What is the treatment for wheezing and eczema with dust allergy?
Question: Dear Dr, my sixteen year old son has got dust allergy and he is very prone to getting flu and wheezing. He has got nasal blockage. We live in the UK and this situation aggravates during the cold months. He has continuously got ezcema and even though he applies Double Base Cream and Oilatum soap this doesnt help him. He is overweight even though he does regular excercise. He gains weight very rapidly. I would like to know how he can get treated for his flu/wheezing, eczema, and weight loss. Any advice will be much appreciated.
Brief Answer: Antihistaminics, steroid sprays, steroid ointments Detailed Answer: Hi, Thanks for the query. Dust allergy is quiet common. It can manifest as nasal allergy, chest allergy and/or skin allergy. Avoidance of allergen is the best preventive measure and reduces the number of episodes. Otherwise, nasal allergy can best be treated with intranasal steroid sprays and acute episodes usually oral antihistaminics or a combination of antihistaminic with antileukotriene. Anti-allergic nasal sprays are also available either alone or in combination with intra nasal steroids. Eczema is usually treated with antihistaminics and is used as a need based treatment. Use of steroid ointments like mometasone in consultation with a dermatologist to control the problem in severe cases. Immunosuppressive drugs like tacrolimus are used in ointment form and are effective a mid-level steroids. Weight loss can be achieved with a good combination of exercise and dietary modifications. Avoidance of high carbohydrate and high fat diet is part of the general diet plan of the patients with the use of high fibre diet. Feel free to ask another query. Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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