Hi there,
Thanks for your query.
From the information provided, you are apparently suffering from either upper respiratory allergy with possibility of secondary
fungal lung infection.
This is apparently a professional hazard.
Ask your doctor to order for
sputum culture and sensitivity test, which will identify the causative organism and also the most effective antibiotics. a blind trial of empirical antibiotics will NOT cure your upper respiratory/Sinus/ lung infection!!
Prolonged use of Advair will have additional undesirable side effects. Hence, I recommend switching over to Azelastine
nasal spray along with a combination of Levoceterizine +
Montelukast for complete control of your upper respiratory allergy (called
allergic rhinitis).
Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports- will prescribe suitable treatment as advised.
If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE all doctors- engaged in social service- to render sound advice to the FREE queries.
Fond regards and have a nice day
Dr. Rakesh Karanwal