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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Running Nose, Cough, Chest Tightness, Tingling In Teeth, Allergic Rhinitis, Asthma. On Levolin Inhaler. Cause?

Dear Dr,
My daughter who is 10 yr old now has been suffering from allergic rhinitis/Asthma/Wheezing for a long time.
It all started when she was 5yrs old when she had running nose and cough in the night. Within 30 minutes of lying on bed she will coough and there will be intermittent cough. It got intensified. When we saw the doctor next day, he told us that it could be allergic rhinitis or asthma and would go away as the nasal passage becomes big/as she grows big and several medicines were suggested. I dont remember them now but most of them were syrups. She also started to weeze after running for awhile.
After two yrs he suggested Montek LC one tab every day and Levolin inhaler in case of chest tightness. After this she has been sleeping well, looked normal and as per the doictors advice we started withdrawing Montek LC. But in two days all the symptoms are back. In the middle of the night she gets up and cough and her chest becomes tight & could not breathe. We had to give her 3 to 4 times Levolin inhaler some days.
We are concerned if she had become dependent/addicted to Montek LC and also to Levolin.
Chest x ray is normal. What is more troubling is that in the middle of night she gets up and and find it very difficult to breathe because of chest tightness.

Please advice on 1 is it OK to give Montek LC. She complained of tooth tingling and drowsiness.
2 Is it Ok to have chest tightness in the middle of the night and that too
several times in a night.
3 How many years more it may take to cure
Thanks
Krish
Fri, 20 Sep 2013
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Allergist and Immunologist 's  Response
you need to investigate for cause of allergy to treat it
consult allergy specialist to find out the cause of allergies by getting allergy tets and treat by sublingual immunotherapy which is latest recognised treatment of asthma and all other allergies
till you find the cause treat by antiallergics tabs syp antiallergic cough syp
with bronchodilator syp with local applications in nose eyes and other affected parts
I find this answer helpful
General & Family Physician Dr. Lohit K's  Response
Hi Thanks for using HCM.

1 is it OK to give Montek LC. She complained of tooth tingling and drowsiness.
You can give montelukast 5 mg alone without combination of levocetrizine. This acts as controller of asthma and also as anti inflammatory.

2 Is it Ok to have chest tightness in the middle of the night and that too
several times in a night.
No. This suggests she is not completely treated for asthma.

3 How many years more it may take to cure.
we cant tell how many years. Some will recover after 16 years without any treatment.
Since its a allergic manifestation, the allergen should be avoided to prevent her symptoms. You can discuss with your doctor to start inhalational steroid. They will be effective in managing her. Montelukast should be continued.

Levolin should be given only if she develops breathing difficulty. Or else should not be given daily basis.

Hope this answered all your query.
Wish you and your child good health.

Regards
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Running Nose, Cough, Chest Tightness, Tingling In Teeth, Allergic Rhinitis, Asthma. On Levolin Inhaler. Cause?

you need to investigate for cause of allergy to treat it consult allergy specialist to find out the cause of allergies by getting allergy tets and treat by sublingual immunotherapy which is latest recognised treatment of asthma and all other allergies till you find the cause treat by antiallergics tabs syp antiallergic cough syp with bronchodilator syp with local applications in nose eyes and other affected parts