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

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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Asthmatic bronchitis / allergic bronchitis Find out allergens Cetrizine,1bd Calcium 1bd

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
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ALLERGIC Rhinitis with chronic bronchitis

Thank you doctor
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Azeflo nasal spray,Montina-L,Azithromycin,Ambroxol,Neti Kriya

Thank you doctor
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