Elevated total IgE (282) suggests allergic/atopic condition:
**Your Symptoms Explained:**
1. Itchy scalp and ears - classic allergic dermatitis/seborrheic dermatitis
2. High IgE confirms allergic tendency
3. Acid reflux unrelated to IgE but needs management
**Additional Tests Needed:**
1. Specific IgE testing (food panel, environmental allergens)
2. Eosinophil count (if not done)
3. Stool examination (rule out parasites - can elevate IgE)
4. Skin prick test for common allergens
5. Serum
vitamin D,
B12 levels
**High IgE Can Cause:**
- Allergic rhinitis, asthma, eczema
- Chronic sinusitis
- Urticaria (hives)
- Can worsen GERD symptoms
**Management:**
1. Antihistamine (cetirizine 10mg at night)
2. Antifungal shampoo (ketoconazole 2%)
3. Continue GERD treatment
4. Identify and avoid allergens
5. Consider allergy specialist consultation
The itching is likely allergic dermatitis related to elevated IgE.