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Q. I have chronic cough and cold with chronic idiopathic pancreatitis. Please help.

Answered by
Dr. Shyam Kalyan. N
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Mar 28, 2020

Hello doctor,

I am a 32-year-old male. I am having chronic idiopathic pancreatitis. I am regularly on Agna 25000 three times, Cretox CP three times a day.

My problem are cold and cough for two years approximately. Almost four to five days a week. Even sleeping under the fan my nose gets blocked in the morning and nowadays I feel uncomfortable when dust is around as well. Did total IgE report is quite high? Please diagnose and suggest medicine.

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#

Hello,

Welcome to icliniq.com.

We are happy to help you.

I understand that you have these complaints for a few years. It most probably is a manifestation of allergic rhinitis. The total IgE in serum is just an indication of the allergy status at the time of taking the blood sample. It is not very significant in allergy practice. Nevertheless, it shows that you have an allergy.

You need some medicines to keep allergy under wraps and prevent the blockage and cold. You also need to find out which allergen is offending and causing the problems. The best way to diagnose is getting a skin prick test done at a good allergy diagnostic lab.

Meanwhile, you will be benefitted by an antihistaminic with leukotriene inhibitor combination, steroid nasal spray, and allergen avoidance. You would need to be taking these for about two to three months. Allergen avoidance is the best solution. Could you provide us more details about the complaints so that we can guide you better?

Is the problem seasonal or perennial? Does it only occur in the nights when you lie down under the fan or any time of the day? Does it get worse in winters or when you visit any hill station? Where do you live? Do you smoke? What is your diet like? Do you get exposed to vehicular exhaust pollution or smoke and dust of any kind? Have you tried nasal sprays before? Is the cough wet or dry? Is there any breathing difficulty or wheezing? Is there any change of voice?

Thank you doctor,

Although the problem lies throughout the year I feel it becomes more obvious every time the season changes. Mostly it occurs in the night and I feel my nose blocks when I wake up in the morning. Frequency is more in winters. I live in West Bengal. I smoke very seldom, twice a week on an average I guess.

My diet is absolutely fat-free and small in quantity. I do not get exposed to pollution or dust very often now although I used to play a lot in the fields in my childhood but never faced any issues. If I remember well I might have used nasal spray once or twice before. The cough is wet, light green in color, running nose, itching inside the mouth in the upper gums above the tongue, and waterfalls in quite large quantity from the eye in the night and itchy inside right ear.

A lot of cough keeps coming out throughout both from nose and mouth throughout the day. Breathing difficulty is not there and cannot hear wheezing. I feel that my voice gets heavier during the episodes.

#

Hi,

Welcome back to icliniq.com.

You need to stop smoking. Quit it entirely. Smoking affects sinonasal and respiratory mucosa causing poor mucociliary clearance and hence aggravates your allergy problem.

I would suggest you do not lie down under the fan or air-conditioner directly. Keep the AC at an optimum temperature of 25 or 26 and with mild blower speed. If needed put fan at one speed with mild Aircon. Do not lie down directly under the AC. Do not inhale vehicular dust smoke and polluted air. Do some breathing exercises and yoga.

Eat a healthy diet and avoid excess milk. You would need Montelukast10, Levocetirizine 5mg for a few weeks. Additionally, you start on Fluticasone furoate nasal spray. Read the pamphlet properly regarding how to use the spray. If you have any doubts regarding the same revert back to me.

Do let me know if there is anything more I can clarify and help you with. Practice social distancing and take abundant care.


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