Question 1

I've been dealing with allergies for pretty much my entire life, and they've always caused a runny nose and sneezing. I usually stick to montina l-cetirizine for it, and breathing's never been an issueuntil recently. For the past 34 weeks, I've noticed difficulty in breathing and a cough. I've been taking montina l to help with the breathing issues, but today I also had a runny nose and cough, so I took sinarest too. Now Im a bit worried. Is it okay to take montina l with sinarest at the same time?

Accepted Answer

Azeflo nasal spray 7ml to both the nostrils is advised to the patient for 5 days.Steam inhalation is also advised to the patient.

Question 2

I'm wondering if taking L Montus FX and Medral 4mg for a long time to manage my dust allergy is actually safe. Are there any serious side effects I should be worried about if I continue using them? It's been a while, and I'm a bit concerned about the long-term effects on my health. Can you advise if it's okay or if I should consider any alternatives?

Accepted Answer

_Hypothyroidism Management: Next Steps_

Your TSH level of 14.33 indicates hypothyroidism. Consult an endocrinologist or a primary care physician for proper management.

_Initial Steps:_

1. *Thyroid hormone replacement therapy*: Your doctor will likely prescribe synthetic thyroid hormones (e.g., levothyroxine) to replace the deficient hormones.
2. *Initial dosage*: A typical starting dose is 25-50 mcg of levothyroxine, which may be adjusted based on your response.
3. *Regular TSH monitoring*: Schedule follow-up appointments every 6-8 weeks to monitor your TSH levels and adjust the dosage as needed.

_Lifestyle Modifications:_

1. *Dietary changes*: Ensure adequate iodine intake through foods like seafood, dairy, or iodized salt.
2. *Selenium-rich foods*: Include selenium-rich foods like Brazil nuts, fish, or turkey in your diet.
3. *Regular exercise*: Engage in moderate-intensity exercise, like brisk walking, to help manage hypothyroidism.

By working closely with your healthcare provider and making lifestyle modifications, you can effectively manage your hypothyroidism and achieve a normal TSH level.

Question 3

I've had allergies to dust, some foods, and certain medications since I was a kid, and recently found out my IGE levels are really high, around 1200. I take Techzine 5 mg every day, but I still get this burning sensation in my eyes, awful itching, and some red spots on my hands and legs whenever I have an allergic reaction. Should I be worried about my IGE being this high? It's freaking me out a bit, so any advice would really help.

Accepted Answer

Based on your symptoms and high IgE levels, it is important to continue managing your allergies. In addition to Techzine 5 mg, you can also consider adding Allegra 180 mg once daily to help with the itching, red spots, and burning sensation in your eyes. It is also advisable to avoid triggers that worsen your allergies, such as dust and certain foods. Monitoring your IgE levels regularly with your doctor is recommended to track your response to treatment.

start taking precautions like avoid cold weather, wear mask in that season

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