Why does one get allergies in specific months every year?

Question

Hello doctor,

I am an 18-year-old boy. For the last three years, I have allergy. I face difficulty in breathing and coughing, and there is a sound while breathing. The problem increases at night, and I wake up nearly four to five times during my sleep, and sit for a while. This is my fourth year when I am again facing this problem. This problem arises usually in the middle of the year and does not happen in other months. When I had this problem the first time, I consulted a physician who gave me five tablets of Asthalin (Salbutamol) (one for each day), and a cough syrup. It gave me relief.

But last year, when I took the same Asthalin tablets and cough syrup, it did not work. So my parents took me to another doctor in the city who gave me Leephylline 200 mg tablets for five days. He said that it is just an allergy that will go by itself after 18 years. He told me not to drink cold water, curd, rice, etc., when the season changes.

This year I again faced the same problem, but I did not drink cold water when the season changed. My doctor got transferred to another city. And when I went to buy a Leephylline tablet, the chemist said that it is not available. He gave me the tablet Allegra M (Montelukast and Fexofenadine) as its substituent. This tablet did not work. Then I went to consult a doctor who prescribed Cefixime dispersible 200 mg tablets. It also did not work.

What is the reason behind my allergy? Why does it occur? Can you prescribe me the right tablet for my problem? Please give me advice on what to do to get relief permanently.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

You seem to be suffering from airway hyperreactivity disorder, the common colloquial term being an allergy. This occurs because your respiratory pathway is more sensitive to some day-to-day substances, which others are able to tolerate without any problem. When such a situation occurs, it can present with wheezing, breathing trouble, chest heaviness, sneezing, running nose, itching, sinus headache, disturbed sleep, and day-time sleepiness.

One must be careful regarding seasons. If the allergy occurs during a particular season, then it must be due to a particular pollen. The substitute the pharmacist has given and the one the new doctor has given are all different. You need medicine to dilate your respiratory pathways. You need an Asthalin inhaler (bronchodilator) of strength 100 mg and a Seroflo inhaler (Salmeterol 25 mcg) and Fluticasone propionate 250 mcg) of strength 250. For details regarding how to use these inhalers, and how to avoid allergies in the future, you can revert back to me.

But when you revert please give us details as to whether the breathlessness occurs throughout the day or only in the night, when it increases with physical exertion, whether it causes fever, headache, running nose, sneezing, etc. With the right advice, precautions, and allergy management protocol, you will be good soon.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.