Hi

Thanks for the query

You daughter is suffering from Allergic rhinitis as well as Asthma.

Allergic rhinitis is a common condition characterised by an immunoglobulin E (IgE)-mediated inflammation of the nasal mucosa following exposure to allergens. It is characterized by sneezing, nasal discharge and nasal congestion.

During allergic rhinitis there is inflammation of the nasal mucosa causing blockage of the sinus openings leading to accumulation of the nasal secretions in the sinus. Also, there is trickling of the nasal secretions behind the throat causing throat discomfort and cough.

You can definitely try with Seroflo (Fluticasone + Salmeterol). Fluticasone is a steroid with anti-inflammatory component, while salmeterol treats constriction of the airways. The combination helps in relieving the symptoms of cough, wheezing and nasal stuffiness.

The common triggerers of allergy are the pollen, dust, fumes, coils smoke, etc. The bitter truth is, there is no cure for allergy, and only the preventive measures when followed can get rid of allergy.

Preventive measures such as avoiding the triggering allergens such as dust, smoke, strong perfumes and changing the pillow cover every night before going to bed can reduce the further attacks. Also, avoid making her sleep directly under the fan or in front of the Air conditioner.

Try using saline nasal spray 3-4 times a day, encourage your child to drink plenty of warm water and finally, make her do steam inhalation when nasal stuffiness is present.

Hope I have answered your query; I will be available for the follow-up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

---

Hi

Thanks for writing back

Q: How long (time period) should seroflo 100mcg 2puffs twice a day continue?
A: For children 4 to 11 years old the recommended treatment is one inhalation of 100/50 mcg twice daily for 8 weeks. For adults, you can use 2puffs twice a day for 8 weeks.

Q: Should I discontinue all other medicines like montelukast, while starting seroflo?
A: Initially, try using seroflo without montelukast and if the situation warrants, you can use it.

Q: Is singulair brand better for some patients than montelukast?
A: Singulair is the most preferred band.

Q: Should I give her Amla Juice for Vit C? Any food restrictions?
A: If she is not allergic to citrus fruits or those containing Vitamin C, you can definitely use it. There are no food restrictions, if you discover your child is allergic to a particular type of food, please avoid it.

I wish her good health.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

---

Hi

Welcome back

The treatment for:

1. Thick yellowish discharge is a mucolytic (such as bomhexine or ambroxol) syrup it can be given 7ml 3 times a day for 5days. Use saline nasal spray followed by steam inhalation.

2. Excessive sneezing and nose stuffed - fluticasone nasal spray can be used one puff in the morning as soon as she wakes up from the bed.

Q: If I need sometimes, can she be given Asthalin Expectorant and asthalin inhaler?
A: Seroflo will take care of the asthmatic episodes, hence avoid asthalin expectorant and asthalin inhaler.

Q: I read the adverse effects of Seroflo; Do I need to monitor anything at this stage?
A: The adverse effects of seroflo are minimal and usually noticed if used for a long duration. It can be safely used for 8 weeks.

Yes, you can definitely contact me at any time; I will be there to help you, all the details are mentioned in my profile.

I wish her good health.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

---