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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High Eosinophil Levels And Allergy

Dear Doctor... My eosinophil counts are more than the normal level due to which I am getting allergy and sneeze when I exposed to temperature changes. When I lie down for sleeping, one of my nostril gets blocked (In general the right one) due to some liquid block. Therefore I am taking air majorly through one nostril. Therefore I feel I am not taking enough air inside and I am snoring heavily during my sleep. I feel because of my air intake through my nose is less. Thats why I inhale through my mouth which cause the snoring. My wieght and height (BMI) is in normal level... Can You suggest something for arresting my snoring.........
Fri, 11 Jul 2014
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Allergist and Immunologist,  's  Response
Hello.

Thank you for asking at HCM.

I went through your history.

High eosinophil counts and symptoms during temperature/weather changes highly favor allergic rhinitis. I would suggest you to take daily montelukast and levocetirizine at least for 2 weeks. If your problem is long standing (over a few years), a course of intranasal corticosteroids will help better.

However, if you always have one-sided symptoms, you could have simultaneous local nasal problem also (allergy usually causes both-sided symptoms), so I would suggest you to consult an ENT surgeon who will examine you and may identify a local cause.

Correction of the cause of nasal blockade will improve your snoring also.

Hope this will be helpful to you.

Wish you the best of the health.

Regards.
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Suggest Treatment For High Eosinophil Levels And Allergy

Hello. Thank you for asking at HCM. I went through your history. High eosinophil counts and symptoms during temperature/weather changes highly favor allergic rhinitis. I would suggest you to take daily montelukast and levocetirizine at least for 2 weeks. If your problem is long standing (over a few years), a course of intranasal corticosteroids will help better. However, if you always have one-sided symptoms, you could have simultaneous local nasal problem also (allergy usually causes both-sided symptoms), so I would suggest you to consult an ENT surgeon who will examine you and may identify a local cause. Correction of the cause of nasal blockade will improve your snoring also. Hope this will be helpful to you. Wish you the best of the health. Regards.