Dr. Sadaf Mustafa
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have since I can remember, a runny nose, especially in the morning. Not uncommonly there are streaks of blood. Quite often also post-nasal drip. At times, I have itchy runny eyes. My doctor has prescribed an ointment Otocomb which sometimes help. In the past few months, I have noticed a sore in my inside of the left nostril. It feels like it runs neatly along the rise or cartilage. It sometimes forms a scab that I pick at. I am worried that it is not improving.
Hello,
Welcome to icliniq.com.
What you are explaining is consistent with chronic allergic rhinitis and chronic sinusitis. I wanted to know if you have ever tried a nasal spray and if yes for how long? Which one and did it help? Do you have pets? Did you have patch testing ever?
Patient's Query
Thank you doctor,
My partner has said to me for years that I may be allergic to my cat. I have had a cat since 18 years old. Short haired. I tried some nasal sprays a few years ago predominantly to see if it made any difference to my snoring which it did not. I have a referral to a sleep clinic I keep putting off. It does make my passages feel cleaner if I think about it. No, I have not done a patch test.
Hello,
Welcome back to icliniq.com.
My recommendations would be as follows:
1. Try antiallergy medication called Xyzal (Levocetirizine) 5 mg daily.
2. Use a nasal spray containing Fluticasone Propionate (Flixonase) one spray in each nostril for a month and then once in the morning.
3. Patch testing by an allergist to identify your true allergies.
The sleep study will only be accurate if your nostrils are open otherwise it will give an obstructive picture.
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Internal Medicine
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