Brief Answer: Further details needed. Detailed Answer: Hi The details I would like to know are - Does she have fever too along with cough? - Does this sort of cough happen with every season change? - Did she need any medications like Levolin/ Asthalin/ Bricanyl/ Deriphylline or Nebulization? - Since which age she has been having this sort of cough? - How long have you been in delhi? Is this the first winter for her in Delhi? - Is there any family history of Asthma or Allergy? - Did she have Eczema of skin in her childhood? Usually cough followed by vomiting indicates that she has wheeze. Cough that is usually with out fever, that gets aggravated with seasonal change, seen more during winters is most likely due to wheeze- Allergic Bronchitis. What she needs is - During the episode: Bronchodilator (Medications like the one I have mentioned above) and an antiallergic like Xyzal. - To prevent such attacks: Medications like Monteleukast. If very frequent she might need steroid inhalers too. Common triggers like dust, smoke (Cigarette/ Vehicle), Strong smells from perfumes/ agarbathis etc, pet animals inside the house, house molds, Cold air, food (Nuts/ Preservatives/ wheat) should be avoided. Usually rice does not act as a trigger. For the throat issue- do not use Blowers during winters. It might dry up the throat and aggravate the cough. You may use Oil Heaters. You may give her plenty of warm liquids and some lozenges like honeytuss. For the skin dryness- apply moisturizers liberally. Vaseline/ Atogla/ Oilatum/ Restoraderm all are good moisturizers. Use good moisturizing soaps (dove) and not drying ones. Hope I have answered your query. Please do get back if you need further assistance. Best wishes.

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Brief Answer: It is Allergic Bronchitis (Asthma) Detailed Answer: Hi Thanks for getting back. It is Allergic Bronchitis or Asthma. If she has problematic cough now, she might need nebulized medications or a short course of oral steroids along with the oral medications. To prevent further such attacks, Singulair should be given for a minimum of 3 months. If she does not respond to that, she must be put on Steroid Inhalers. Contrary to the normal fear of people, steroid inhalers are quite safe and it is the best way to keep the disease under control. You may go for the blood tests. You may also go for spirometry after discussion with your doctor which will help not only in diagnosis but all in monitoring the treatment. You need not check for eczema. Usually childhood eczema and asthma go together. It supports the diagnosis of childhood asthma. Try regular moisturizers I have mentioned before. After bath you may also try glycerine with XXXXXXX water (mixed in equal proportions). Hope my answer helps. Please do get back if you need further assistance. Best wishes.

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Brief Answer: You can get back any time Detailed Answer: Hi Thanks for getting back. You need not close the discussion. You can get back to me with the results. Serum Ig E is likely to be high in Allergic Bronchitis. It is not going to be much informative. If you wish a detailed allergic analysis can be done after discussion with your doctor. If any specific allergens are found, she can undergo desensitization procedures for that. But a spirometry would be more informative to assess the lung volumes. As I said before it will help us confirm that she has Asthmatic Bronchitis and guide us to manage in the right track. Please do get back with reports. I would be happy to assist you. Best wishes.

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Brief Answer: You may follow the Advice. Detailed Answer: Hi XXXXXXX Thanks for getting back. Since Rhinosinusitis if coexistant with Asthma, has to be treated completely for a full relief, you may try with the full course of antibiotics as advised. But for her cough, as I have opined before, she will need good bronchodilators and if needed Nebulization/ Short course of steroids. As I said before spirometry will help in confirmation of diagnosis of asthma and she will need inhalers for some time to prevent such episodes. It's your wish to decide when to get second opinion. You may check other details in the Profile Information. Best wishes.

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Brief Answer: Spirometry will be done in hospitals Detailed Answer: Hi Spirometry or Pulmonary Function Test will be done in hospitals. You may enquire about it and have it done. Doctor's slip will not be needed. Best wishes. Dr. Sudha Shree.V

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