answer:Hello.Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. First of all, I would like to know which nasal spray you used to have. If it is decongestant type of spray (xylometazoline), I would not suggest you to use it often.If it is an intranasal corticosteroid (fluticasone or mometasone), I would suggest you to use it daily at least for 2 weeks with proper technique.2. At present, I would also suggest you to take daily montelukast and levocetirizine for at least 2-4 weeks.3. As you already have had endoscopy recently by an ENT surgeon, it is easier for me to make suggestions to you.4. As an Allergist-Immunologist, I would suggest you allergy testing for common air-borne allergy causing substances like - house dust mites, cockroach proteins, common molds & pollens in your area, animal dander (if you have pets), etc.Allergy testing will help you to identify substances causing allergies to you as well as to know how to avoid exposure to them.5. Based on allergy testing, an Allergist-Immunologist may prescribe you specific allergen immunotherapy which works on your immune system to gradually improve allergy symptoms on long term basis.6. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.7. Regular breathing exercises and a healthy diet rich in vitamins & minerals will be helpful to you in a long run by improving your lung capacity and immunity respectively.In reply to your specific query (whom should you consult), I would like to suggest you that allergic rhinitis is best managed by a team consisting of an ENT specialist and an Allergist-Immunologist. ENT specialist takes care of symptoms and Allergist takes care of allergy itself and immune system.Hope above suggestions and information will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards.

answer:HIWell come to HCMif you do have dust allergy then try to avoid the dust exposure and this happens some time then this can be managed with Tab Levocetrizine 10 mg three times in day, hope this information helps, (look the money is not the important factor for us, service of man kind is the matter, and for person like you manner would be necessary)

answer:Hello.Thank you for asking at HCM.I went through your history and would like to make following suggestions for you:1. Wet feeling on head, heaviness of head/face as well as fluid in ears, stuffed nose can be caused by sinusitis, especially if it is long standing. Dizziness can also be caused by sinusitis due to disturbance in pressures in middle ear cavity.2. In my opinion, usually twitching in legs and arms may not be due to sinusitis or allergies but they may be due to medicines as side effects or due to any other cause.3. From your symptoms, were I treating you, I would suggest you a prolonged treatment for sinusitis (at least 2-4 weeks). I would suggest you intranasal corticosteroids, montelukast, levocetirizine and daily regular steam inhalation. I would also suggest you antibiotics if you have fever.4. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible.5. I would also suggest you to take plenty of warm fluids during day as well as a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc).Hope above suggestions will be helpful to you.Should you have any other query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards.

answer:Hello,Welcome to HCM,Wasp stings are common, especially during the summer months when people are outside for prolonged periods. Wasp stings can be uncomfortable, but most people recover quickly and without complications.The majority of people without sting allergies will show only minor symptoms during and after a wasp sting. The initial sensations can include sharp pain or burning at the sting site. Redness, minor swelling and itching can occur too.Only about three percent of the general population is allergic to wasps stings and Severe allergic reactions to wasp stings are referred to as anaphylaxis.During anaphylaxis patients will have severe swelling of the face, lips, throathives,itching, breathing difficulties,wheezing,dizziness, sudden drop in blood pressure, nausea or vomiting and rapid pulse.Thank you.

answer:Hello.Thank you for asking at HCM.I went through your father's history and would like to make suggestions for him as follows:1. Using inhaled corticosteroids (in form of inhalers) is always better than taking corticosteroids orally. So it's good that your father has switched on to inhalers.2. I would like to know the drug he is using in Rotahaler. There are many drugs available to be used with rotahaler and if he is not responding to a drug since last 1 month, changing the drug or increasing the dose of the drug would be a better option. Please give details of your inhaler to the pulmonologist when you visit him.3. In general, I would suggest him two types of inhaler. One controller type (inhaled corticosteroids) to be used daily and regularly and the other rescue type (salbutamol) to be used on as-and0when-needed basis for asthma symptoms.4. I would suggest him to avoid exposure to dusts, smokes and air pollution as much as possible.5. Regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will help him in a long run by improving his lung capacity and immunity respectively.6. If he is a smoker/was a smoker in past, I would also suggest him spirometry test to know his lung capacity and to know the kind of his lung disease apart from/in addition to asthma.Hope above suggestions will be helpful to him.Should you have any further concern, please feel free to ask at HCM.Wish your father the best of the health.Thank you & Regards.

answer:Hello.Thank you for asking at HCM.I went through your history and would like to know more details like - since when you are having the itchy patches (hives)? Do you have any other medical conditions? Do you need to take any other medication regularly/frequently? Are your hives associated with excessive sweating/physical activities? Do they occur after any specific food?From you history, I would like to make following suggestions to you:1. Were I treating you, I would prescribe you an antihistamine like cetirizine or levocetirizine or fexofenadine for symptoms.2. I would also suggest you to apply lotion like calamine over hives. Please do not scratch the itchy areas, they can aggravate the condition.3. Please avoid hot/spicy foods and activities causing excessive sweating.Hope above suggestions will help you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards.