@ Dr Shailendra .. I must congratulate you for your nice posting related to conjunctivitis especially some aspects which are overlooked even by ophthalmologists! Accept my best wishes!!
Informative update sirji
Informative Update.... Thanks for sharing @Dr. Shailendra Kawtikwar sir
Good article Dr,.
अति उत्तम धन्यवाद देता हूं
Very nice information N helpful post sir Thanks.
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Friends today I am discussing about Allergies. An allergy is an immune system response to a foreign substance that’s not typically harmful to your body. These foreign substances are called allergens. They can include certain foods, pollen, or pet dander. Your immune system’s job is to keep you healthy by fighting harmful pathogens. It does this by attacking anything it thinks could put your body in danger. Depending on the allergen, this response may involve inflammation, sneezing, or a host of other symptoms. Your immune system normally adjusts to your environment. For example, when your body encounters something like pet dander, it should realize it’s harmless. In people with dander allergies, the immune system perceives it as an outside invader threatening the body and attacks it. Allergies are common. Several treatments can help you avoid your symptoms. Symptoms of allergies The symptoms you experience because of allergies are the result of several factors. These include the type of allergy you have and how severe the allergy is. If you take any medication before an anticipated allergic response, you may still experience some of these symptoms, but they may be reduced. For food allergies Food allergies can trigger swelling, hives, nausea, fatigue, and more. It may take a while for a person to realize that they have a food allergy. If you have a serious reaction after a meal and you’re not sure why, see a medical professional immediately. They can find the exact cause of your reaction or refer you to a specialist. For seasonal allergies Hay fever symptoms can mimic those of a cold. They include congestion, runny nose, and swollen eyes. Most of the time, you can manage these symptoms at home using over-the-counter treatments. See your doctor if your symptoms become unmanageable. For severe allergies Severe allergies can cause anaphylaxis. This is a life-threatening emergency that can lead to breathing difficulties, lightheadedness, and loss of consciousness. If you’re experiencing these symptoms after coming in contact with a possible allergen, seek medical help immediately. Everyone’s signs and symptoms of an allergic reaction are different. Read more about allergy symptoms and what might cause them. Allergies on skin Skin allergies may be a sign or symptom of an allergy. They may also be the direct result of exposure to an allergen. For example, eating a food you’re allergic to can cause several symptoms. You may experience tingling in your mouth and throat. You may also develop a rash. Contact dermatitis, however, is the result of your skin coming into direct contact with an allergen. This could happen if you touch something you’re allergic to, such as a cleaning product or plant. Types of skin allergies include: Rashes. Areas of skin are irritated, red, or swollen, and can be painful or itchy. Eczema. Patches of skin become inflamed and can itch and bleed. Contact dermatitis. Red, itchy patches of skin develop almost immediately after contact with an allergen. Sore throat. Pharynx or throat is irritated or inflamed. Hives. Red, itchy, and raised welts of various sizes and shapes develop on the surface of the skin. Swollen eyes. Eyes may be watery or itchy and look “puffy.” Itching. There’s irritation or inflammation in the skin. Burning. Skin inflammation leads to discomfort and stinging sensations on the skin. Rashes are one of the most common symptoms of a skin allergy. Find out how to identify rashes and how to treat them. Causes of allergies Researchers aren’t exactly sure why the immune system causes an allergic reaction when a normally harmless foreign substance enters the body. Allergies have a genetic component. This means parents can pass them down to their children. However, only a general susceptibility to allergic reaction is genetic. Specific allergies aren’t passed down. For instance, if your mother is allergic to shellfish, it doesn’t necessarily mean that you’ll be, too. Common types of allergens include: Animal products. These include pet dander, dust mite waste, and cockroaches. Drugs. Penicillin and sulfa drugs are common triggers. Foods. Wheat, nuts, milk, shellfish, and egg allergies are common. Insect stings. These include bees, wasps, and mosquitoes. Mold. Airborne spores from mold can trigger a reaction. Plants. Pollens from grass, weeds, and trees, as well as resin from plants such as poison ivy and poison oak, are very common plant allergens. Other allergens. Latex, often found in latex gloves and condoms, and metals like nickel are also common allergens. Seasonal allergies, also known as hay fever, are some of the most common allergies. These are caused by pollen released by plants. They cause: itchy eyes watery eyes runny nose coughing Food allergies are becoming more common. Find out about the most common types of food allergies and the symptoms they cause. Allergy treatments The best way to avoid allergies is to stay away from whatever triggers the reaction. If that’s not possible, there are treatment options available. Medication Allergy treatment often includes medications like antihistamines to control symptoms. The medication can be over the counter or prescription. What your doctor recommends depends on the severity of your allergies. Allergy medications include: antihistamines like diphenhydramine (Benadryl) corticosteroids cetirizine (Zyrtec) loratadine (Claritin) cromolyn sodium (Gastrocrom) decongestants (Afrin, Suphedrine PE, Sudafed) leukotriene modifiers (Singular, Zyflo) Immunotherapy Many people opt for immunotherapy. This involves several injections over the course of a few years to help the body get used to your allergy. Successful immunotherapy can prevent allergy symptoms from returning. Emergency epinephrine If you have a severe, life-threatening allergy, carry an emergency epinephrine shot. The shot counters allergic reactions until medical help arrives. Common brands of this treatment include EpiPen and Twinject. Some allergic responses are a medical emergency. Prepare for these emergency situations by knowing allergic reaction first aid. Natural remedies for allergies Many natural remedies and supplements are marketed as a treatment and even a way to prevent allergies. Discuss these with your doctor before trying them. Some natural treatments may actually contain other allergens and make your symptoms worse. For example, some dried teas use flowers and plants that are closely related to plants that might be causing you serious sneezing. The same is true for essential oils. Some people use these oils to relieve common symptoms of allergies, but essential oils still contain ingredients that can cause allergies. Each type of allergy has a host of natural remedies that may help speed up recovery. There are also natural options for children’s allergies, too. How allergies are diagnosed Your doctor can diagnose allergies in several ways. First, your doctor will ask about your symptoms and perform a physical exam. They’ll ask about anything unusual you may have eaten recently and any substances you may have come in contact with. For example, if you have a rash on your hands, your doctor may ask if you put on latex gloves recently. Lastly, a blood test and skin test can confirm or diagnose allergens your doctor suspects you have. Allergy blood test Your doctor may order a blood test. Your blood will be tested for the presence of allergy-causing antibodies called immunoglobulin E (IgE). These are cells that react to allergens. Your doctor will use a blood test to confirm a diagnosis if they’re worried about the potential for a severe allergic reaction. Skin test Your doctor may also refer you to an allergist for testing and treatment. A skin test is a common type of allergy test carried out by an allergist. During this test, your skin is pricked or scratched with small needles containing potential allergens. Your skin’s reaction is documented. If you’re allergic to a particular substance, your skin will become red and inflamed. Different tests may be needed to diagnose all your potential allergies. Start here to get a better understanding of how allergy testing works. Preventing symptoms There’s no way to prevent allergies. But there are ways to prevent the symptoms from occurring. The best way to prevent allergy symptoms is to avoid the allergens that trigger them. Avoidance is the most effective way to prevent food allergy symptoms. An elimination diet can help you determine the cause of your allergies so you know how to avoid them. To help you avoid food allergens, thoroughly read food labels and ask questions while dining out. Preventing seasonal, contact, and other allergies comes down to knowing where the allergens are located and how to avoid them. If you’re allergic to dust, for example, you can help reduce symptoms by installing proper air filters in your home, getting your air ducts professionally cleaned, and dusting your home regularly. Proper allergy testing can help you pinpoint your exact triggers, which makes them easier to avoid. These other tips can also help you avoid dangerous allergic reactions. Complications of allergies While you may think of allergies as those pesky sniffles and sneezes that come around every new season, some of these allergic reactions can actually be life-threatening. Anaphylaxis, for example, is a serious reaction to the exposure of allergens. Most people associate anaphylaxis with food, but any allergen can cause the telltale signs: suddenly narrowed airways increased heart