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Having Allergy. Suggest Treatment

Posted on Wed, 6 Nov 2013

Question: I have a allergies from very long time. In past the allergies are small but now allergies are very and painful me . I have pain in my red color allergies in whole body. plz help.

Answered by Dr. Dr. Rahul Kumar (19 hours later)

Brief Answer:
details required

Detailed Answer:
Hello,
Thanks for the query and photographs.
I would like to know the following additional thing in order to reach a conclusion.

1. Is there any itch in the lesions?
2. Do they come and disappear within 24 hours or they stay for longer?
3. Any relation to a particular food or change in climate?
4. Do you have any other disease like hypothyroidism or diabetes?
5 Any one else at home having similar problem?
6 what medication was given to you in past and did the doctors give you any diagnosis for your condition?

Kindly answer the above questions.
This will help me in giving a closer diagnosis.
Waiting for your response.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (2 hours later)

Thanks u sir, for giving me a reply.

Answer is point wise,

1.yes, itch in the lesions.
2.stay for longer.
3. Sir, really i do not have any idea of these question. You suggest me sir.
4. diabetes No sir & hypothyroidism i do not have any idea. ( what is the sypmtom of these diseases can u tell me sir )
5.In past time, before my birth, my father family have these problem but they solved in 10 days now the all family are good.
6.All doctors give me anti allergic medicine like tagzine & citrazine & body lotion but all the medicine suit to me for 10 days after days i m again same. Doctors does not give me any diagnosis for my condition.

Sir, full day i m in office ( in Aircontioner). I m confused what i m doing, wht i m eating.

Answered by Dr. Dr. Rahul Kumar (2 hours later)

Brief Answer:
details required

Detailed Answer:
Hello XXXX.
I would like you to undergo some blood tests.
1. CBC
2. T3 T4 TSH
3. LFT
4. RFT

I just want find out a particular cause for your disease.
For now the best treatment will be a short course of steroid.
Apply desonide lotion and take tablet wysolone 30 mg daily for a week.

Please get back to me with results.
I hope I can help you.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (6 minutes later)

Ok Sir,

Monday i go for a test and i will talk to u after test reports may be wdnsy or Thrusdy.

And sir i just want to tablet wysolone 30 mg take one time in day ya two/ three.

In tablet wysolone 30 mg sir esma need XXXXXXX to nahi hai na.

Once again thanks a lot and i m wtng for u r reply

Answered by Dr. Dr. Rahul Kumar (2 hours later)

Brief Answer:
details below

Detailed Answer:
Hello XXXX,
Wysolone 30 mg is to be taken in morning after food, just take it once a day.
Dont worry you will not feel sleep with this.
Ya I will wait for your reports.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (3 hours later)

THNKS SIR, I M CMG WITH MY REPORTS

Answered by Dr. Dr. Rahul Kumar (14 hours later)

Brief Answer:
welcome

Detailed Answer:
You are most welcome.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (25 hours later)

Sir, Yesterday i done my all tests as you suggest me. I will submit the all reports tomorrow.

Answered by Dr. Dr. Rahul Kumar (28 minutes later)

Brief Answer:
waiting for your reports

Detailed Answer:
Hello,
Thanks for the follow up.

Yes, I will wait for the reports.
thank you

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Dr. Rahul Kumar (23 hours later)

Mrng Sir,

I m attached 3 reports of blood test and attachment name is report & report 1.

sir thyroid test report i will submit u tomorrow its a delay from hospital.

Sir i also attached my last night body pic, sir if u zoom the pic u can see the red spott with white thing

sir whole body is red and usma se white nikalta h

i m wtng your reply sir.

Answered by Dr. Dr. Rahul Kumar (24 minutes later)

Brief Answer:
Recurrent folliculitis

Detailed Answer:
Hello,
Thanks for the query
I saw the photographs and reports.
All reports are normal.
It cannot be an allergy as the eosinophil count is normal.

According to me you are suffering from recurrent folliculitis, a bacterial infection
You need treatment with antibiotics.

Before starting antibiotics I would like you to go for two more tests.
1. Culture and sensitivity test on the white material which comes out from your lesions. This will let us know whether there is any infection and if it is there, what will be the best medication to treat it.
2. Blood sugar levels both fasting and after food, to rule out diabetes.

Just be patient, I will try to find out the root cause of your disease.

Please stop taking wysolone.
Thank you

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Dr. Rahul Kumar (12 minutes later)

ok sir and tomorrow i will submit u thyroid test report .

