhood asthma was there] PS: were you examined by a chest specialist for the same [regarding clinical examination and baseline investigations] ?? Do revert back with following concerns for Dietary Regime & Lifestyle Management. Dr. Munish Sood Consultant & Physician Namittika

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Brief Answer: Dietary Regime and Management Detailed Answer: Dear XXXXX Thanks for reverting back with your clarifications and going by the case history and symptoms I will prescribe you Dietary Regime and Medicine on line of ‘jeerna pratishyaya’ [ जीर्ण प्रतिश्याय] 1.Avoid: . Heavy, slimy and acidic food, curd, mustard oil, excess physical exertion, sunlight-dust areas, exposure to strong winds, day sleeping, smoking . Potato, green leafy vegetables. Cold water/food 2.Take: . Old brown rice, soup of moong dal, black grapes, cow’s or goat milk, garlic, lukewarm water to drink, black pepper, dried ginger, honey, mulethi, launga 3.Take Raw ginger+ raw turmeric: [2 gm each] and fry in cow’s ghee [6 gm] and thereafter add 6 gm jaggery and take at bed time [during night] 4.Successful prescription for you will be i XXXXXXX XXXXXXX ras+ shringa bhasma+ Shuddha man shila+ madhuyashti/sitopladi churan: twice a day with cow’s ghee ii.Chitrak haritki: at bed time [20gm] iii.Vyoshadi churan: after meals, two times PS You can contact an Ayurveda Physician there for the Dosage recommendations or I can Courier you the said medicines with prescribed dosage [at your discretion] 5.In Ayurveda we hold that nose is the gateway to head, thus start practicing NASYA [errhine therapy], after consulting/guidance of an Ayurveda physician [with shadbindu tail] 6.As attacks are frequent take high protein diet ( egg (white), soyamilk, pumpkin, squash, watermelon, peanuts, almonds, if non-vegetarian (meat) are choices , legumes, sprouted pulses/cereals, milk with protein powder [since blockage of nose is an issue thus yogurt and beans are not recommended] and deep breathing Exercises [anulom vilom] 7. i. Vitamin A: helps to maintain Thymus gland which is a powerful antiviral gland: thus mango, carrots, cantaloupe (विलायती खरबूजा), egg yolk, apricots, pumpkin, papaya, are ideal. ii. Vitamin C: is needed for proper functioning of immune system: amla (आमला) is best iii. Vitamin E: is a powerful anti oxidant which helps to stimulate antibody production: peanuts, dried apricots, cooked spinach (शलगम) taro root (अरबी) can be taken iv. Vitamin B is important for the activity of phagocytes: eggs, cheese, pistachio, raw garlic, sunflower and sesame oil. 8.Regarding your Belching/burping problem i.Avoid swallowing of air e.g. sipping tea, chewing tobacco, chewing gum, aerated drinks. ii.Eat slowly, avoid haste, chew properly and avoid overeating. iii.Close the mouth while belching. iv.Avoid oily food and onions, peas, beans, Dals v.Eating a less, than demanded by appetite is very important vi.Drink 4 spoons of aegle marmelos leaves juice for 1 4days vii.Take kaumarya assav or abhya arishta along with tablet Gasex PS Since knowing our limitations, your ENT Doctor is in better position for further prognosis, but Preventive and Prophylactic treatment and Management has been provided Dr. Munish Sood Naimittika

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Brief Answer: Characteristics of Diet Detailed Answer: Dear XXXXX Thanks for reverting back with your concerns 1.Since you commonly get cold while consuming grocery Milk, make sure if you do get the same with cow’s milk it will be better to avoid the same [reason being cow’s milk is BABY food for calves and not for adults]. But since Ayurveda medicine considers cow’s milk it to be a strengthening, nutritive driver for medicines [Anupana] thus do not take it individually but as a vehicle for administration of drugs in prescription 3 and 4 [ii].. Since it causes increase in number of CD4 helper cells b.Mayonnaise [since is processed] is an offending agent of sinus problem and so is cheese, Avoid them 2.Chicken noodle soup 3. Since white rice has lots of white liquid (पिच्छ), i.e. the discarded liquid which makes it more mucus forming agent. [Brown rice [that too 1 year old] will have very less forming of liquid portion making it more favorable for your ailment. 4.All of the said vegetables are good Immune boosters but don’t take them in lunch but instead drinking liquid-based hot vegetables in form of soup will help thin mucus and promote nasal drainage, helping the sinuses restore to their normal state Do not consume any beverages containing caffeine because these beverages can lead to dehydration and increased nasal congestion. 5.Nasya [pratimarsh] can be followed daily without any complications after consulting an Ayurveda physician there and can ask how to perform Jal Neti/ Rubber Neti also. 6. i. Nardiya XXXXXXX XXXXXXX ras is prescribed for diseases above the Neck [and nose is one such organ] so is effective [make sure you take it either with tambul svaras, honey or milk] ii. Vyosadi vati again is drug of choice in pratishyaya [make sure you take it with hot water] iii. Syrup Septilin is having Immunomodulators while Bresol is for Rhinitis [again good] iv. Somasav having broncho dilator properties is effective in Asthma and bronchitis. v. pathya ghan vati is for indigestion and general weakness of body Dr. Munish Sood Naimittika

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Brief Answer: Thanks Detailed Answer: Dear XXXXX Thanks for giving prompt replies to my consultation and do let me know about your health progress Dr. Munish Sood Naimittika

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