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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for cold and cough

Hi, Sir i am 31 years old male person. since past 3 years i am suffering from cold and also suffering from caugh since last6 months i have breathing problem also. especially this problem coming in winter season. I consulted the nearest physician (MD). he told that my disease is Allergic Bronchits. Which will get cure within one month after taking Criz-M, AB Phylline & Seriflow 250 inhaler medicine. But, this problem often repeats. Is this eosinophilia? Please suggest the medication as a permanent cure. Who is the best Eosiniphilia Doctor in Hyderabad city Andhra Pradesh state? Sir, also found some Dermit changes on my left leg at foot side ( small black shades are coming). And also i am suffering from insomnia ( no sleeping at night time) since 5 years.
Thu, 10 Jul 2014
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Allergist and Immunologist 's  Response
Hello.

Thank you for asking at HCM.

I went through your history. I conclude that you are having recurrent episodes of cold and cough for last 3 years and breathlessness for last 6 months, more in winters.

Were I treating you, I would consider allergic disorder and would suggest you to take daily levocetirizine, montelukast and an inhaled corticosteroids. I also would suggest you regular nasal saline spray 3-4 times a day and steam inhalation.

All these medicines control your symptoms but they do not "cure" the allergic disease. Hence I would suggest you to consult an Allergist-Immunolgist who will advise you allergy testing and may advise allergen immunotherapy based on results of allergy testing. Allergen immunotherapy will improve your immune system to reduce allergy symptoms. Allergy testing will also help you identify the substances you should avoid.

I would also suggest you regular breathing exercises, Yoga & Pranayama, which will help you in a long run and improve your lung capacity. Also, please try to avoid dusts, smokes & air pollution as much as possible.

Eosinophilia is not a disease. It is a finding in complete blood count testing. It may be due to allergic disorders but there are other causes like parasitic infections, some drugs, and others.

If you have insomnia due to nasal obstruction, treatment of allergic rhinitis will help it. Also, both allergies and insomnia are aggravated by mental stress, so if stress is a factor for you, please try to manage it with meditation & relaxation. Otherwise I would suggest you to consult a Neurologist for insomnia and a Dermatologist for skin changes.

Hope this will be helpful to you.

Wish you the best of the health.

Regards.
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