Allergic Bronchitis without Fever with Green phlegm ..

35 Year Old Male , Every year seasonal Allergic Rhinitis and sore throat complaint of Mild Chest pain , Mild Cough with green mucous , Allergic rhinitis Vitals are normal and No fever at all , Also he is GERD patient , Mild Chest pain only when movement and chest pain completely relieves by muscle relaxant , No breathing problem while cardio test , Auscultation normal , Excessive nasal congestion and post nasal drip Dx and Rx plz

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? ALLERGIC RHINITIS..WITH.. ASSOCIATED COMPLICATIONS.. BRONCHITIS.. NEED'S.. ANTICOLD MEDICATIONS.. PCM +LEVOCETIRIZINE +MONTELUCAST.. AMOXYCLAV.. COUGH EXPECTORANT.. NEBULIZATION.. PPI ..

Thanks a lot sir
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Asthmatic bronchitis / allergic bronchitis Find out allergens Cetrizine,1bd Calcium 1bd

Thanks a lot sir
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From history he appears to be a c/o gram negative sinositis /sinobronchitis Post nasal drip is suggestive chr h/o allery Rx tab Cefuroxime 500mg 1bd Anti allergics Mild chest pain relieved by muscle relaxants suggest intercostal myelgia Add ppi+domperidone for GERD

Thanx dr Ramesh Kumar Singh
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SUGGESTIVE OF SEASONAL ALLERGIC RHINITIS WITH NASAL CONGESTION. AND POSTNASAL DRIP.. ADVISABLE... RULE. OUT ANEMIA. AND DEFICIENCY. OF. ESSENTIAL. ELEMENTS.... .. IMMUNOSUPPRESSION.?? POSSIBLY MEDICATIONS. INDUCED

ALLERGIC Rhinitis with chronic bronchitis

Thank you doctor
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Seasonal allergic rhinitis & excess nasal congestion Could be possibility of nasal septum deviation. Please x ray / CT Scan of face will help to rule out. Tab.Levocetrizine for 5 days Otrovin nasal drop Also it's a seasonal rhinitis so Nasal exercise in yoga also will help. As per history..Chest pain seems coz pectoral muscle spasm or as he is also k/c/ o GERD ....So can continue with proton pump inhibitor and incline sleeping posture will help to reduce chest pain or chest burning sensation. For specific diagnosis of GERD , 24 hrs PH monitoring will help to decide further treatment protocol.

Thanks a lot sir
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Typical Allergic rhinitis case I do have same problem and levocetrizine combined with montelukast relieved much the symptoms with less side effects.

Thank you doctor
1

Azeflo nasal spray,Montina-L,Azithromycin,Ambroxol,Neti Kriya

Thank you doctor
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