Brief Answer:
Childhood Allergies

Detailed Answer:
Dear XXXXXX

Thanks for contacting Ayurveda with your health concern and before imparting Ayurveda treatment, please furnish following details for better management of the case:

1. past history of lack of breast feeding and gluten allergy?
2. any history of poor digestion? [since weak digestion increases allergy]
3. any history of Worms/parasites?
4. any Emotional/mental anxiety or work pressure? [STRESS]
5. Is he on too much Artificial Food/Fast Food [Environmental Toxins]
6. Check with Vitamin A, C, E level
7. what was the opinion of ENT Specialist? [any suggestion regarding CHRONIC Rhino sinusitis]
8. Asthma is a risk factor.
PS: were you examined by a chest specialist for the same [regarding clinical examination and baseline investigations]
9. A poor immune system makes you more prone to any infection. [since he has removal of adenoid and tonsils which are related with your body's defense system thus could be one of the reason of recurrence.

Please revert back with following concerns for further line of Clinical Aspect and Observation.


Dr. Munish
Consultant & Physician
Naimittika

---

Brief Answer:
Further Examination and Current Medication

Detailed Answer:
Dear XXXXXX

Thanks for reverting back.

1. Folic Acid is 2.6ng/ml [Normal is 2.7 to 17ng/ml] thus is slightly reduced.
2. 25 OH vitamin D is 8.91 ng/ml [Normal is 20-100 ng/ml] is greatly reduced.
3. Vitamin B12 is 245pg [Normal is 200-600 pg] so is Normal.
4. Homocysteine is 18.1umol/L [Normal is 2.2 to 13.2] so is elevated.
5. going by your reports there is 'homocystinuria' and Homocysteine is chemically transformed into methionine and cysteine with the help of folic acid, vitamin B12, and vitamin B6, since B12 and folate are in reference range thus you should check with Vitamin B6 to rule out its deficiency.
6. Since vitamin D levels are low consider opinion of Pediatricain or Orthopedic Surgeon regarding necessary x-rays and Investigations.
7. Gluten free diet:
i. Do’: old rice,geen gram, red gram,banana,java plum, butter milk, goat’s milk, clarified butter,soup,cumin seeds, mint.
ii. Don’ts: Wheat, peas, garlic, betelnut, cow’s milk, sour and hot food, excess water drinking.
8. I will prescribe the Dietary Regime and Medicine on line of ‘jeerna pratishyaya’
[ जीर्ण प्रतिश्याय]

.Avoid: heavy, slimy and acidic food, curd, mustard oil, excess physical exertion, sunlight-dust areas, exposure to strong winds, day sleeping, smoking,potato, green leafy vegetables,cold water/food.

Take: old brown rice, soup of moong dal, black grapes, cow’s or goat milk, garlic, lukewarm water to drink, black pepper, dried ginger, honey, mulethi, launga

Take Raw ginger+ raw turmeric: [2 gm each] and fry in cow’s ghee [6 gm] and thereafter add 6 gm jaggery and take at bed time [during night]

. Successful and result oriented prescription will be
i. XXXXXXX XXXXXXX ras+ shringa bhasma+ Shuddha man shila+ madhuyashti/ sitopladi churna with cow’s ghee
ii. Chitrak haritki: at bed time
iii. Vyoshadi churan: after meals.
PS
You can contact an Ayurveda Physician there for the Dosage recommendations
iv. In Ayurveda we hold that nose is the gateway to head, thus start practicing NASYA [errhine therapy], after consulting/guidance of an Ayurveda physician [with shadbindu tail]
v. As attacks are frequent take high protein diet: egg (white), soyamilk, pumpkin, squash, watermelon, peanuts, almonds, legumes, sprouted pulses/cereals, milk with protein powder [since blockage of nose is an issue thus yogurt and beans are not recommended] and deep breathing Exercises [anulom vilom]
vi.     
i. Vitamin A: helps to maintain Thymus gland which is a powerful antiviral gland: thus XXXXXXX carrots, cantaloupe,egg yolk, apricots, pumpkin, papaya, are ideal.
ii. Vitamin C: is needed for proper functioning of immune system: amla is best
iii. Vitamin E: is a powerful anti oxidant which helps to stimulate antibody production: peanuts, dried apricots, cooked spinach,taro root can be taken
iv. Vitamin B is important for the activity of phagocytes: eggs, cheese, pistachio, raw garlic, sunflower and sesame oil.


Dr. Munish
Naimittika

---