25 year old female complain breathing problem like COPD daily cold and sneezing Dx and Rx suggest

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Basically she has PCOD +PID+UTI problems which are indicative from above reports. These problems doesn't have DIRECT relations with her perennial allergic rhinitis.It could be due hormonal imbalance too. You can advise IgE ( allergen-specific immunoglobulin E ) to check whether a person is allergic to a particular substance.Elevated levels of specific IgE antibodies may mean an allergy is present but still it has got its own limitations. Advise PFT to evaluate lung function. 1.Ask her to be cautious n alert so that she herself can find out the culprit n the offending agents. 2.Advice Tab.Fexofenadine 120mg + Montelukast 10 mg HS for 1 month n see the difference. 3.Deworm the patient. 4.Advice Mometasone nasal spray in more sneezing n itchy nostrils. 5.Take the opinion of Gynecologist for PCOD . 6.Treat UTI with Levofloxacin 250mg + Ornidazole 500 mg BID for 5 days with Tab Nitrofurantoin 100mg TDS for 5 days.That will take care of PID as well as UTI.

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USG report is suggestive of PCOD with PID which is unrelated to patients symptoms . She seems to be suffering from allergic rhinitis Treatment is fexofenadine 180 mh + montelukast O.D for 2 months

Clinical history and lab parameters do not correlate here.....Better evaluate for allergic bronchitis , start on Astgalin inhalers.....

Need to rule out chronic reflux disorder causing cough........ . Very common unsuspected cause of chronic cough. Endoscopy may help.

Pid with Allergic Rhinitis and mild bronchitis... AS IN SOME CASES OF PCOD, IF RHINITIS BRONCHITIS IS NOT RESPONDING, IT MAY BE A CASE OF VASOMOTOR RHINITIS WITH BRONCHITIS

Treat for UTI. and for allergic rhinitis. Don't know the duration of breathlessness. ENT evaluation may be of help.

Pcod with allergic rhinitis with uti urine for culture and sensitivity serum prolactin fbs ppbs monticop l odd allergic skin testing

Rule out asthma from history of chest tightness, wheezing, seasonal and diuranal variation...cxr is showing hyperinflation with anteriorly lung approaching to 6th rib with straight right heart border.....tlc is slight raised so treat with antibiotics..as it can be allergic rhinitis...so absolute eosinophil count and sputum eosinophilic count can be done

I agree with Dr G Dahake

Over exposed NAD scan

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