How can I investigate the reason for an increase in eosinophils?

Hello,

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I had seen attached reports here (attachment removed to protect patient identity). An eosinophil count is high in your case and history of a cough with the mucous present. Hence allergic rhinitis or a bronchitis-like case has to be ruled out. For that allergic testing should be done. By allergy testing, we can find causative allergen. Apart from allergic respiratory infection, skin eczema, parasite infection are some other causes. For symptomatic relief, Levocetirizine plus Montelukast combination drug can be prescribed for ten days for high eosinophil count. Your calcium level is also low, for that take Cholecalciferol sachet of milk taken once a week for eight weeks. Take care. Regards.

Hello,

Welcome back to icliniq.com.

Hereby, I am giving you my further opinion regarding your case. You are having sneezing and mucus formation in the nose as per mentioned history. And eosinophil count high. So it suggests towards allergic upper respiratory tract infection like rhinitis. Allergy testing is done by an allergic pulmonologist. So by allergy testing causative allergen can be found like pollen, dust, cold, etc. After identifying causative allergen, you can avoid exposure to that allergen to prevent allergic symptoms. For allergy symptoms, Montelukast plus Levocetirizine combination prescribed when needed. Stool routine micro examination is done to check parasite if present. The most likely cause in your case seems to be allergic rhinitis. By completing the course of the above-prescribed drug, eosinophil count will come down to normal. Repeat CBC after taking that drug. Take one tsp (teaspoon) turmeric powder with milk daily. Take care. Regards.