Hello doctor,
I have allergic asthma and nasal polyp since the past year. I have seasonal asthma since my childhood, and during an endoscopy, they found a 7 mm polyp at the GE junction, which is benign. I am feeling fatigue, and some foul smell is coming from my throat and nose. My recent blood work report shows mild elevation in gamma globulin and absolute lymphocyte count. I am worried for the elevated gamma globulin. Is it due to something more serious?
Hi,
Welcome to the icliniq.com.
- 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.
- Take less spicy foods.
- Avoid heavy meals.
- After dinner, sleep only after two hours.
- 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
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