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Suggest Medication For Persistent Sneezing

Posted on Sat, 11 Nov 2017

Question: sir my wife 38 years age has continous sneezing pls advise tests and medicines for reilef
presently she takes montair 10 daily,ihope no side effects of this medicine

Answered by Dr. Drkaushal85 (1 hour later)

Brief Answer:
Start nasal spray.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Yes, possibility of allergic rhinitis is more likely.
Best treatment of allergic rhinitis is intranasal spray containing steroid (fluticasone).
No need to worry for long term side effects of montair 10mg. It is safe for long term use.
Usually tests are not required to diagnose allergic rhinitis.
But better to get done CBC (complete blood count) with AEC (absolute eosinophil count), serum IgE, allergy test etc.
Please let me know if she had these tests done or not.
Also tell me if she had tried nasal spray before.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Drkaushal85 (27 minutes later)

sir
thanks for the prompt reply,we have not done allergy tests so far,every year starting of winter the problem arises.
she had taken futiflo spray but she is uncomfortable with it,she complains after some days cough has accumulated in her throat and then coughing starts with sticky mucus continously,
pls suggest what to rule out so it can be preventive in future,some other spray or so

regards XXXXXXX

Answered by Dr. Drkaushal85 (2 minutes later)

Brief Answer:
Get done reports suggested in previous answer.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Your wife is having allergic rhinitis only.
Best treatment of allergy is identification of allergen and if possible complete avoidance of it.
So get done reports suggested by me in the first answer.
Start combimist nasal spray two puffs in each nostril twice daily.
This will help her.
Please let me know
1. Is she having breathing difficulty?
2. Is she having whistling sound from lungs while sleeping?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your wife. Thanks.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Drkaushal85 (13 minutes later)

sir
i belong to a small town here in XXXXXXX mount abu will come and meet you in ahemdabad soon and then perform the tests,she has not problem in breathing and whistling at night,she had bronchospasm two years back when she took nasal sprays
but now not so.
thanks
pls suggest some reasonable lab for allergy test in ahemdabad

Answered by Dr. Drkaushal85 (3 minutes later)

Brief Answer:
Allergy tests can be done in Abu also.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
No need to come to XXXXXXX for allergy testing.
It can be done in Mount Abu also.
Do you have Dr. Lal pathology laboratory or it's collection center?
If yes, then you can do it there only without coming to XXXXXXX

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Drkaushal85 (14 minutes later)

in abu road

http://www.netmeds.com/prescriptions/combimist-inhaler-200md/1
is this the one

Answered by Dr. Drkaushal85 (12 minutes later)

Brief Answer:
No, this is not correct.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I am talking about nasal spray, not inhaler.
Other common brand names are
1. Duonase
2. Combinase
Please confirm with me before starting.
Also tell me her weight so that I can guide you about exact dosing.
If laboratory is there in Abu then get done tests there only.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Drkaushal85 (12 days later)

sir have uploaded the reports for ref in pdf file
pls check and advise
blood allergy test from orher lab ige value is 365 ku/l
if you can share your whats up number i can send you the allergy reports also
pls advise

Answered by Dr. Drkaushal85 (37 minutes later)

Brief Answer:
I am not able to open the attachment.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Sorry to say but I am not able to open the attachment.
It's saying 'there is problem in retrieving documents'.
I will be happy to help you further. Wishing good health to your wife. Thanks.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Drkaushal85 (57 minutes later)

ok now check and advise
her weight is 64 kgs 5 ft 4 inch
ige 365 in another reports

Answered by Dr. Drkaushal85 (13 minutes later)

Brief Answer:
How is she now after starting nasal spray?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
I have gone through the reports you have attached.
Reports are good.
Vitamin D3 is low and TSH is slightly high.
Eosinophil count is also slightly high.
Serum IgE level is not much raised.
So no need to go force detailed allergy report.
Please tell me how is she after starting nasal spray.
I will be happy to help you further. Wishing good health to your wife. Thanks.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Drkaushal85 (7 minutes later)

nasal spray not started
pls suggest medicines as chat was left uncompleted u had asked for her weight to give exact dosage wt is 65 kgs but after taking nasal spray she complains that some irritation starts in her throat and later she develops cough but sneezing stops

Answered by Dr. Drkaushal85 (1 minute later)

Brief Answer:
Take combinase AQ twice daily.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I am not understanding.
You first wrote that nasal spray is not taken then you wrote that nasal spray is causing cough.
Is she taking any nasal spray at present?
If yes then which one?
The one I was talking (combinase AQ) should be taken two puffs in each nostril twice daily.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Drkaushal85 (28 minutes later)

ok got it
she used to take futiflo long time back which caused problems so she is scared of taking sprays
how long she has to take sprays and when ?like before any allergy sympotoms or start now...

Answered by Dr. Drkaushal85 (18 minutes later)

Brief Answer:
She should start right now.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
She should start combinase AQ right now.
Two puffs in each nostril twice daily.
Is she taking any other drug? Like montelukast or combination of montelukast and fexofenadine?
And those symptoms after nasal spray is probably due to throat irritation.
So tell her to wash her mouth after nasal spray use.
Was she doing this before?

Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Kampana