What causes sinus congestion and lung spasm?
Proper dosage / calcium / Vitamins /Antibiotics
Thanks for your query.
The sinus congestion and lung spasm may not be due to tapering off the steroid, as you are already taking topically acting sprays.
You may not need to stay on oral prednisolone and I would advise you against it because you are type I diabetic.
It is not that prednisolone is used only in end-stage lung disease.
I would also recommend you to take a therapeutic dose of Vitamin A and D. Somehow this helps a lot. You have to take calcium supplements if you are on steroids for this long. The problem you have mentioned might be due to more allergens you have inhaled or there is an infection.
You have to reduce your smoking or at least change to a brand which suits you the most and causes least irritation. Ideally you should stop - you can have nicotine chewing gums instead. At least there is no inhalation.
as given bellow.
Vitamin A 50 thousand units daily for 6 days- total about 3 lac units and Vitamin D 60 thousand units weekly for 3 weeks ( 3 doses). This is given on empirical basis as it helps to rejuvenate mucosa
This is as per recommendations
They should not harm as they are as per the recommendations.
These are not huge doses.
I thought to give you this hint as it helps all my patients.
They will not harm- your steroids will.
This is my sincere effort as you have Type I diabetes and associated problems.
You may maintain by taking routine multi-vitamins / anti-oxidants over the counter or as prescribed by your Doctor.
Please give me a feedback whether these helped you
Dr T Chandrakant
ENT and General Surgeon