instruction: hello doctor I am a 32 year old male I am having chronic idiopathic pancreatitis I am regularly on anna 2500 three times cretox up three times a day my problem are cold and cough for two years approximately almost four to five days a week even sleeping under the fan my nose gets blocked in the morning and nowadays I feel uncomfortable when dust is around as well did total ice report is quite high please diagnose and suggest medicine
output: hello we are happy to help you I understand that you have these complaints for a few years it most probably is a manifestation of allergic rhinitis the total ice in serum is just an indication of the allergy status at the time of taking the blood sample it is not very significant in allergy practice nevertheless it shows that you have an allergy you need some medicines to keep allergy under wraps and prevent the blockage and cold you also need to find out which allergen is offending and causing the problems the best way to diagnose is getting a skin prick test done at a good allergy diagnostic lab meanwhile you will be benefitted by an antihistaminic with leukotriene inhibitor combination steroid nasal spray and allergen avoidance you would need to be taking these for about two to three months allergen avoidance is the best solution could you provide us more details about the complaints so that we can guide you better is the problem seasonal or perennial does it only occur in the nights when you lie down under the fan or any time of the day does it get worse in winters or when you visit any hill station where do you live do you smoke what is your diet like do you get exposed to vehicular exhaust pollution or smoke and dust of any kind have you tried nasal sprays before is the cough wet or dry is there any breathing difficulty or wheezing is there any change of voice