Have sinus problem. Done CT scan. Blood test shows abnormal ESR and IgE levels. History of asthma. Want opinion - Online Doctor Chats
I am Dr XXXXX
My blood test says that my ESR is 18 mm/Hr and my Total IgE is161 IU/ml
this seems to be beyond normal range
and hence would need opinion if this is what my sinus problem may be related to
IgE is an immunoglobulin that helps fight some infections.
could you please give your opinion on results ?
When a skin infection is present ,that time it is called as Hyper-IgE syndrome.
That time it is only found for some time and then it may go away.
Your ESR looks ok.
It is not raised.
ok, thanks !
Can you tell me in detail about your health.
I would be better able to help you.
then the problem was gone for last 10 years
lately I shifted to Bangalore, and after an year I again started having severe cold, blocked nose, and mild respiratory problem
Asthma is a hypersensitivity reaction.
When I stopped taking these medicines, I again started having blocked nose and sneezing problem, along with respiratory problems after a month
In my CT scan, it shows DNS and left maxillary sinus .. I took few medicines like Medrol, Glemont F and Becozinc for 10 days, and was relieved
now my blood test report came and shows this IgE value of 161 .. hence needed an opinion on what should be the future action
Allergy and asthma are similar conditions and the treatment can also overlap.
One thing I want to tell you is that DNS is normally present in most individuals.
But it can become a discomfort in blocked nose.
Thus you may take fluticasone nasal spray as and when needed to get rid of blocked nose.
It may help you with sinusitis as well.
ok, am still using it once a day
You may take pain-killers for the pain of sinusitis.
ok, I would like to avoid surgeries and would want to correct this problem through medications only
is there anything I should do for the allergy problem ?
If you get symptoms of asthma, the you may take inhaler bronchodilators
ok, I normally use Aerocort inhaler when I have symptoms of asthma, and it relieves me
Otherwise it is taken care as and when it happens.
I think you are doing fine on medication.
As you know how to use it.
Talk to your physician about taking montelukast.
ok, so I should use these medicines as and when the problem occurs
Yes that is the best way to go.
which surgery are you talking about?
You may go for it if the DNS is very uncomfortable.
as of now it is bearable, the only problem is the sensation of sneezing most of the times
Otherwise it is not sure that you will get cured with a septoplasty.
Yes sneezing comes with allergy.
and lot of mucus that comes along with cold, which now I understand is reaction of allergy
It is best taken care of with anti-allergics.
ok, so better I stay for some more time on medicines and see the result
Yes it is your call.
ok, Thanks a lot Dr XXXXX
it helped to understand the problem in a better way
Do you have any other question?
Hope I was of any help.
You can always log in again to chat with a doctor 24/7.
The discussion helped me understanding the problem, I do not have any more questions for now
Thanks again for your time and help
Eat lot of fruits.
Drink safe water.
ok, I will include them in my diet, and will keep check on water quality as well
thanks a lot.
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Bye for now.
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