Hello Mr Atanu Bandopadhyay,
I went through your daughter's history and would like to know more about her as follows:
a. What are her nose symptoms - running nose,
sneezing, nose congestion - and how frequent?
b. What are her chest symptoms - wheezing, breathing difficulty - and how frequent?
c. Does she get symptoms while physical activities like exercise, outdoor games, etc?
d. Does she have frequent headaches?
e. Does she have eye symptoms - red eyes, itchy eyes, excessive watering?
f. Does she have any digestive complaints - frequent acidity,
vomiting,
constipation, frequent stomach pain, etc?
g. Does/did she have any skin allergies like
dermatitis or urticaria?
h. Day symptoms or night symptoms?
i. Seasonal variations?
Above details would help me to know more about her health and therefore to make more specific suggestions for her.
At present, from your provided details, I would like to make suggestions for her as follows:
1. For identification of allergies, I would suggest her skin testing for common air-borne allergens like house dust mites, pollens, molds, insect proteins, animal dander (if you have pet), etc. This will help you identify the substances causing allergies to her as well as to know the measures to avoid them.
2. Based on allergy testing, an Allergist-Immunologist may also prescribe her allergen specific
immunotherapy which works on immune system to gradually improve her allergy symptoms over a long period.
3. For symptom relief and prevention, I would agree with your current treatment. I usually suggest my such patients regular
levocetirizine +
montelukast.
4. Allergies and asthma are a bit worrisome but not very much. With proper understanding of the disease, care and use of medicines children can live very normal lives like most other normal children.
5. Please avoid exposure to dusts, smokes and air pollution as much as possible.
6. A healthy diet rich in vitamins & minerals as well as regular physical exercise including Yoga & Pranayama will also help her in a long run by improving her immunity and lung capacity respectively.
Hope above suggestions will be helpful to her.
Should you have any further query, please feel free to ask at HCM.
Wish your daughter the best of the health ahead.
Thank you & Regards.