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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dust Allergy, Nasal Discharge, Blocked Nose. Using Otrivin, Taking Vitamin-d3. Treatment Options?

Hello Doctor, I stay in and allergic to dust. I have frequent running nose problems and nose blockage these days. I had my vitamin D3 and B12 test done 6 months back. It was at deficient levels. So thought that since these are at very low levels, i am prone to infection till my immune system develops. This time i got caught up with severe nose block for past 6 days. I used otrivin to get around the nose block.( At the max i use it twice in a day). I dont have any other discomfort (head ache or body pain). Should i consult a ENT specialist rather than a general physician now?
Fri, 21 Dec 2012
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
There is high possibility of sinusitis and allergic rhinitis.
Presence of nasal blockage and running nose suggests the diagnosis.
You should also consult with ENT surgeon and internal medicine specialist simultaneously.
As such there is no correlation between vitamin D3 & B12 deficiency and development of mentioned symptoms.
You should go for x ray PNS view along with complete blood count, absolute eosinophil count and IgE level.
You should take complete antibiotic course along with nasal decongestants.
You should also take mucolytics along with steam inhalation.
Hope that helps.
Take care,
Dr. Mayank Bhargava
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Dust Allergy, Nasal Discharge, Blocked Nose. Using Otrivin, Taking Vitamin-d3. Treatment Options?

Hi, Thanks for posting your query. There is high possibility of sinusitis and allergic rhinitis. Presence of nasal blockage and running nose suggests the diagnosis. You should also consult with ENT surgeon and internal medicine specialist simultaneously. As such there is no correlation between vitamin D3 & B12 deficiency and development of mentioned symptoms. You should go for x ray PNS view along with complete blood count, absolute eosinophil count and IgE level. You should take complete antibiotic course along with nasal decongestants. You should also take mucolytics along with steam inhalation. Hope that helps. Take care, Dr. Mayank Bhargava