Fluticasone

Fluticasone is a steroid used to treat nasal symptoms like congestion, sneezing, and runny nose. It is commercially available as a nasal spray that can be directly sprayed into each nostril. Common side effects include nosebleed, headache, nausea, vomiting, stomach pain, etc.

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Can Seretide be stopped abruptly?

Query: Hi doctor, My brother has asthma from the age of 2. He used Seretide (Fluticasone propionate and Salmeterol xinafoate) from the age of 5. He stopped using it at the age of 12. From then he also uses Montelukast every day and Ventolin (when it gets severe). Now he is 14 years old. He was okay for th...  Read Full »


Dr. Amolkumar W Diwan

Answer: Hi, Welcome to icliniq.com. Thanks for writing your query to me. You said your brother is having asthma and was not taking Seretide for so many years. The first thing I want to clarify is that asthma is a chronic disease. You should take a regular controller inhaler like Seretide inhaler and Vent...  Read Full »

Is my throat swollen due to pine tree pollen?

Query: Hello doctor, The symptoms I have are bad cold or strep throat, itchy eyes and throat but no cough. I do not have tonsils, but seems like there is a whitish puffiness on one side of my throat. It started five days ago and it has been getting mildly worse since then. I have been loading up on f...  Read Full »


Dr. Amolkumar W Diwan

Answer: Hello, Welcome to icliniq.com. As you have told that the symptoms started only after exposure to pine pollens, it is most likely that you are suffering from allergic rhinitis (seasonal). It usually presents with the typical symptoms as in your case. The best way is to prevent the exposure and stay a...  Read Full »

Please suggest permanent solution for allergic cold and bronchitis.

Query: Hello doctor, I have been taking intermittent treatment for allergic cold and bronchitis with my family doctor pulmonologist and for some time for ET ear problem with a local ENT doctor. I had allergic sneezing and irritation for about 12 days, but no fever or cough. A local ENT gave me Azithral 5...  Read Full »


Dr. Amolkumar W Diwan

Answer: Hello, Welcome to icliniq.com. From your description, it seems that you are suffering from allergic rhinitis and mild intermittent asthma. From the symptoms, it is very obvious that the symptoms like nasal irritation and frequent sneezing are because of nasal allergy. You have already completed th...  Read Full »

Please interpret my PFT report.

Query: Hello doctor, I had a PFT done. When I asked about the results my doctor said they were fine. That was not good enough. I have FEV1/FVC ratio of 64 %. Increase in residual volume to 156 %. What does this mean? My echo is with EF of 50%. I am a 31 year old, non-smoker. I am a wildland firefighter. I ...  Read Full »


Dr. Amolkumar W Diwan

Answer: Hello, Welcome to icliniq.com. Thank you for writing your query elaborately. From your history it is very clear that you are suffering from asthma. That is the reason for your difficulty in breathing very often. Your pulmonary function test (PFT) report (attachment removed to protect patient identit...  Read Full »

Is exertion likely to cause blurred vision and dizziness in asthmatic patient?

Query: Hello doctor, I am a 21-year-old male. I have asthma and hypotension. I am below average weight (5'10'', 117 lbs). Over the last few months, any time I exert myself beyond normal. I get really dizzy and my vision blurs and tunnels and my lungs hurt badly until I take my inhaler. About 60 seconds la...  Read Full »


Dr. Amolkumar W Diwan

Answer: Hello, Welcome to icliniq.com. As you said you are asthmatic and taking two inhalers. But you suffer exertional dyspnea and fatigue also hypotension and all this is because of hypoxia. Your asthma is not under control. So you need to increase the dose of Fluticasone inhaler or take a combination i...  Read Full »

Please suggest treatment for chronic dry cough.

Query: Hi doctor, I am suffering from chronic dry cough originating primarily in bronchial area. I feel fatigue, vertigo, lack of appetite and periodic nausea. Please help.  Read Full »


Dr. Amolkumar W Diwan

Answer: Hello, Welcome to icliniq.com. Chronic cough since long time suggests some allergic condition like asthma. For proper diagnosis you should do a chest x-ray and spirometry test. Other symptoms can be suggestive of some infective cause like tuberculosis. So, ultimately after an x-ray and spirometry...  Read Full »

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