rate possible swelling of the tongue and mouth Allergy symptoms can create many complications. Your doctor can help determine the cause of your symptoms as well as the difference between a sensitivity and a full-blown allergy. Your doctor can also teach you how to manage your allergy symptoms so that you can avoid the worst complications. Asthma and allergies Asthma is a common respiratory condition. It makes breathing more difficult and can narrow the air passageways in your lungs. Asthma is closely related to allergies. Indeed, allergies can make existing asthma worse. It can also trigger asthma in a person who’s never had the condition. Many people with allergies may develop asthma. Here’s how to recognize if it happens to you. Allergies vs. cold Runny nose, sneezing, and coughing are common symptoms of allergies. They also happen to be common symptoms of a cold and a sinus infection. Indeed, deciphering between the sometimes-generic symptoms can be difficult. However, additional signs and symptoms of the conditions may help you distinguish between the three. For example, allergies can cause rashes on your skin and itchy eyes. The common cold can lead to body aches, even fever. A sinus infection typically produces thick, yellow discharge from your nose. Allergies can impact your immune system for prolonged periods of time. When the immune system is compromised, it makes you more likely to pick up viruses you come into contact with. This includes the virus that causes the common cold. In turn, having allergies actually increases your risk for having more colds. Identify the differences between the two common conditions with this helpful chart. Allergy cough Hay fever can produce symptoms that include sneezing, coughing, and a persistent, stubborn cough. It’s the result of your body’s overreaction to allergens. It isn’t contagious, but it can be miserable. Unlike a chronic cough, a cough caused by allergies and hay fever is temporary. You may only experience the symptoms of this seasonal allergy during specific times of the year, when plants are first blooming. Additionally, seasonal allergies can trigger asthma, and asthma can cause coughing. When a person with common seasonal allergies is exposed to an allergen, tightening airways can lead to a cough. Shortness of breath and chest tightening may also occur. Find out why hay fever coughs are typically worse at night and what you can do to ease them. Allergies and bronchitis Viruses or bacteria can cause bronchitis, or it can be the result of allergies. The first type, acute bronchitis, typically ends after several days or weeks. Chronic bronchitis, however, can linger for months, possibly longer. It may also return frequently. Exposure to common allergens is the most common cause of chronic bronchitis. These allergens include: cigarette smoke air pollution dust pollen chemical fumes Unlike seasonal allergies, many of these allergens linger in environments like houses or offices. That can make chronic bronchitis more persistent and more likely to return. A cough is the only common symptom between chronic and acute bronchitis. Learn the other symptoms of bronchitis so you can understand more clearly what you may have. Allergies and babies Skin allergies are more common in younger children today than they were just a few decades ago. However, skin allergies decrease as children grow older. Respiratory and food allergies become more common as children get older. Common skin allergies on babies include: Eczema. This is an inflammatory skin condition that causes red rashes that itch. These rashes may develop slowly but be persistent. Allergic contact dermatitis. This type of skin allergy appears quickly, often immediately after your baby comes into contact with the irritant. More serious contact dermatitis can develop into painful blisters and cause skin cracking. Hives. Hives are red bumps or raised areas of skin that develop after exposure to an allergen. They don’t become scaly and crack, but itching the hives may make the skin bleed. Unusual rashes or hives on your baby’s body may alarm you. Understanding the difference in the type of skin allergies babies commonly experience can help you find a better treatment. Living with allergies Allergies are common and don’t have life-threatening consequences for most people. People who are at risk of anaphylaxis can learn how to manage their allergies and what to do in an emergency situation. Homeopathy is based on the paradoxical theory that “like cures like.” A substance (such as coffee) that causes a particular set of symptoms (such as insomnia, restlessness, and irritability) in a large dose can relieve those symptoms in an extremely diluted dose Here are common homeopathic remedies for allergies. Find the one that describes your dominant symptoms, and take a low-potency dosage (between 6x and 30c) two to three times a day for two weeks. If you notice that you’re feeling better, continue taking it