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Itchy eyes, sneezing, skin patch test for perennial allergy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Asthma and Allergy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hello
Doctor :   Hi
User :   Good Evening
User :   I have been facing a problem for quite sometime now
User :   I frequently sneeze
User :   this is accompanied with itcy eyes
Doctor :   Ok
User :   and itchy throat
Doctor :   Ok
User :   I stay at Bangalore
User :   and I am here since last 6 months
Doctor :   Ok
User :   the problem I had earlier also but after coming to Bangalore it has aggravated
User :   could you help me on this?
Doctor :   Ok
Doctor :   May I know for how long do each episodes last?
User :   this lasts generally 5-6 mins
User :   but happns many times a days
Doctor :   How frequently are you having these symptoms?
User :   when I wake up in the morning, it will surely happen
User :   I start my day with 5-6 sneezes
User :   and immediately my throat starts itching
User :   It is a kind of feeling like if I could scratch my throat from inside
Doctor :   Am I right to say that your symptoms are more seen during the morning and evening hours when compared to the whole day?
User :   morning surely
User :   but it can happen in afternoon also
User :   did not notice it that well though
Doctor :   Ok
Doctor :   Do you have any other symptoms such as nasal discharge, headache, sorethroat, fever associated with this symptoms?
User :   sometimes watery discharge from nose when I sneeze for long
User :   but no other symptoms
User :   I generally do not get cough and cold often
Doctor :   Do you have history of diabetes, high blood pressure, allergies in the past?
User :   no
User :   nothing of these three
Doctor :   Ok
User :   I have a fixed drug eruption prblem
User :   and I do not take those drugs, hence no eruptions
Doctor :   Ok
User :   I cannot take drugs like norflox
Doctor :   Ok
Doctor :   Let me explain to you.
User :   ok
Doctor :   Symptoms of sneezing, itching in the eyes/throat occur either due to viral infection or allergies.
User :   ok
Doctor :   Based on your description, the symptoms are more consistent with the features of allergies.
User :   ok
Doctor :   Commonly described as perennial allergies.
User :   ok
Doctor :   This condition is a chronic/long standing problem which can only be controlled.
User :   ok
Doctor :   You could be allergic to various products such as dust, pollens and various other factors that could be triggering these symptoms.
Doctor :   It is necessary that you determine which products that you are allergic too.
Doctor :   There are 2 methods of knowing this.
Doctor :   1. By experiene
Doctor :   *experience
Doctor :   2. By allergen test - a skin patch test.
Doctor :   Are you following?
Doctor :   Are you there?
User :   sorry
User :   extremely sorry
User :   got a call suddenly
User :   these tests can be done in any pathological clinic?
Doctor :   These test are done commonly at an allergy clinic.
Doctor :   You could visit one such allergy clinic and get the skin patch test for allergens.
Doctor :   Once the various allergens is determined, you need to avoid those.
User :   ok
User :   so the name of the test is allergen test
User :   how much does it cost?
Doctor :   Yes, the test is known by name as allergen test. The cost of for allergen test varies among individuals clinic.
User :   ok
Doctor :   It can vary from Rs 500 to few thousand Indian Rupees.
User :   ok
User :   I will take the test
Doctor :   Since you report that your symptoms are more common early in the morning
User :   but are there any medicines which can help?
Doctor :   there are few measures that you could follow in the mean time.
User :   ok
User :   yes please tell me
Doctor :   I would suggest these measures before you try the medications.
User :   ok
Doctor :   1. You will need to keep the bed sheets and pillow covers kept changed frequently.
User :   ok
Doctor :   Regularly wash them and keep them changed.
User :   ok
Doctor :   2. Keep the curtains and the screens on the door closed in the morning.
User :   ok
Doctor :   This will prevent allergens/dust coming out into the room.
User :   ok
User :   windows are generally closed at night
Doctor :   Washing of this curtains / screen regularly too.
