How to manage allergic rhinitis and bronchial asthma?

Hi,

Welcome to icliniq.com.

I understand how frustrating it must be to deal with these symptoms for such a long time. Based on what you have described, the most likely cause is severe allergic rhinitis (nasal allergy) along with associated sinusitis (inflammation or infection of the sinus cavities around the nose).

When you are exposed to dust or any substance your body is sensitive to, your nose first tries to protect you by triggering sneezing. If that is not enough, the lining of your nose produces excess mucus to trap the irritant. This mucus is either blown out or pushed toward the throat.

When it reaches the throat, it can trigger coughing. If it continues for a long time, it causes throat irritation, leading to a constant need to clear your throat or a “lump in the throat” sensation.

Chronic nasal inflammation can also affect the Eustachian tubes (small channels that balance pressure between the nose and ears). When they do not function properly, you may experience ear blockage, ringing, muffled hearing, or pressure sensation.

Additionally, long-standing inflammation can block the sinus openings. When sinus drainage is blocked, mucus collects inside and may become infected, leading to facial pressure, headache around the eyes or forehead, or cheeks, and gland swelling.

Since your symptoms have been ongoing, I am not sure whether you have followed a structured medical treatment plan. Before considering surgery, a proper medical management plan is essential and often very effective when followed consistently.

Kindly take these only after consulting your treating doctor.

1. Tablet Sinarest (Chlorpheniramine, Paracetamol, and Phenylephrine), take one tablet twice daily after food, 12 hours apart, for 15 days.
2. Tablet Allegra M (Fexofenadine and Montelukast), take one tablet twice daily after food, 12 hours apart, for 15 days.
3. Tablet Zerodol-TH (Aceclofenac and Thiocolchicoside), take one tablet twice daily after food for five days (only if there is a significant headache).
4. Tablet Clarithromycin 500 mg, take one tablet twice daily after food, 12 hours apart, for seven days.
5. Donate nasal spray (Fluticasone and Azelastine), two sprays in each nostril twice daily for three months. Do not inhale deeply while spraying.
6. Tablet Mucomix 600 mg (Acetylcysteine), take one tablet twice daily after food for one week.
7. Tablet Wysolone 10 mg (Prednisolone), take one tablet after breakfast for one week.

You should wear an N95 mask regularly to reduce dust exposure, as avoiding triggers is crucial; without this, medications may not provide lasting relief. Steam inhalation three to four times daily can help loosen mucus and ease congestion, while warm saltwater gargles three to four times a day can soothe throat irritation.

Additionally, avoid smoking and alcohol, as they impair the natural mucus-clearing mechanism of the nose and can worsen your symptoms.

If medications and strict precautions are followed properly, many patients improve significantly and do not require surgery. Surgery is considered only if symptoms persist despite full medical therapy. However, even after surgery, symptoms can return if trigger avoidance is not maintained.

The key message is: avoid allergens and follow treatment consistently. There is no need to panic. With proper care and discipline, your symptoms should gradually improve.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.

Hi,

Welcome back to icliniq.com.

Thank you for sharing the reports (attachment removed to protect the patient's identity). I did have a look at them in detail. There is a problem of allergy here, as discussed in our previous conversation. Adequate care has to be taken with lifestyle changes and preventive measures, as there is no immediate medical or surgical treatment for allergy.

Exposure to the triggering factor at home is more than enough to create trouble and cause the symptoms that you are having, and there is no hard and fast rule that exposure should only happen outside the house. Please try to follow instructions as much as possible with all the medications I have suggested.

I hope this helps.

Please revert in case of further queries.

Thank you.