through the allergy season or until you are symptom-free. If not, work with a qualified homeopath to find the right remedy. Allium cepa Try this remedy when nasal mucus irritates your nose or upper lip; your eyes are runny but the discharge is bland and non-irritating; you feel worse from warm rooms, and better in open air. Arsenicum album Symptoms for this remedy include stuffiness and copious watery nasal discharge that burns the lips; a burning sensation in the eyes, nose, and/or throat (often right-sided); sneezing upon waking, often with a tickle in the nose; anxiety and restlessness; symptoms are better from warmth (hot drinks, warm baths). Euphrasia officinalis Symptoms for this remedy are centered in the eyes: profuse tearing that is acrid and burning in nature; bland, non-irritating nasal discharge. Respiratory symptoms (runny nose, cough) are worse on rising in the morning; symptoms are better in open air and in the dark. Natrum muriaticum Try this remedy when you have a watery or egg-white-like nasal discharge; paroxysms of sneezing; chapped lips and cracks at the corners of the mouth; dark circles under the eyes; headaches. Sabadilla Symptoms for this remedy include an itchy nose; violent, debilitating sneezing; runny eyes that become worse in cold outdoor air and from flower pollen; symptoms are better from warm drinks and warm rooms. Wyethia Try this remedy when you experience extreme itching in the throat and palate that can extend to the ears; or a sore throat with hoarseness. Most health food stores carry homeopathic remedies, as well as combination remedies, which mix several remedies together into one “allergy relief” tablet. Although the latter approach sacrifices the precision of individualized prescribing, many allergy sufferers still find relief from their symptoms.Dr. Rajesh Gupta4 Likes7 Answers
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Friends today I am discussing about a common problem for sensitive persons known as Allergic rhinitis. What is allergic rhinitis? An allergen is an otherwise harmless substance that causes an allergic reaction. Allergic rhinitis, or hay fever, is an allergic response to specific allergens. Pollen is the most common allergen in seasonal allergic rhinitis. These are allergy symptoms that occur with the change of seasons. Nearly 8 percent of adults in the United States experience allergic rhinitis of some kind, according to the American Academy of Allergy, Asthma & Immunology (AAAAI). Between 10 and 30 percent of the worldwide population may also have allergic rhinitis. Symptoms of allergic rhinitis Common symptoms of allergic rhinitis include: sneezing a runny nose a stuffy nose an itchy nose coughing a sore or scratchy throat itchy eyes watery eyes dark circles under the eyes frequent headaches eczema-type symptoms, such as having extremely dry, itchy skin that can blister and weep hives excessive fatigue You’ll usually feel one or more of these symptoms immediately after coming into contact with an allergen. Some symptoms, such as recurrent headaches and fatigue, may only happen after long-term exposure to allergens. Fever isn’t a symptom of hay fever. Some people experience symptoms only rarely. This likely occurs when you’re exposed to allergens in large quantities. Other people experience symptoms all year long. Talk to your doctor about possible allergies if your symptoms last for more than a few weeks and don’t seem to be improving. What causes allergic rhinitis? When your body comes into contact with an allergen, it releases histamine, which is a natural chemical that defends your body from the allergen. This chemical can cause allergic rhinitis and its symptoms, including a runny nose, sneezing, and itchy eyes. In addition to tree pollen, other common allergens include: grass pollen dust mites animal dander, which is old skin cat saliva mold During certain times of the year, pollen can be especially problematic. Tree and flower pollens are more common in the spring. Grasses and weeds produce more pollen in the summer and fall. What are the types of allergic rhinitis The two types of allergic rhinitis are seasonal and perennial. Seasonal allergies usually occur during the spring and fall season and are typically in response to outdoor allergens like pollen. Perennial allergies can occur year round, or at any time during the year in response to indoor substances, like dust mites and pet dander. Risk factors for allergic rhinitis Allergies can affect anyone, but you’re more likely to develop allergic rhinitis if there is a history of allergies in your family. Having asthma or atopic eczema can also increase your risk of allergic rhinitis. Some external factors can trigger or worsen this condition, including: cigarette smoke chemicals cold temperatures humidity wind air pollution hairspray perfumes colognes wood smoke fumes How is allergic rhinitis diagnosed? If you have minor allergies, you’ll probably only need a physical