Hi

Thanks for the query and a detailed history

After going through the history I do feel you are suffering from allergic reaction secondary to the IUD insertion. Apart from the dust mites, the material or the chemical used in the IUD could also be one of the causes behind the allergy.

Allergy is a common condition characterized by an immunoglobulin E (IgE)-mediated inflammation of the skin, nasal, oral or respiratory mucosa following exposure to allergens. Allergens are those items which will induce hypersensitivity reaction in the body. It is characterized by rashes over the skin, sneezing, nasal discharge and congestion, swelling in the throat or respiratory difficulty, etc.

Do not worry! It can be controlled easily with appropriate medicines. But remember, that is not the permanent solution. In future, you need to avoid those things which will induce allergy.

Q: Should i stop taking the allegra and let my body fight the allergens out?
A: No, please continue allegra for few more days till you get complete relief. There is no harm in taking antihistaminic for longer periods.

Q: after removal of the iud how long is the effect of the copper goinyag to last inside my body?
A: It depends upon the individual's defense mechanism to drive out the chemical mediators of allergic reaction. There is no time limit for this.

Q: If you could guide me regarding the type of test that i should get tested for, the time it will take for a full check up and also the cost that will be incurred.
A: 'Skin prick test' is done to determine the type of allergen your body is reactive
to.
'Patch test' is used to help ascertain the cause of skin contact allergy, or
contact dermatitis.
'Immunotherapy' uses injected allergens to desensitize the body's response.
Most of the investigations require 3 -4 sittings and the cost depends upon the
set-up and the hospital.

My suggestions to you are:
1. Try taking oral prednisolone for 3-4 days, with gradual tapering of the dose. Prednisolone helps in reducing the hives and the inflammation.
2. Continue the antihistaminic (fexofenadine), it is effective in reducing the allergic component involved and the dosage has to be gradually tapered and stopped.
3. Apply calamine lotion, it will help in soothing the skin
4. Keep the house clean; change the pillow covers and the bed sheet every night before going to bed.

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

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Hi

Thanks for writing back

I will be there to answer all your queries. I wish you good luck and good health. God bless you.

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

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