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Q. I have symptoms of the flu all year long. Why?

Answered by
Dr. Alexander Davis
and medically reviewed by Dr. Lochana
This is a premium question & answer published on Oct 31, 2020 and last reviewed on: May 24, 2021

Hi doctor,

I have had flu ever since I was three. I am now sixteen, but the flu happens all year round. The flu comes early in the morning after waking up and at night before sleep, and also when I wake up abruptly—my nose and eyes itches. My nose is also congested, and I can only breathe through my mouth. Whenever I sneeze, I lose a lot of energy. It also occurs when the weather is cold. The mucus I pass out is colorless and watery. I have severe headaches and loss of smell too. My parents took me to the hospital once, and they gave me Rhinocort, which worked, but then we went to a herbalist, and nothing changed. I am tired of this. Please help me. Thank you.

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Hi,

Welcome to icliniq.com.

I am sorry to learn about your condition. Understandably, you want to get rid of this situation. Based on your description, I firmly believe this is an allergy-like auto-immune process. Maybe you have laboratory results with a full platelet count at home. Have a look at the eosinophils and basophils. They might be elevated. Therefore I would never have prescribed your herbal medicine because these conditions are driven mainly by proteins and other structures that we find in all-natural products. So eating healthy is fine, but please avoid herbal supplements or “natural” medications with many unknown biological properties. Instead, I recommend trying therapy with two mast cell stabilizers and one classic (generation 1) oral antihistamine. The mast cell stabilizers need about two weeks until they have their full effect. For pain I recommend Naproxen. I genuinely hope that this will help you. Get better soon and stay healthy.


The Probable causes:

Mast cell disorder.

Investigations to be done:

Full platelet count, especially eosinophils and basophils.

Differential diagnosis:

Various.

Probable diagnosis:

Mast cell based allergy-like condition (chronic).

Treatment plan:

Cromoglicic Acid (nasal spray and eye drops).
Azelastine (nasal spray and eye drops). Take it one hour after the Cromoglicic Acid.
Clemastine 1 mg tablets, three times a day (can cause drowsiness, especially during the first weeks of treatment, so be careful).
Naproxen 250 mg (only if need to control acute pain, never more than 750 mg a day and maximum three days in a row).
Gaviscon liquid (antacid syrup to be taken an hour after the Naproxen to protect the stomach against its potentially harmful side effects).

Preventive measures:

Avoid supplements with a complex mix of natural substances.

Regarding follow up:

Any time you want.


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