Hello doctor, I am a 32-year-old male. I am having chronic idiopathic pancreatitis. I am regularly on Agna 25000 three times, Cretox CP three times a day. My problem are cold and cough for two years approximately. Almost four to five days a week. Even sleeping under the fan my nose gets blocked in the morning and nowadays I feel uncomfortable when dust is around as well. Did total IgE report is quite high? Please diagnose and suggest medicine.
Hello.  We are happy to help you. I understand that you have these complaints for a few years. It most probably is a manifestation of allergic rhinitis. The total IgE in serum is just an indication of the allergy status at the time of taking the blood sample. It is not very significant in allergy practice. Nevertheless, it shows that you have an allergy. You need some medicines to keep allergy under wraps and prevent the blockage and cold. You also need to find out which allergen is offending and causing the problems. The best way to diagnose is getting a skin prick test done at a good allergy diagnostic lab. Meanwhile, you will be benefitted by an antihistaminic with leukotriene inhibitor combination, steroid nasal spray, and allergen avoidance. You would need to be taking these for about two to three months. Allergen avoidance is the best solution. Could you provide us more details about the complaints so that we can guide you better? Is the problem seasonal or perennial? Does it only occur in the nights when you lie down under the fan or any time of the day? Does it get worse in winters or when you visit any hill station? Where do you live? Do you smoke? What is your diet like? Do you get exposed to vehicular exhaust pollution or smoke and dust of any kind? Have you tried nasal sprays before? Is the cough wet or dry? Is there any breathing difficulty or wheezing? Is there any change of voice?