Patient's Query
Hi doctor,
I recently did an allergy test. I have a problem with sneezing and coughing.
Please help.
Thank you.
Hello,
Welcome to icliniq.com.
I can understand your concern.
You mentioned that you have been sneezing and coughing.
1. Do you have a history of food or drug allergies?
2. Are you asthmatic?
Your allergy test results (attachments removed to protect patient identity) showed that you have elevated serum IgE (immunoglobulin E). High IgE levels are usually associated with allergies. You also had positive results for house dust and house dust mites.
Based on your symptoms (sneezing and coughing) and your allergy test results, my impression is that you have allergic rhinitis with a hyperreactive airway. Your allergies are triggered by house dust and house dust mite.
Allergies like this can be controlled. The first thing to do is to avoid exposure to dust and house dust mites. This would involve:
1. Getting rid of clutter in the room that might collect dust (books or magazines).
2. Curtains and carpets have to be cleaned or washed.
3. Bed linens have to be changed weekly.
4. Use a vacuum cleaner to clean the room or house daily.
5. Change your pillows every few months, as these can collect dust or dust mites. Mattresses have to be aerated as well and changed if they have been used for years.
The second line of managing allergic rhinitis would be by using medications. You can take any non-sedating antiallergy pills that you can buy over the counter, and take this once a day. If this does not help, then use a topical corticosteroid nasal spray to protect your nasal lining from an allergic reaction once the dust or dust mites enter your nose.
The last step would be immunotherapy (the treatment of disease by activating or suppressing the immune system) for house dust mites. This can be done by injection, or even with a tablet given under the tongue.
My advice, for now, would be for you to try to modify your environment so you can avoid the dust or dust mites and take antiallergy tablets if needed. If this does not help, please visit an allergist in your area, so the doctor can prescribe you nasal sprays, assess your response to the treatment, and advise you if you need immunotherapy as well.
I hope this helps.
Please let me know if you need any help.
Thank you.
Patient's Query
Hi doctor,
Thank you for your response.
Can you suggest some medicines that will help reduce the problem?
Thank you.
Hello,
Welcome back to icliniq.com.
You can try tablet Loratadine (anti-histamine) 10 mg once a day for one week. You can get it over the counter. You can even extend it for two weeks and see how it goes. Consult your doctor and take the medicines accordingly.
Please let me know if you need any help.
Thank you
Patient's Query
Hello doctor,
Thank you for your response, but I think this will be a temporary solution. What could be done for a permanent relief?
Thank you.
Hello,
Welcome back to icliniq.com.
Yes, I agree. Allergy has a genetic predisposition, so we can only try to control it. Please see a doctor in your area who can prescribe a corticosteroid nasal spray.
Usually, this can give good control. In the meantime, you can also try using saline nasal sprays or wash to help with the symptoms. So far, only immunotherapy can give you very good control, especially in the case of allergies.
I hope that you get your answer.
Please let me know if you need any help.
Thank you.
Was this conversation helpful?
Answered byDr. Radela Yvonne L. Ramos-cortes
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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