How is nasobronchial allergy treated ?
Patient: I am very confused regarding to my health because my doctor never tells me about the permanent treatment of my disease that is nasobronchial allergy . I am continuous taking the medicines (moteklucast & rotacap 200) from last six month. But from last 20 days I am not taking the medicines ,therefore again the condition is same.I am now suffering form sneezing , running nose and choking nose at night this creates problem in breathing .I am 20 years old girl and i am feeling bad due to these problem in front of relatives and friends.please help me to get rid from my disease permanently. Doctor: Hi,  I have gone through your query.   I would like to tell you one thing about the treatment of allergy. The only effective treatment of Allergy is avoidance of allergen ( Triggering factor).  Any substance could be an allergen. Most common allergens for Naso bronchial allergy are dust and pollen.  As far as the monteluKast is concerned - this is not useful in treating acute attack of allergy. It will help in reducing the frequency of allergic episodes. For it to be effective you might have to use it for years ( 2-3 Years). In very rare cases may have to be used for very long periods.  Rotacaps will give you instant relief but will not effect the recurrence of allergic episodes.  The only definitive treatment as i have mentioned earlier is avoidance of allergen. Just list out all the possible allergens with which you experience allergy. Try to avoid those allergens. Try using a cloth mask while going out.  Using newer ntihistaminics like Fexofenadine 120 mg ( Allegra) will help you to counter acute attacks.  Get your Blood Eosinophil count done. Based on the result. You can use some medicines like DEC ( Di  Ethyl carbamazine) which reduces the eosinophils and will prevent recurrent attacks of nasobronchial allergy. But please discuss with your doctor before you start using DEC .  Hope you got some solution.  Wish you a healthy day  Take care