exam. However, your doctor may perform certain tests to figure out the best treatment and prevention plan for you. A skin prick test is one of the most common. Your doctor places several substances onto your skin to see how your body reacts to each one. Usually, a small red bump appears if you’re allergic to a substance. A blood test, or radioallergosorbent test (RAST), is also common. The RAST measures the amount of immunoglobulin E antibodies to particular allergens in your blood. Treatments for allergic rhinitis You can treat your allergic rhinitis in several ways. These include medications, as well as home remedies and possibly alternative medicines. Talk to your doctor before trying any new treatment measure for allergic rhinitis. Antihistamines You can take antihistamines to treat allergies. They work by stopping your body from making histamine. Some popular over-the-counter (OTC) antihistamines include: fexofenadine (Allegra) diphenhydramine (Benadryl) desloratadine (Clarinex) loratadine (Claritin) levocetirizine (Xyzal) cetirizine (Zyrtec) Shop for OTC antihistamines. Talk to your doctor before starting a new medication. Make sure that a new allergy medication won’t interfere with other medications or medical conditions. Decongestants You can use decongestants over a short period, usually no longer than three days, to relieve a stuffy nose and sinus pressure. Using them for a longer time can cause a rebound effect, meaning once you stop your symptoms will actually get worse. Popular OTC decongestants include: oxymetazoline (Afrin nasal spray) pseudoephedrine (Sudafed) phenylephrine (Sudafed PE) cetirizine with pseudoephedrine (Zyrtec-D) If you have an abnormal heart rhythm, heart disease, history of stroke, anxiety, a sleep disorder, high blood pressure, or bladder issues, speak with your doctor before using a decongestant. Shop for decongestants. Eye drops and nasal sprays Eye drops and nasal sprays can help relieve itchiness and other allergy-related symptoms for a short time. However, depending on the product, you may need to avoid long-term use. Like decongestants, overusing certain eye drops and nose drops can also cause a rebound effect. Corticosteroids can help with inflammation and immune responses. These do not cause a rebound effect. Steroid nasal sprays are commonly recommended as a long-term, useful way to manage allergy symptoms. They are available both over the counter and by prescription. Talk to your doctor before starting a regimen of any allergy treatment to make sure you are taking the best medications for your symptoms. You doctor can also help you determine which products are made for short-term use and which are designed for long-term management. Immunotherapy Your doctor may recommend immunotherapy, or allergy shots, if you have severe allergies. You can use this treatment plan in conjunction with medications to control your symptoms. These shots decrease your immune response to particular allergens over time. They do require a long-term commitment to a treatment plan. An allergy shot regimen begins with a buildup phase. During this phase, you’ll go to your allergist for a shot one to three times per week for about three to six months to let your body get used to the allergen in the shot. During the maintenance phase, you will likely need to see your allergist for shots every two to four weeks over the course of three to five years. You may not notice a change until over a year after the maintenance phase begins. Once you reach this point, it’s possible that your allergy symptoms will fade or disappear altogether. Some people can experience severe allergic reactions to an allergen in their shot. Many allergists ask you to wait in the office for 30 to 45 minutes after a shot to ensure that you don’t have an intense or life-threatening response to it. Sublingual immunotherapy (SLIT) SLIT involves placing a tablet containing a mixture of several allergens under your tongue. It works similarly to allergy shots but without an injection. Currently, it is effective for treating rhinitis and asthma allergies caused by grass, tree pollen, cat dander, dust mites, and ragweed. You can take SLIT treatments, such as Oralair for certain grass allergies, at home after an initial consultation with your doctor. Your first dose of any SLIT will take place in your doctor’s office. Like allergy shots, the medication is taken frequently over a period of time determined by your doctor. Possible side effects include itching in the mouth or ear and throat irritation. In rare cases, SLIT treatments can cause anaphylaxis. Talk to your doctor about SLIT to see if your allergies will respond to this treatment. Your doctor will need to direct your treatment with this method. Home remedies Home remedies will depend on your allergens. If you have seasonal or pollen allergies, you can try using an air conditioner instead of opening your windows. If possible, add a filter designed for allergies. Using