Hi doctor, I am a 19 years old male. My IgE levels in the past two years were 1411 and 869.0 IU/mL respectively. Do I need to check now? Also the absolute eosinophil counts were 800 and 240. My TSH was high and it got treated. I feel allergic to dust, eggplant (tongue itch), perfume, fragrance, etc. I cannot apply any face cream. If I do then my eyes become watery instantly and do not stop for hours. I also get burning sensation. I have acne prone skin. Now, my main complaint is occasional unexplained cough for more than two years. I used to avoid chill water and cold drinks. What should be done further? I have also attached my blood report of TSH and lipid profile for your reference.
Hi. It seems you do have allergy tendencies in your body which are associated with asthma or allergic bronchitis and high IgE levels. Also you have associated skin issues like urticaria or atopic dermatitis which are all connected together. Well, the first line is usually anti-allergics and that too for a long time. I will not suggest Montelukast. Take Allegra 180 mg (Fexofenadine) and Levocet 10 mg (Levocetirizine) in the morning. If not controlled we can add Atarax (Hydroxyzine). The key is to suppress the allergic cell release. If not controlled you may need a short course of steroids. Steroids work like magic in these diseases, but it is bound to relapse once you stop it. So, we have to control it with all three generations of different antihistamines. These conditions tend to fade off when you reach mid 20's. At times they linger on. We have to just wait and see. But for now, we have to control the allergic storm. For further information consult an allergy specialist online -->