Sir in the mean time can i take tegzine medicine or not for allergie

Answered by Dr. Dr. Rahul Kumar (28 minutes later)

Brief Answer:
Yes you can continue tegzine

Detailed Answer:
Hello XXXX,
You can continue with tegzine for now.
It is not going to harm you.
Thank you

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Dr. Rahul Kumar (8 minutes later)

OK SIR my this is temporay process.

wht is the main process tell me sir

Answered by Dr. Dr. Rahul Kumar (1 hour later)

Brief Answer:
Main process is infection

Detailed Answer:
Hello
The main process is infection.
It has to be controlled.
However it is important to know which bacteria is causing it and to which medication it is sensitivity.
For that only I have suggested you tests.
Just relax, I hope those tests will help in finding an exact cause.
Thank you

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Dr. Rahul Kumar (1 hour later)

OKK SIR I UNDERSTAND

Answered by Dr. Dr. Rahul Kumar (15 hours later)

Brief Answer:
thank you

Detailed Answer:
Wishing you a good health
thank you

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Rahul Kumar (28 hours later)

Hello Sir,

I m attached the report of Thyroid and Blood Sugar test report as suggested by you.

And Culture and sensitivity test report submitted by 2 / 3 days bcuz Hospital said to me they required 2/3 days for reports.

Please see and tell me sir wht i do...

Answered by Dr. Dr. Rahul Kumar (11 hours later)

Brief Answer:
Please wait for the results

Detailed Answer:
Hello
All the reports are normal.
I am sure we can find some growth in the culture test.
Please be relaxed and wait for the results.
Thank you

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Rahul Kumar (12 hours later)

OK SIR

Answered by Dr. Dr. Rahul Kumar (56 minutes later)

Brief Answer:
Lets hope for the best

Detailed Answer:
Lets hope for the best
Thank you

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Dr. Rahul Kumar (23 hours later)

Dear Sir,
please see the culture test attached and tell me the process.

i m wtng u r answer ......

Answered by Dr. Dr. Rahul Kumar (9 hours later)

Brief Answer:
Pus culture required

Detailed Answer:
Hello XXXX,
You have got urine culture done.
Please see the earlier conversation.
I asked to get culture of pus or the white thing which comes out fro the lesions.
Urine culture will no show anything.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (45 hours later)

sir i did not understand wht r u saying.

CAN U EXPLAIN IT ?

Answered by Dr. Dr. Rahul Kumar (1 hour later)

Brief Answer:
PUS CULTURE AND SENSITIVITY IS REQUIRED

Detailed Answer:
Hello,

I mean culture has to be done on the white material which comes out from your skin lesions and not urine.

You should tell the lab person to do pus culture and sensitivity, he will understand.

Thank you

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Rahul Kumar (15 hours later)

ok sir again i do culture test and i hope this is the last test of your process sir.

bcuz i want to start process of my diseases. i knw sir u understand my situation...

Answered by Dr. Dr. Rahul Kumar (36 minutes later)

Brief Answer:
yes last test

Detailed Answer:
Yes
Definitely this is the last test.
Just go through it

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (18 minutes later)

OK SIR

Answered by Dr. Dr. Rahul Kumar (4 hours later)

Brief Answer:
let's hope for the best

Detailed Answer:
Let.s hope for the best.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (42 hours later)

Answered by Dr. Dr. Rahul Kumar (29 minutes later)

Brief Answer:
Please message with reports.

Detailed Answer:
Hello
Please get the test report and then message me.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (25 hours later)

Hello Sir,

i went to the hospital, lab person said to me this is not a pus, this is dryness or dandruff. So that's why this test is not processing & there is not test of checking dryness or dandruff.

sir i m wtng u r answer & process...............

Answered by Dr. Dr. Rahul Kumar (6 hours later)

Brief Answer:
Retinoids can be used

Detailed Answer:
Oh so there was no pus.
Well after analysing everything, the most probable diagnosis appears to be Pityriasis rubra pilaris ( PRP)
You can look for this term on net.
It is an autoimmune condition ( defect is within the body).
Nothing from outside.
The treatment can be with retinoids. ( acitretin)
This drug is a prescription drug so please XXXXXXX a dermatologist and discuss about it.
I am sure you will get relief with this.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (15 hours later)

sir i did not understand wht r y saying means u does not give me medicine or treatment.

Answered by Dr. Dr. Rahul Kumar (7 hours later)

Brief Answer:
Acitretin

Detailed Answer:
I can give you the prescription.
It is called as capsule Acitretin (soriatane) 25 mg daily in night for at least a month.
Just i doubt whether a pharmacy will give you this capsule without a written prescription from a doctor.
Just try in a shop if you get this capsule you can start taking.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (2 days later)

Hello Sir

i try many shop for this medicine but this is not available in any shop. plz suggest other substitute

Answered by Dr. Dr. Rahul Kumar (5 hours later)

Brief Answer:
Aceret

Detailed Answer:
Hello
Ask for Aceret capsulels 25 mg from Gracewell (Glenmark Pharmaceuticals Ltd.).
Hope you get this.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (14 hours later)

OK LETS TRY

Answered by Dr. Dr. Rahul Kumar (18 minutes later)

Brief Answer:
It must be available

Detailed Answer:
you will get it.
It is widely available all over India.
Thank you

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar