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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Running Nose, Itching In Nose, Sneezing. Taking Lupicof Syrup. Right Medication?

My mother is 64 years old and has been having running nose and itching in the nose with sneezing for nearly a month now. The symptoms are more pronounced in the morning. Once she takes lupicof syrup it makes her sleepy but does stop her sneezing and running nose. Is this the right medication but the problem is recurrent.
Mon, 31 Dec 2012
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General & Family Physician 's  Response
Dear Concerned.,


Thanks for writing to us.


You have been suffering from Perrenial Allergic Rhinitis as it has been there for nearly a month.Pls investigate for the causes for the same.


Pls undertake Blood tests for Hb%,TLC/DLC/ESR/AEC.Blood Chemistry to find out FBS/PPBS. Urinalysis routine/X-Ray PNS with Reports.


In the meanwhile treat the condition with Nasal drops containing decongestants such as Xylometazoline/Oxymetazoline, Anti allergics orally such as fexofenadine and antibiotics only if fever is detected. Daily steam inhalations .If the condition is unbearable Steroidal Nasal Sprays containing Fluticazone/Mometazone can be tried to prevent the sneeze from becoming a wheeze.


Prevention;Keeping away from the allergen/dust/house dust mite is the only solution. To keep away from active/passive/second hand smoke/keep away from vehicular pollution.


Early morning walking and deep breathing excercises will help in preventing future attacks of sneeze. When you start a non sedating histaminic such as Fexofenadine., you may discontinue Lupicof.


In addition consult an ENT Surgeon to rule out DNS/Nasal polyposis/Inferior turbinate hypertrophy


Wishing you a speedy recovery.,


Best Regards.,


Dr Lt Cdr ASN Bhushan.,


Ex-Indian Navy
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Running Nose, Itching In Nose, Sneezing. Taking Lupicof Syrup. Right Medication?

Dear Concerned., Thanks for writing to us. You have been suffering from Perrenial Allergic Rhinitis as it has been there for nearly a month.Pls investigate for the causes for the same. Pls undertake Blood tests for Hb%,TLC/DLC/ESR/AEC.Blood Chemistry to find out FBS/PPBS. Urinalysis routine/X-Ray PNS with Reports. In the meanwhile treat the condition with Nasal drops containing decongestants such as Xylometazoline/Oxymetazoline, Anti allergics orally such as fexofenadine and antibiotics only if fever is detected. Daily steam inhalations .If the condition is unbearable Steroidal Nasal Sprays containing Fluticazone/Mometazone can be tried to prevent the sneeze from becoming a wheeze. Prevention;Keeping away from the allergen/dust/house dust mite is the only solution. To keep away from active/passive/second hand smoke/keep away from vehicular pollution. Early morning walking and deep breathing excercises will help in preventing future attacks of sneeze. When you start a non sedating histaminic such as Fexofenadine., you may discontinue Lupicof. In addition consult an ENT Surgeon to rule out DNS/Nasal polyposis/Inferior turbinate hypertrophy Wishing you a speedy recovery., Best Regards., Dr Lt Cdr ASN Bhushan., Ex-Indian Navy