Hi,

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• According to the history provided, you are having asthma and acid reflux disease.

• To cure asthma, I suggest using Salmeterol and steroid combination inhaler. Here steroid component can lead to throat irritation and secondary throat infection, for example, candidiasis like a fungal infection. As a result, your mouth might smell bad, so do wash your mouth with water after using the inhaler.

• Use Betadine mouthwash, before sleeping to maintain good oral hygiene. You should get the posterior pharynx examined by an ENT otolaryngologist.

• Prolonged acid reflux can also lead to throat irritation, and secondary to it there might be foul smell from the mouth.

• Absolute lymphocytosis can be considered as viral infection here, for which symptomatic management is done. If CBC report is not improved even after a week, then further workup needs to be done.

• If acid reflux is not improving with medication, then fundoplication like surgical management can be done.

• Platelet count is slightly low, and giant platelet is seen suggest towards the destruction of platelet, secondary to an infection. Gamma globulin level also seems increased here secondary to infection.

• For acidity, try doing the following.

1. Take less spicy foods.
2. Avoid heavy meals.
3. After dinner, sleep only after two hours.
4. Keep your head raised by putting a pillow under the head, while sleeping.

For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist