Hi doctor, I am 20 year old male suffering from sneezing problem since last 3-4 years. My height is 172 cm and I am 58 kg weight. Daily I am sneezing in the morning and following that if I do not take medicine then I will get high fever and cold along with it. The sneeze only temporarily relieved with medication, but recurs when I stop the medicine. I had breathing problem in the past. The doctor said that in my blood, the eosinophil cell count are more.  What should I do?
Hi.I have looked through your reports (attachment removed to protect patient identity). Also, I wish to know the following details to make a more decisive diagnosis. You appears to have allergic rhinitis. Also in the past, the breathing trouble could have been asthma. Asthma and allergic rhinitis are related and occur together in many patients. However, I cannot be sure of the diagnosis until I see your past reports. You should go for IgE antibody test. An elevated IgE antibody suggests allergic rhinitis. Your complete blood count and sputum reports are normal. The absolute eosinophil count and eosinophil percent are normal. The spirometry have mild abnormality. You have moderate lung restriction, but that is not the cause of your sneezing. This restriction most probably could be a resultant of the breathing trouble you suffered in the past. The medications given by your doctor are fine. Those will be the same that I would also give. Some suggestions I would like to make are as follows: Allergy is not curable. It points to some form of hypersensitivity by your body to some daily routine substances which do not produce allergy in other persons. However, with the right precautions and care you can avoid occurrences of allergic symptoms. Also with the right treatment you can prevent any severity of the symptoms. 1. Smoke, cold winds, pollen, dust mites. 2. Passive smoke and burning substances. 3. Food allergy can be due to milk, nuts, prawns, soy, etc.  Take a diary and maintain your daily activities. Write down meticulously the food you eat also. Suppose you get allergy one day, you note down and see if there was anything suspicious you did because of which you might have developed the allergy. This will help in avoidance of the suspected allergen. Send me all reports regarding your past history. 1. Allergic rhinitis. 2. Non - Allergic rhinitis with eosinophilia syndrome. Follow the same treatment plan that your doctor has given in his prescription with the suggestions that I have made above. 1. No smoking or passive smoking. 2. Drink plenty of lukewarm water. Drink four to five liters of water daily. 3. Avoid cold drinks, alcohol and aerated cool drinks. Take meals hot rather than cold. 4. If working in dust atmosphere try changing your workplace. If not possible wear a mask that prevents inhalation of pathogens. 5. Maintain a diary and consciously note down any incident or food products that triggers allergy. 6. Dry your hair soon after hair wash. Do not apply oil for long duration. 7. Eat nutritious food rich with all vitamins and minerals. 8. For a month take multivitamin supplements such as Himalaya Septillin or AtoZ capsules are good brands. 9. Take plenty of green leafy vegetables, gooseberry every alternate day if not daily, very rich source of Vitamin C. Revert back with the reports to an allergy specialist online.--->