Question 1

Good morning Sir/Madam, My son is 3.4 years old. He started with a simple runny nose which later turned into a dry cough. It has been one month that he is on treatment. Initially, he took cold related medicines for almost two weeks, including Cetrizine, Phenylephrine, Dextromethorphan, and Chlorpheniramine, but had very little improvement. Later, he developed ear pain, so he was given Augmentin antibiotics. He improved for only two days and then again started having a severe dry cough. His vitamin D level was found to be 53, and he is taking weekly 60000 IU. The doctor told us it is bronchitis and prescribed Levolin and Budocort three times a day. Even after 20 days of using the pump, there was very little improvement. Now, he has been given Prednisone and Cefixime for five days, but he is still coughing continuously, today is the third day of this treatment, and there is very little improvement. He does not have a fever. Please suggest what I can do to help his improvement?

Question 2

I am a 53 year old woman suffering from allergic rhinitis. I would like to know the cost of a skin prick test for both airborne and food allergens. Additionally, if I am found to be allergic to something like house dust mites, what would be the cost of allergy vaccination (immunotherapy)? For your reference, my recent test results are: TLC: 9100/cumm, Neutrophils: 50percent, Lymphocytes: 40percent, Eosinophils: 6percent, Monocytes: 4percent, Basophils: 0percent, Total IgE: 231.2 IU/ml, hsCRP: 4.6 mg/L, Vitamin D: 7.65 ng/ml.

Question 3

Dear Doctor, I have severe sneezing and wheezing and my eyes and ears are also itching and having irritation. Sneezing for more than 100 times in a day, minimum 10 to 20 each time I sneeze, is making my life miserable. I am also struggling with sleepless nights, which is increasing my symptoms even higher. How can I tackle this issue? I found my eosinophils count is a little higher than expected. I am yet to receive the complete blood report. But this problem has been consistent for more than 3 years. Please suggest a way to get out of this miserable living. When I sneeze, urine leaks. In the morning, as soon as I wake up, I sneeze like hell and my stools also leak due to severe and unstoppable sneezing. I hope you are able to see the life I am living. I do not know which treatment or which specialist is suitable to treat my problem. Please help and direct me to the correct treatment. Thank you, Durgalakshmi.

I consulted a doctor at KIMS, and they said I have an allergy, so I have been taking allergy medicine. However, I am experiencing chest mucus and frequently vomiting mucus after eating. My test report shows immunoglobulin E over 1000. Could this be the reason for my phlegm problem?

Yes, very high IgE suggests strong allergic reaction. Mucus and vomiting after food can be related. Continue anti allergy meds, avoid known allergens, and consider seeing an allergist for immunotherapy or dietary review.

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