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Allergy to cold water and cold climate - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Asthma and Allergy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Hi Doctor
User :   My wife is allergic to cold. She will get rashes when she touch cold water and she will get breathing problem when it is too cold out side
Doctor :   Ok
User :   now she is having cold and cough....Can you please let me know which tablet she can use?
Doctor :   Since when is she having these symptoms?
User :   from last 5-6 years..........
User :   when we contacted doctor he told we have to avoid cold...
User :   breathing problem i didnt visit doctor till now
User :   she will get breathing problem only in winter
User :   she will get only when climate is too cold
Doctor :   Does she have history of bronchial asthma in the past?
Doctor :   Does she have nasal congestion, fever?
User :   Asthma iam not sure as i didnt visited doctor till now regarding breathing problem
User :   but
Doctor :   Ok
User :   long back doctor asked us to use Otrinoz
User :   for nostal congestion
Doctor :   Ok
Doctor :   Can you describe about her present symptoms - does she have fever, sore throat?
User :   no fever
User :   only cough and cold running nose
Doctor :   Is she producing sputum while coughing?
User :   she is not getting sputum
Doctor :   Ok
User :   cough only and cold
Doctor :   Is she having history of diabetes/hypertension/skin disorders in the past?
User :   no all
Doctor :   Ok
Doctor :   Let me brief you.
User :   ok
Doctor :   Since her symptoms are precipitated by exposure to cold weather, the best method of preventing these symptoms are to avoid exposures.
Doctor :   Now coming to her present symptoms,
User :   ok
Doctor :   You may advise her to follow these measures which will help her in relieving her symptoms
Doctor :   1. Use steam inhalation three times a day
User :   ok
Doctor :   2. Antihistaminic medications such as benadryl can by used if symptoms are severe.
User :   benadryl is for cough right?
Doctor :   3. Alternatively nasal solutions or nasal sprays - use saline nasal sprays instead of decongestents. Nasal decongestants can aggravate symptoms.
Doctor :   It also contains antihistaminic properties which will help control the nasal congestions, and as
Doctor :   she also has cough will add extra effects too.
User :   oh ok
Doctor :   4. Watch out for these symptoms - development of fever, sorethroat,
Doctor :   If such symptoms develop, then she will need antibiotics.
User :   ok
Doctor :   5. Since I am unable to assess by a physical examination, I cannot predict the severity of breathing issues, nevertheless I shall provide you with the information that you can look for
User :   as of now no breathing problem ......when climate is too cold then shw will get
User :   she*
Doctor :   if she is getting exausted due to breathing problems, or if she is sweating profusely, or she finds difficulty to speak due to breathing problems,
User :   ok
Doctor :   these are the signs that breathing problems are severe,
Doctor :   In such cases, she will need assistance.
User :   oh ok
Doctor :   If you find any of these symptoms, you will have to report immediately to a emergency room.
User :   ok
User :   as of now for cough and cold can i proceed with benadryl ?
Doctor :   6. I would also suggest you to consider to consult a pulmonologist for physical evaluation to check if she has signs of bronchial asthma.
User :   oh ok
Doctor :   Yes, you may proceed with benadryl for the present situation - 1 teaspoon twice a day.
User :   ok
Doctor :   avoid driving for atleast an hour of two after the use of this syrup.
Doctor :   7. Lastly, if the symptoms are occuring often, I will also suggest you to consider consulting a ENT surgeon
Doctor :   to rule out other ENT conditions such as deviated nasal septum, hypertrophied turbinates or sinus issues that may be adding to her symptoms.
Doctor :   Have you followed what I have suggested?
User :   ya
Doctor :   Do you have any other query?
User :   no thanks doctor
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   Bye
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