a dehumidifier or a high-efficiency particulate air (HEPA) filter can help you control your allergies while indoors. If you’re allergic to dust mites, wash your sheets and blankets in hot water that’s above 130°F (54.4°C). Adding a HEPA filter to your vacuum and vacuuming weekly may also help. Limiting carpet in your home can also be useful. Alternative and complementary medicine Due to concerns over possible side effects, more people with allergies are looking at ways to address hay fever symptoms “naturally.” However, it is important to remember that any medication can have side effects, even if it’s considered natural. Aside from home remedies, options can also include alternative and complimentary medicine. The downside to these treatments can be that there’s little supporting evidence to prove that they’re safe or effective. The correct dosing may also be difficult to determine or achieve. acupuncture nasal saline irrigation butterbur supplements honey (choose raw, organic varieties) probiotics Although these alternative treatments are derived from plants and other natural substances, they can possibly interact with medications, as well as cause reactions. Try these with caution, and ask your doctor before use. Complications of allergic rhinitis Unfortunately, allergic rhinitis itself can’t be prevented. Treatment and management are keys to achieving a good quality of life with allergies. Some complications that can arise from hay fever include: inability to sleep from symptoms keeping you up at night development or worsening of asthma symptoms frequent ear infections sinusitis or frequent sinus infections absences from school or work because of reduced productivity frequent headaches Complications can also arise from antihistamine side effects. Most commonly, drowsiness can occur. Other side effects include headache, anxiety, and insomnia. In rare cases, antihistamines can cause gastrointestinal, urinary, and circulatory effects. Allergic rhinitis in children Children can develop allergic rhinitis too, and it typically appears before the age of 10. If you notice that your child develops cold-like symptoms at the same time each year, they probably have seasonal allergic rhinitis. The symptoms in children are similar to those in adults. Children usually develop watery, bloodshot eyes, which is called allergic conjunctivitis. If you notice wheezing or shortness of breath in addition to other symptoms, your child may have also developed asthma. If you believe your child has allergies, see your doctor. It’s important to receive the correct diagnosis and treatment. If your child does have significant seasonal allergies, limit your child’s exposure to allergens by keeping them inside when pollen counts are high. Washing their clothes and sheets frequently during allergy season and vacuuming regularly may also be useful. Many different treatments are available to help your child’s allergies. However, some medications can cause side effects, even in small doses. Always talk to your doctor before treating your child with any over-the-counter allergy medication. Outlook The outcome of treatment depends on your condition. Seasonal allergic rhinitis usually isn’t severe, and you can manage it well with medications. However, severe forms of this condition will likely require long-term treatment. Preventing allergies The best way to prevent allergy symptoms is to manage your allergies before your body has a chance to respond to substances adversely. Consider the following preventive measures for the particular allergens you’re sensitive to: Pollen The AAAAI recommends starting medications before seasonal allergy attacks. For example, if you’re sensitive to tree pollen in the spring, you may want to start taking antihistamines before an allergic reaction has the chance to occur. Stay indoors during peak pollen hours, and take a shower immediately after being outside. You’ll also want to keep your windows closed during allergy season and avoid line-drying any laundry. Dust mites To reduce dust mite exposure, you can take measures to make sure your home is not a friendly environment for dust mite development. Wet mop hard floors, rather than sweeping. If you have carpet, use a vacuum with a HEPA filter. You’ll also want to dust hard surfaces often, and wash your bedding weekly in hot water. Use allergen-blocking pillows and cases to decrease dust mite exposure while you’re sleeping. Pet dander Ideally, you’ll want to limit exposure to any animals that you’re allergic to. If this isn’t possible, make sure you clean all surfaces often. Wash your hands immediately after touching pets, and make sure your furry friends stay off your bed. You’ll also want to wash your clothes after visiting homes that have pets. Tips to prevent allergies Stay indoors when pollen counts are high. Avoid exercising outdoors early in the morning. Take showers immediately after being outside. Keep your windows and doors shut as