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Child having recurring allergy, has early morning sneezes, continuous congestion and nasal blockage. What treatment should be taken?

Hi Doctor, My son has been sufferring from the tendency of allergy and this has been right from his birth. He had in his childhood shown sighns of brethlessness on multiple occations , some doctors termed this as Asthma , while others told it is Rhinitis . He does have tendency to sneeze aerly morning , especially during the monsoons and sneezes around 10 -12 times after getting up before he gets normal. I have had him treated with Homoeopathy , allopathy and Ayurvedic medicines but the effects seems to be very short lived. Could you please help us ? He is already eigth years old but problems don t seem to disappear. Although , breathless complains have reduced, he seems to be a manufacturing house of mucous inside, that block his nasal passage , when the problem happens. A change of weather is a good trigger. Many thanks for the much required help in advance.
Asked On : Fri, 20 Jul 2012
Answers:  2 Views:  189
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Diseases and Conditions
Allergist and Immunologist 's  Response
I am sorry to note that your son has been suffering from possibly allergic rhinitis/asthma and the condition seems to be worsening.
At the onset, it is important to note that allergic rhinitis when remains untreated for long eventually leads to asthma-like complications and full blown asthma. There is a lot of research to support this concept and hence treatment of both rhinitis and asthma may be required depending on the stage of presentation.
You need your son to be seen by an Allergist for either skin prick tests to elucidate the actual allergenic triggers or blood tests (specific IgE) where the same can be identified.
A strict avoidance together with optimal treatment for both rhinitis and asthma is then required. The final option of an almost 'cure' for allergy is desensitization and either injection immunotherapy or sublingual immunotherapy over 3 years is required.
Answered: Fri, 20 Jul 2012
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General & Family Physician Dr. Vidya KR's  Response
Hi, Thanks for using the HCM.
Thanks for giving good history. First of all i like to tell both allergic rhinitis & asthma has similar pathophysiology. Both ll have chronic inflamation. Dont go for ayurvedic medications as WHO guidelines are there to manage your child. Since it is seasonal allergic rhinitis/asthma he can be put on low dose inhalational corticosteroids plus Singuilair (5 mg) and you ll see drastic improvement with in a week. Dont put any combination drugs. If chronic allergic rhinitis then (Nasonex) intra nasal steroid is the gold standard according to WHO. Nasonex is mometasone furoats which has almost nil systemic absorption so there will be no side effects unlike any other drugs. So dont worry consult your ENT specialist and ask for his diagnosis and he can be put on above mentioned drugs.
Hope I have answered your query. If you have any further questions I will be happy to help. Thanks get well soon....
Answered: Fri, 20 Jul 2012
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