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Allergy in tongue
Yesterday I have swelling in my tongue and problem breathing .. I used Alegra 120 and it took almost 3 hours to become normal after taking that . It's 7 th time I have it in this year . What to do ..
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Tongue swelling with breathing difficulty, seven times in a year, in someone on Telma 80 is very likely drug-induced angioedema from the telmisartan - not an ordinary food allergy. That is exactly why the antihistamine barely helped and it took three hours to settle: this type of swelling is bradykinin-driven and does not respond well to Alegra. This is a genuinely dangerous pattern, because the next episode can close the airway. Please do not treat it as a minor allergy.
Next Steps
See your physician this week and ask specifically about stopping Telma and switching your BP medicine to a different class such as amlodipine - do not stop it on your own, but this needs changing soon. Continue Thyrox 88 and get TSH checked if it is overdue. Keep a written note that telmisartan is a suspected cause so no doctor restarts it. Consult me on Practo if you want help planning the switch and BP monitoring while it is changed. If the tongue, lips or throat swell again with any breathing or swallowing difficulty, go straight to the nearest emergency room - do not wait at home for a tablet to work.
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine.
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Kindly Do consult via practo online consultation for further treatment plan and advice
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Hello. Recurrent tongue swelling accompanied by breathing difficulty is a serious medical concern known as Angioedema, which can potentially lead to airway obstruction. Since this has recurred 7 times within a single year, it requires immediate, comprehensive medical evaluation rather than self-medication.
Why Immediate Attention is Required:
Airway Compromise: Swelling of the tongue or throat can rapidly block your windpipe, making it difficult to breathe or swallow. This is considered a medical emergency.
Common Underlying Causes in Senior Adults
:
Medication-Induced: Commonly caused by Blood Pressure medications, especially ACE Inhibitors (e.g., Ramipril, Enalapril) or ARBs (e.g., Telmisartan, Losartan), as well as certain painkillers (NSAIDs).
Severe Allergies (IgE-mediated): Food triggers, insect bites, or specific drugs.
Idiopathic or Hereditary Angioedema: Due to deficiency or dysfunction of C1 esterase inhibitor proteins.
Medical Management:
While Tab. Allegra 120 mg (Fexofenadine) helps control mild histaminergic reactions, it takes time to act and may not be sufficient for severe airway swelling.
Severe episodes require emergency administration of Intramuscular Epinephrine (Adrenaline), intravenous corticosteroids, and fast-acting antihistamines under clinical supervision.
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Hey I want to know the reason of your tongue swelling…. And a photo of it if u have… and if it’s for 7th time you definitely need prepped treatment… kindly consult me on practo or you can visit any ent doctor nearby
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Do consult as, soon as possible
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Get cbc done, consult a physician physically.
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It could become progressively severe.Do consult an allergist in your area for appropriate management
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It is an emergency
Consult an immunologist
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Tongue swelling associated with breathing difficulty can represent angioedema/anaphylaxis and can become life-threatening.
Antihistamines such as fexofenadine should not be relied upon if breathing or airway symptoms occur.
If tongue/throat swelling or breathing difficulty happens again, seek emergency care immediately.
Since this has occurred 7 times, you need evaluation by a physician/allergist to identify the trigger and assess for recurrent angioedema, including medication-related causes.
You may consult me on Practo for further evaluation and guidance regarding prevention of recurrent episodes.
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Medical Emergency.....
Swelling of Tongue combined with Breathing problems in a Critical Medical Emergency..
It aften points to severe allergic reactions like
Anaphylaxis or deep tissue swelling known as Angioedema which can completely block your Airway...
In this condition call Emergency Sevices or
Rush to the Nearest Hospital Immediately..
Feel free to contact for more advice
Next Steps
Tab Allegra 120 mg keep taking to control the condition
Consult to IMMUNOLOGIST soon as possible
To find out triggered point
Investigation like IgE blood test
skin prick test..
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Monitor the things you assume keep record
And find yourself which item cause the trouble
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Allergic condition.
Only anti allergic medicine can help.
U can go for allergen test to know to which u r allergic.
Blood test for igg igm ige
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Do consult
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Recurrent tongue swelling with breathing difficulty can be a serious allergic reaction (angioedema/anaphylaxis). Since this has happened around 7 times, she needs proper evaluation to identify the trigger and prevent recurrence
Next Steps
if tongue/throat swelling or breathing difficulty occurs again, seek emergency care immediately rather than relying only on Allegra. If symptoms are present now, go to the ER urgently
Health Tips
Please consult an allergy/immunology or physician specialist for further evaluation. Keep a record of possible triggers, medicines and foods taken before each episode
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Its most likely allergic reaction to some food or some particle or maybe due to some drugs
Next Steps
Just try to figure out what common things you have encountered before this tongue swelling event and avoid it in particular
Health Tips
Try 1- tab Levocitrizine 5mg once daily at night x 3 days
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Please do not manage this only with Allegra (fexofenadine). Since you have had tongue swelling and difficulty breathing, you should be evaluated urgently in an emergency department, especially because this has happened 7 times this year. If the tongue/throat is swelling or you are having any breathing difficulty now, call emergency services and go to the er immediately
Next Steps
Do consult for detailed history and future medication
Health Tips
if you develops tongue/throat swelling, hoarseness, difficulty swallowing, noisy breathing, or shortness of breath again, don't wait 3 hours for Allegra to work—seek emergency care immediately. Tongue and airway swelling can progress rapidly.
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Examination needed nearby hospital.
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Needs proper evaluation, even though the episode settled after Allegra.
Please consult me for a detailed assessment and to plan appropriate treatment and an emergency action plan.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
Need some more history from your side
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Reesha Varshney
General Physician
1 yrs exp
Hathras
I would like to see the swelling either through pictures or a video consultation
I probably might be due to allergy from some food item or something in your surroundings
You will have to observe the triggering agents which food/area/allergen
Go for allergy panel test
Along with cbc and absolute IgE counts
Connect with me for consultation along with reports.
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Dr. Zahra Fathima Khan
General Physician
17 yrs exp
Delhi
You might be allergic to some food items , dust or any other allergens around . Try to find out the pattern or things that flare up this allergic reaction in your body ..
And completely avoid them .
Next Steps
Get comprehensive allergy profile done . And consult with your reports.
Health Tips
Do not self medicate . Long term use of unprescribed anti allergy medication will be harmful for you .
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.