Hi

Thanks for the query

The symptoms you have described are the features of Allergic rhinosinusitis.

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

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.

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 sleeping directly under the fan or in front of the air conditioner. Cover your nose and mouth when you are working with air conditioners and avoid smoking.

The yellowish phlegm, sore throat and fever are the signs of active infection which requires a potent oral antibiotic.

My advice to you is:
1. To use steroid (such as Momentasone/ Fluticasone) nasal spray once a day, this reduces nasal allergy and itching in the eyes.
2. To use saline nasal spray followed by steam inhalation 3-4 times a day, this will help in opening of the sinuses and easy clearance of the sinus secretions.
3. To use a mucolytic such as Bromhexine and Ambroxol, this helps in thinning of the tenacious secretions.
4. Try taking an antibiotic either with a combination of Amoxycillin and Clavulanic acid or Cefuroxime, the former and the latter are the drugs of choice for this condition.
5. An antihistaminic such as fexofenadine /cetrizine/loratidine taken will reduce the allergic problems.
6. Drink plenty of warm water and to avoid chilled food or beverages and coffee.
7. Avoid smoking
8. Cover your nose and mouth with a clean cloth (or wear a mask) when exposure to dust or smoke is imminent.
9. Consult a good ENT specialist for a thorough examination and management.

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 am sorry, according to the online medical consultation rules I am not supposed to endorse or mention any brand names. You can all types of food, except for those which will cause allergy to you such as eggs, fish, milk, few nuts, etc.

I wish you good health.

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

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