Get your Health question answered in 3 easy steps

121 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

Unable to take breath properly while sleeping. What treatment should be done?

Answered by
Dr.
Dr. Sujoy Khan

Allergist and Immunologist

Practicing since :1999

Answered : 584 Questions

default
Posted on Tue, 18 Dec 2012 in Asthma and Allergy
Question: Unable to take breath properly while sleeping at night.already concern to the doctor 5 days ago.but after completing the course the same problem i am facing.the vaccine given by the doctor mentioned below.1)Tab.Mahaflox,2)Tab.Montemac-FX,3)Cap.Pentazon-DSR,4)Tab.Synasma,5)Tab.redynise6)Syr. Effex
doctor
Answered by Dr. Sujoy Khan 36 minutes later
Hello XXXXXXX

Thank you for writing to us.

It is likely that your dust allergy is worsening now as winter is settling in. It is important that other allergies or sensitivities are excluded. This would require either blood tests in the form of specific IgE test against aeroallergens or skin prick tests.

If the cause is confirmed as allergies, the medications you are on needs to be modified as:
1. Moxifloxacin - should be stopped after 5 days;
2. Montemac FX - montelukast with fexofenadine should be taken at night (one tablet) daily;
3. Pentazon DSR - should be Pantocid DSR as antireflux medication - of limited benefit, suggest stop it after 2 weeks if no benefit;
4. Synasma - is doxofylline, not required in this instance as it will cause rapid pulse rate etc, unless you are extremely short of breath;
5. Redynise - is Nimesulide, NOT recommended;
6. Syrup Effex - unsure what this is.

As you are not better, I suggest you to report back to your treating doctor and discuss about the possibilities of other allergies. The aforementioned tests can be done under his/her guidance. If the symptoms are infact due to allergies, the only two medications that you would need now are:
1. Montemac FX
2. Nasonex nasal spray 1 spray per nostril once daily
Continue above for 2 months; and see the response

If tests suggest severe house dust mite allergy only, and you still have symptoms after medical therapy; Immunotherapy against house dust mite remains the last option.

Hope this answers your query. I will be happy to answer any questions that you may have.

Best Wishes

Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Sujoy Khan 42 minutes later
thanks a lot doctor Sujoy.
I will concer my doctor today........and revert you if i face any problem
doctor
Answered by Dr. Sujoy Khan 4 minutes later
Many thanks for responding and to know that you have received the reply.

Best Wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication ,   ,  
Treatment/Therapy
Lab Tests
Medical Topics

Recent questions on Nasonex

doctor1 MD

Hello, i had cough and cold (heavy mucus) and chest cough for 1 and half month. Initially Doc treated with antallergic tablets like navision, alaspan. After some days I noticed blood during coughing. Informed doc and he aksed to go for blood test. It is normal except .5K less RBC and Lymphocytes increased by 1. Blood was only for 2-3 days (Noticed 4-5 times). Doc (ENT) said its may be because of some injury because of violent coughing. I took Pulmonary test too which shows everything normal. His diagnosis was that i have bronchitis and because of that I have cough. After one month he prescribed the tablet for bronchial asthama and specific medicine for cough ie rotacaps- Levolin for one week followed by another rotacap seroflow (250MG) . I was filling better except nose used to get blocked in between. Then all of a sudden, i again started sneezing (End of 5th week) and nose secretion begin again (Its was think and sticky). Again visited the doctor. he doubted some infection in the sinuses. Asked to go for a CT scan of PNS for Allergic Fungul Sinusitis. Scan shows that Maxillary Sinuses are filled with fluid. Scan shows that its quite significant. Doc mentioned that we haven t addressed Sinuses problem so far and because of that it kept growing in the sinus (told in simple language-- may be some other reason in medical terms). After knowing this now I am prescribed with Roxid-M tablet (1---0---1) for 7 days and Syscan 150mg weekly once for 3 week. Also I was using nasal spray Metaspray all these days. Now the enw spray is prescribed - Nasonex.. 2 puffs every night. In addition to this... Nasoclear Saline 3-3 drops twice a day for 2 months. I am in countinuous touch of the doc and he is well known ENT specialist and I am seeing him for quite a long time (More than 3 years). Every time i get cold, my cough sometimes last for more than 1 month and many times it turns into dry cough. But this time I had wet cough i.e. it was never dry. Just wanted to know if this is a normal problem or I need to do any further tests. As per teh doc, In my maxillary sinuses the air flow is too minimum as shown in the scan. and thats why its significantly contributing to the trouble. He also advised to start breathing exercises (Jal neti etc) for better results. Observation in CT Scan: Frontal sinuses- Clear Ethmoidal Sinuses: Soft tissues seen in the anterios, middle and posterios ethmoid sinuses Maxillary Sinuses: Polypoidal Soft tissues seen billaterally Spenoidal Sinuses: clear Osteomeatal Complexes: involved bilaterally Nasal turbinates: Noral Nasal Septum: DNS towards right with Bony Septal Spur Nasopharynx: normal Orbits: normal Impression: 1. Bilateral ethmoidal and maxillary sinusistis changes with involvement of the OM complexes 2. DNS seen towards the right with Bony septal spur Observations in Scan- My Septum is deviated right with bony spur. Please advise.

doctor1 MD

hi doctor i am 32 years old , i have allergic to cold air, which is more severe in the morning, i consulted the physician they given me nasonex, when i take the nasonex it gives me only temporary relief. my concern is that i am planning for pregnancy since one year, i couldnot so far, i worried that it because of the severe sneezing, we consulted gynaecologist for any other problem. but all the result seems to be normal. i like to get permanent relief from the sneezing . taking corticosteroids while trying to get pregnant will affect or not? give me some solution to get relief from the sneezing and to get pregnant soon. thank you.

doctor1 MD

Hi, I have been getting headaches for the past month. I suffer from sinus trouble and have been taking nasonex and I have wondered if this could be causing them. I have been off of the nasonex for 3 days now but the headaches are still there. How long should I stay off it before thinking it could be something else?

doctor1 MD

I have had pain/pressure in my upper left chest area over my heart for two days. The right side of my abdomen is also very soar. (I have problems with IBS). Is this gas pain or something more serious? I am not sweating or have shortness of breath. I am not sick to my stomach either. But the pain radiates to my left shoulder and arm and my neck is a little soar (but on the right side), my heart fells like it s pounding and I ve been really tired. My bp isn t high, though I do have high cholesterol and family history of heart disease. I have taken 2 antacids but have gotten no relief. I have been under ALOT of stress lately and have not had much of an appetite. I don t want to go to the doctor unless I absolutely have to because I just went last week for a possible sinus infection. I was given amoxicillin (which I ve almost finished) and Nasonex to treat allergy symptoms. Besides the antacids, those are the only other medications I ve taken. Is this as bad as I think? I hope not.

doctor1 MD

Hi Dr, My 4.5 year old daughter is allergic. November every year she gets sick. This year again thankfully to the dreadful smog in XXXXXXX She is mostly fine during the day but in the night she finds it difficult to breath due to blocked nose and...

doctor1 MD

My right ear often feels clogged and sounds muffled when I talk. I have to yawn to make it pop. I also hear popping sounds when I swallow and fluttering sounds sometimes. I have no ear pain , but I have sinus congestion often. I went to the doctor...

doctor1 MD

Kindly review the report and suggest a remedy. Doctor says that we need to go for surgery for the boy who is 5 years old for rectifying his hearing.