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Causes and treatment measures for recurring cold - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Good Morning,
I have had a cold for two weeks. I live in XXX, but moved from XXX for 8 months. I also have Chron's Disease and am taking humira. This happens to me every year, several times a year. Could it be a side effect of the humira due to my weakened immunity?
Doctor :   Hi
User :   good morning
Doctor :   May I know your age?
User :   30
User :   30
Doctor :   Let me brief you.
User :   please, and thank you
Doctor :   Though immunity has a role in preventing upper respiratory tract infection, nasal congestion can also be caused due to other causes too.
User :   okay...i've been tested for allergies and don't have any major ones
Doctor :   Other common causes are allergies, dust and pollution, nasal conditions such as hypertrophied turbinates, deviated nasal symptoms, vasomotor rhinnitis,
Doctor :   and so on.
User :   ok, oh and i
User :   and also i'm a smoker, like quarter of a pack per day
User :   is there anything i can do or take to prevent this from happening now and in the future?
Doctor :   Any of them or all of them can be contributing to the problem, especially when you are immunomodulators.
User :   i always take antibiotics and i wonder if that's part of it...
User :   i always take antibiotics and i wonder if that's part of it...
Doctor :   Since the immunomodulators cannot be stopped, you would need few life style modifications.
Doctor :   Let me explain them to you.
User :   ok
Doctor :   1. Good and proper nutrition is a must. Diet rich in vegetables and proteins help in supporting the immunity.
User :   i'm taking a multi-vitamin, b complex, calcium and fiber
User :   ok
Doctor :   - using face mask while travelling,
Doctor :   2. Avoid the allergens as much as possible. few means of doing this are
Doctor :   - keeping your work place and residence, free of dust and pollens ( keeping the door and window curtains closed, regularly cleaning the home, frequently changing the pillow covers and the bed sheets on which you lie)
Doctor :   and so on.
Doctor :   3. Avoid using nasal decongestants as they may cause rebound nasal congestion, thus contributing to the problem.
Doctor :   You can use saline nasal drops to help you instead.
User :   okay..i was taking them earlier in the week and it was helping and it's not doing anything now
User :   could it be bactierial?
Doctor :   4. Antibiotics may be necessary when you have other associated symptom such as fever, headaches, sore throat and so on.
Doctor :   If you have such symptoms, they may be signs of bacterial infections and in such instances
Doctor :   you will need antibiotics.
User :   i do not...could it be tb? i haven't been tested in about two years
Doctor :   5. Consult a ENT surgeon to get a physical examination of your nose to check if there are any
Doctor :   hypertrophied turbinates or deviated nasal symptoms that may be contributing to the condition.
User :   ok
Doctor :   In such cases you may need appropriate treatment of them.
Doctor :   6. You can use oral antihistaminics or steroid nasal drops if your symptoms are severe.
User :   what about sinus problems? could this be a source of congestion?
Doctor :   Yes, previous sinus problems can also be a source infection.
User :   okay, thank you
Doctor :   Do you have any other query?
User :   i don't think so...just wish i could get rid of this!
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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