Question 1

I'm dealing with this annoying throat irritation followed by a dry cough that's been bothering me since last year. It seems to get better for a while, but then it just comes back. My local doctor mentioned it might be an allergy. I've been taking levocetirizine 5 mg and montelukast 10 mg, along with using a mometasone nasal spray for the past 5 days, but I'm not seeing any relief. It's quite frustrating. I also did some tests and my CRP came back negative, but my immunoglobulin serum IgE level is pretty high at 250. Could you guide me on what to do next? Is there something else I should be trying?

Accepted Answer

It seems like you are experiencing allergic symptoms in your throat and cough. Since you have already been taking Levocetirizine 5mg + Montelukast 10mg and Mometasone nasal spray with no relief, I would recommend adding a mucolytic and a cough suppressant to your treatment regimen. You can try taking Ambroxol 30mg twice daily for mucus clearance and Dextromethorphan 10mg for cough suppression as needed. Additionally, since your Immunoglobulin serum IgE level is high, you may benefit from adding a steroid inhaler like Fluticasone propionate for better control of your symptoms. Make sure to follow up with your doctor for further evaluation and management.

Question 2

I got my Covishield vaccination on July 17, and the next day I was hit with fever, chills, and body aches. By the third day, it felt like I had a coldnasal congestion, sneezing, and shortness of breath. I usually deal with allergic rhinitis and experience allergies to fragrances and some foods, and I rely on my inhaler and L Montus tablets when things get uncomfortable. I'm just curious, could this sudden cold with shortness of breath be a reaction to the vaccination? Any ideas?

Accepted Answer

yes due to foreign body ingestion

Question 3

I was recently diagnosed with allergic rhinitis and got some concerning lab results. My WBC count is 13,000 and my serum IgE levels shot up to 3,500, which I know is way above the normal range of 0-100. Plus, my absolute eosinophil count is at 1,040, and I've read online that such high IgE levels could indicate cancer or some other serious disease. Is this something I should be worried about? And is it possible to bring my IgE level down to normal with medication? How long would that typically take?

Accepted Answer

Elevated IgE levels, especially with allergic rhinitis, are usually a sign of an allergic response, not cancer. It's important to manage your allergies with medication, which can help lower IgE levels over time. The duration of improvement can vary, but with proper treatment, you should start seeing changes in a few weeks to months. Always follow up with your doctor for personalized care.

I've been sneezing every morning for about an hour after I wake up and Im not sure whats going on. This has been happening for the last six months and it's really bothering me. Do you have any suggestions on what might be causing this or how I can stop it?

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