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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Curative Treatment Of Allergic Asthma

dear dr. can u give me the guidelines from where can get the curative treatment of allergic asthma and imunological defecency .my preasent age 49s and ht 5ft 7inch wt varies frm 65kg to 70kg.problem start at the age of 11years.after supressing the skin disease like scabies due to flood effected poisionus water.skin disease supressd by peniciline injection.intialy attacks comes at spring and autumn.gradually problem increases in daily life and now last 6years taking inhailer. till some time hampering the daily life due to spasm.



Fri, 1 Aug 2014
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Allergist and Immunologist 's  Response
Hello.

Thank you for asking at HCM.

I went through your history and would like to make following suggestions for you:

1. If despite using inhaler you are having daily symptoms, it means your asthma is not well controlled. Were I treating you, I would prescribe you daily montelukast for at least 2-3 months.

2. I would like to know which type of inhaler you are using. If it is salbutamol or levosalbutamol (which is a rescue inhaler), I would prescribe you a controller type of inhaler (inhaled corticosteroids) on regular basis for at least 2-3 months.

If you are already taking inhaled corticosteroids, I would increase the dose.

3. Personally I would suggest you to consult an Allergist-Immunologist who will suggest you allergy testing. This may identify substances you are allergic to and also measures to avoid them. An allergist may also suggest you Specific Allergen Immunotherapy which will affect your immunesystem to improve your allergy symptoms gradually.

4. Please avoid exposure to dusts, smokes and air pollution as much as possible. Please do not smoke if you smoke.

5. Regular breathing exercise and a healthy diet rich in vitamins and minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will also help you in a longer run.

6. I would also like to know whether you have any other medical illness or you need to take any other regular medications. Some drugs may worsen asthma symptoms.

Hope above suggestions will be helpful to you.

Should you have any further query, please feel free to ask at HCM.

Wish you the best of the heath.

Thank you & Regards.
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Suggest Curative Treatment Of Allergic Asthma

Hello. Thank you for asking at HCM. I went through your history and would like to make following suggestions for you: 1. If despite using inhaler you are having daily symptoms, it means your asthma is not well controlled. Were I treating you, I would prescribe you daily montelukast for at least 2-3 months. 2. I would like to know which type of inhaler you are using. If it is salbutamol or levosalbutamol (which is a rescue inhaler), I would prescribe you a controller type of inhaler (inhaled corticosteroids) on regular basis for at least 2-3 months. If you are already taking inhaled corticosteroids, I would increase the dose. 3. Personally I would suggest you to consult an Allergist-Immunologist who will suggest you allergy testing. This may identify substances you are allergic to and also measures to avoid them. An allergist may also suggest you Specific Allergen Immunotherapy which will affect your immunesystem to improve your allergy symptoms gradually. 4. Please avoid exposure to dusts, smokes and air pollution as much as possible. Please do not smoke if you smoke. 5. Regular breathing exercise and a healthy diet rich in vitamins and minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will also help you in a longer run. 6. I would also like to know whether you have any other medical illness or you need to take any other regular medications. Some drugs may worsen asthma symptoms. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at HCM. Wish you the best of the heath. Thank you & Regards.