frequently as possible during allergy season. Keep your mouth and nose covered while performing yard work. Try not to rake leaves or mow the lawn. Bathe your dog at least twice per week to minimize dander. Remove carpeting from your bedroom if you’re concerned about dust mites. HOMEOPATHIC MEDICINES FOR ALLERGY Arsenic alb - There is thin watery discharge from the nose with burning sensation, recurrent sneezing one after another with runny nose. Burning and tearing of eyes . There is puffiness around eyes, stuffy nose. The person has an asthmatic tendency with breathing difficulties, and oppression of chest which is generally worse when he lies down. On sitting with a forward bending posture makes the patient little comfort from his asthmatic problem. There is marked wheezing sound during asthmatic affection. The asthma is worse in wet cold weather. Besides that the constitutional symptoms of arsenic alb are anxiety, restlessness, prostration, burning sensation. The anxiety that is found in Arsenic alb is intermingled with fear. The other prominent symptoms are debility, exhaustion, restlessness, with nightly aggravation. Great exhaustion after a slightest exertion. Sulphur – There is itching with redness of eyes in allergic condition. The itching is followed by burning sensation and relieved by cold application. sulphur patient is always irritable, depressed, thin and weak, but good vappetite. He is having forgetful nature, difficulties in thinking. He has many good ideas but cannot implement it. Selfish type person, no regards for others. very lazy person, not cleanness, never look after about his dressing and clothing. Don’t like to take bath. Having of skin diseases always. The skin rashes itch a lot generally in night and warm atmosphere. The person has a feeling congestion or oppression of chest in asthmatic condition. Natrum mur – Natrum mur is generally well indicated in case of allergic condition which gives the symptoms of more itching of nose, throat, ear with recurrent sneezing one after another. The characteristic discharge from the mucous membranes is watery or thick whitish, like the white of an egg. Natrum mur patient is very sensitive in nature. Every thing he/she takes into the heart. The person is irritable in nature and when in upset does not like any body’s present or giving of any consolation. Consolation aggravated the state of the mind - the melancholy, the tearfulness, sometimes brings on anger. The Natrum mur patient is extremely emotional. The whole nervous economy is in a state of fret (visible anxious like scratching finger on her skin in worry). Completely or desperately in love brings on complaints. The natrum mur patient desire to take extra salt in his diet. Sabadilla- it has good action on mucous membrane of the nose and the lachrymal glands, producing coryza and symptoms like hay-fever. There is spasmodic sneezing one after another. symptoms of hay-fever or allergic rhinitis with itchy nose and fluent coryza. Either nostril stuffed up, inspiration through nose labored, snoring. Violent sneezing is occurred from time to time, shaking abdomen followed by lachrymation. There is runny nose with severe frontal headache and redness of eyelids. Allium cepa: Allium Cepa is one of the most commonly used Homeopathic medicines for Allergic Rhinitis or Hay Fever. It is generally used in the symptoms of severe runny nose that drips from the tip of nose with watery eyes. There is burning of nose due to over secretion mucous. Along with the watery nasal discharge there is watery eye. There is profuse sneezing associated with runny nose and watery eyes. Tuberculinum- The patient is very susceptible to catch cold. The physical constitution is lean and thin like natrum mur, but not obese like calcarea carb. If there is family history of tuberculosis or bronchial asthma then is more suitable to give this medicines in any allergic or asthma condition. The person is very depressed, melancholic, taciturn sulky nature.Dr. Rajesh Gupta11 Likes19 Answers
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27y , f, no known co morbidities, presented with intense itching right eye with watering,. Sudden on onset, Progressive , With swelling of lids No history of pain, trauma, previous complaints No history of fever No history of photophobia or difficulty in vision. DX pleaseDr. Nurjahan Ali5 Likes23 Answers
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irritating left eye since 2 days on hydroxymethylcellulose eye drop ..not improved.. please dx and rxDr. Shamim Ahmed2 Likes17 Answers
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46 year old patient. 6 days history of conjunctivitis. Earlier only right eye involvement with diffuse redness over conjunctiva. Lids and conjunctiva are edematous. Left eye started showing same symptoms since yesterday. On medication K-MOXI-LP (Moxifloxacin & Loteprednol Etabonate) and Misty gel (Carboxymethyl-cellulose)Varun Sethi2 Likes22 Answers