User :   ok
Doctor :   3. If you have plenty of trees near your bedroom, you probably may need to shift your room
Doctor :   to a place where there are no much trees.
User :   ok
User :   yes, trees are there but not close to the window
Doctor :   Pollens can spread through the air
User :   ok
Doctor :   and they happen commonly during dawn and dusk timings.
User :   ok
Doctor :   if there are plenty of trees and if the curtains are open
Doctor :   it could easily get in and cause the sneezing.
User :   ok
Doctor :   Keep the curtains closed, else shifting the room is a better alternative.
User :   ok
Doctor :   4. Before you get to sleep, cleaning and moping of the room with water will be beneficial.
User :   ok
Doctor :   5. Wear mask while driving and if you are entering a garden or park (especially during morning/dusk)
User :   ok
Doctor :   These are few measures to prevent allergens.
Doctor :   Apart from these
User :   yes
Doctor :   you could use measures to improve your body resistance to prevent allergies.
User :   ok
Doctor :   These include
Doctor :   1. Consuming plenty of fruits and vegetables.
User :   ok
Doctor :   2. Multivitamin pills a day for 1-2 months.
User :   ok
Doctor :   3. A few people have found use of herbal/Ayurveda products such as Himalya products useful in treating allergies.
User :   what kind of Himalaya products?
Doctor :   Since my knowledge with herbal and ayurveda is restricted,
User :   ok
Doctor :   you could contact an Ayurveda specialist or alternative medicine specialist.
Doctor :   They can give you more information and prescribe you the right products
Doctor :   to help you.
Doctor :   Lastly, there are few medications that may be used,
User :   ok
Doctor :   during acute severe attacks.
Doctor :   Anti allergy medications such as Benadryl syrup/tablet or Antihistamines are useful in acute severe attacks.
User :   ok
Doctor :   These products are not first choice when the symptoms are less severe, as they can make you drowsy.
Doctor :   You may use them only if your feel that your symptoms are severe and persisting for hours/days.
User :   ok
Doctor :   Hope it is clear to you.
User :   ok
User :   yes I got it
Doctor :   Do you have any other query?
User :   i shall follow it
User :   can allergy lead to tongue infection as well
User :   as I get white patches frequently
Doctor :   White patches in the tongue occurs due to collection of dead skin mixed with secretions.
User :   ok
Doctor :   These are normal and are non concerning problems.
User :   but I have been getting this infection for more than a year
User :   which recurs every fortnight
User :   and lasts for a 1-2 days
Doctor :   However certain conditions such as fungal infections can mimick white tongue.
User :   ok
Doctor :   Fungal infections referred to as oral thrush usually improve with time and do not need medications.
User :   ok
Doctor :   If persistent or if you develops symptoms such as pain, redness, severe itching sensation,
Doctor :   you will need medications such as oral forcan or candid creams
Doctor :   and rarely oral medications.
User :   ok
User :   so these creams to be applied only the patches come?
Doctor :   It is important that you keep your oral hygeine well maintained, if you wish to prevent such fungal infections in the future.
Doctor :   Getting your sugar checked for presence of diabetes may also be necessary.
User :   sugar level is normal in blood
User :   and tested 2 months back
Doctor :   If sugars are normal, then it is good news.
Doctor :   Use the creams only when you find the patches and not other wise.
User :   ok
User :   Smyle gel also helps?
Doctor :   Maintain your oral hygiene by twice brushing, flossing and tongue cleaning with tongue spatula.
User :   ok
Doctor :   Smyle gel do not help fungal infections.
User :   ok
Doctor :   They are effective for tongue ulcers where there are severe soreness in the tongue, buccal mucosa or lips.
Doctor :   Hope it is clear to you.
Doctor :   Do you have any other query?
User :   no Doctor AAAAAAA
User :   that is all
User :   thanks so much for the consultation
Doctor :   Thanks for consulting me.
User :   it was of great help
Doctor :   My pleasure helping you.
Doctor :   Bye for now.
User :   thanks again
User :   bye
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