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    Suggest treatment for chronic rhinitis

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Posted on Wed, 1 Jun 2016 in General Health
Question: Dr. XXXXXXX Kabra

Hello ,,

I have tried the following antihistamines and gargling with salt water

I did not find the difference , but it may be useful gargle with salt in the long run

But antihistamines is useless because of the symptoms that I have no symptoms of allergy

I do not have sneezed or pain in the sinuses

What do you think dear doctor
doctor
Answered by Dr. Sandip Kabra 43 minutes later
Brief Answer:
Likely rhinitis.

Detailed Answer:
Hi,
Thanks for asking again,

Since your rhinitis symptoms are chronic,then I may agree with you when you say that antihistamine is not working.

The reason might be longtime use of the same antihistamine tablet and because of this,tachyphylaxis develops (means you will require more dose rather than usual).

So, one would require more dosage or need to change the antihistamine drug.

So here,I would like to ask you,which particular antihistamine drug you are using since long time.

And also let me know the status of improvement from mucus in the nose along with phlegm as we discussed previously.

However,the mainstay of treatment remains steam inhalation with warm salt water gargles in this kind of chronic cases.You should continue with that since it is helpful.

May be you have taken antibiotics,

But as a treating physician and as I said earlier,I am NOT in favor of taking them since majority of cases rhinitis are due to viral infection or due to some allergic but very rarely due to some bacterial infection.

Get back to me with your follow-up query and let me know about symptomatic improvement.

I would like to discuss it further.

Regards,

Dr.Sandip Kabra


Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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Follow up: Dr. Sandip Kabra 27 hours later

Hello doctor ,,
Today I went to a specialist ear, nose and throat ,,

And he gave me the following medicines and said to me, come after a week , radiography to see if there are any polyps

These drugs

FACTIVE 320 GM TAB X 5 ONCE DAILY Oral

LEVOZAL 5 MG TAB X 20 ONCE DAILY Oral

AIRFAST 10 MG TAB X 30 ONCE DAILY Oral

RHINOCORT AQUA SPRAY TWICE DAILY Nasal

what do you think
doctor
Answered by Dr. Sandip Kabra 22 minutes later
Brief Answer:
Continue all medications

Detailed Answer:
Hi,
Thanks for asking again,

Factive 320 gm is gemifloxacin which is an antibiotic.

Levozal is a levocetrizine and airfast is a montelukast which both are antiallergic drugs.

Rhinocort nasal spray is a steroid,

Your doctor is suspecting some allergic component like allergic rhinitis or sinusitis.

But the choice of antibiotic may vary from physician to physician,

So you can continue with all these medications and check the response after 7 days.

Regards,

Dr.Sandipkabra
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
Answered by
Dr.
Dr. Sandip Kabra

General & Family Physician

Practicing since :2009

Answered : 3078 Questions

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