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Suggest Treatment For Persistent Cough And The Inability To Smell Despite A Sinus Surgery

Posted on Fri, 9 Jun 2023

Question: Hi Sir, I am getting continuous cough, and not able to smell since 7-8 Years, consulted so many doctors they have given temporary relief during medication will not get cough once stopped medicine again problem will repeat, finally i have consulted a XXXXXXX Doctor in XXXXXXX Hospitals XXXXXXX , Dr Deenadayal , he did Sinus Surgery , i have spent around 2 Lacs, after month once i stopped medicine again same problem , after words i have consulted one XXXXXXX Surgeon , he suggested this is allergy Surgeries will not help, need to use Rotacaps inhaler on regular basis and need to avoid Aircondition and coll drinks etc, can you help me with your comments and suggestions ?

Answered by Dr. Shashi Dangwal (1 hour later)

Brief Answer:
Your symptoms are due to allergy and you have to take treatment regularly

Detailed Answer:

Hello,

Your symptoms clearly suggest that you have allergy and the cough is the result of this allergy. I would like to mention here that the allergy can be controlled but cannot be always cured and the symptoms may recur on stopping the medicines. That`s what is happening in your case. You must take anti-allergics like Monteleukast Levocetrizine tablet daily. You have not mentioned which rotacap you are taking but it should have a long acting beta agonist and a long acting steroid. Some of the commercially available names are Seroflo, Foracort, Formonide etc. I am sure you must be taking one of them. You must take them regularly for sometime. Continue taking them even if your symptoms are well controlled and then they can be tapered off gradually.

You must avoid dust, smoke, junk food, cold water and drinks and fruit juices. Once your symptoms are controlled do some deep breathing exercises and I am sure you will feel better.

Hope this answers your query. Let me know if I can assist you further.

Take care.

Regards,
Dr. Shashi Dangwal
Pulmonologist

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

Follow up: Dr. Shashi Dangwal (2 hours later)

Thanks for your reply ,i am using seroflo Rotacap 250, if i use this will get any side effects, how long i can use this continuously, need to use any other medicine along with this, i also get snore/some sounds inside the nose during coughing and also will not sense any smell, once snoring and noise clears every thing will be set right, can you suggest best doctor in XXXXXXX

Thanks once again

Regards,

XXXX

Answered by Dr. Shashi Dangwal (1 hour later)

Brief Answer:
Seroflo is good. Take Monteleukast Levocetrzine also daily

Detailed Answer:

Hello,

Seroflo rotacap is good. it hardly has any Side effects and that to after prolonged use. Rinse your mouth with water after using Seroflo to prevent any fungal infection.

As I have said you should also use Monteleukast Levocetrzine tablet daily. You may use Fluticasone nasal spray which may help in snoring and smell problem. If snoring is too much and disturbing your sleep, you should consult a pulmonologist.

Hope I have answered your query. Let me know if I can assist you further.

Take care.

Regards,
Dr. Shashi Dangwal
Pulmonologist

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Shashi Dangwal (14 hours later)

how long i need to use monteleukast levocetrzine and fluticasone nasal spray along with seroflo Rotacap, should i use in the morning or evening

Thanks
XXXXXXX

Answered by Dr. Shashi Dangwal (2 hours later)

Brief Answer:
Inhaler and nasal spray twice a day and tablet once a day.

Detailed Answer:

Hello,

Seroflo and Fluticasone nasal spray have to be used twice a day and Monteleukast Levocetrzine tablet once a day preferably at night. You may have to continue for sometime day 2 to 3 months and then tapering off can be tried. You may have to be under care of a local pulmonologist for proper treatment.

Hope I have answered your query.

Regards,
Dr. Shashi Dangwal
Pulmonologist

Above answer was peer-reviewed by : Dr. Remy Koshy