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Chronic cough, wheezing and chest tightn
I am a 30-year-old male having chronic cough for the last few months. I also experience wheezing, chest tightness and allergy symptoms, especially during cold weather and dust exposure. Cough is worse at night and sometimes produces watery mucus. I have uploaded all my blood test reports for your review. Please advise appropriate medicines and further treatment.
Answers (19)
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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your report reveals allergic etiology
need further testing
kindly consult for better evaluation and treatment
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Your symptoms — chronic cough for months, wheezing, chest tightness, night-time cough, watery mucus, and worsening with cold air and dust — along with a very high Serum IgE (>2500) are strongly suggestive of Allergic Asthma with Allergic Rhinitis.
This is not an infection and not a heart problem.
It is an allergy-driven airway inflammation, which explains why it keeps recurring and worsens at night and in cold weather.
High IgE indicates your immune system is over-reacting to allergens (dust, cold air, pollution, mites).
⸻
Most Likely Diagnosis
• Allergic (IgE-mediated) Asthma
• Associated Allergic Rhinitis / Post-nasal drip
This condition is chronic but very well controllable with proper treatment.
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Recommended Treatment (Standard & Effective)
1. Inhaler Therapy (Main Treatment)
You will need a daily controller inhaler, not just cough syrup.
• ICS + LABA inhaler (example: Budesonide/Formoterol or equivalent)
→ Taken daily, even when you feel better
This reduces airway inflammation and prevents attacks.
2. Allergy Control
• Non-sedating antihistamine once daily
• Montelukast (especially helpful with high IgE and night symptoms)
3. Nasal Treatment (Very Important)
• Steroid nasal spray daily for allergic rhinitis
This reduces post-nasal drip and night cough.
4. Reliever Inhaler
• Short-acting bronchodilator only when needed for tightness/wheezing
Next Steps
Further Evaluation Needed
• Spirometry (PFT) to assess asthma severity
• Absolute eosinophil count (if not already done)
• If symptoms are severe or uncontrolled → allergy specialist review
With IgE this high, early proper control is essential to prevent long-term airway damage.
Health Tips
What to Avoid
• Dust exposure, cold air directly on face
• Room fresheners, incense, smoke
• Self-medicating with repeated antibiotics or cough syrups (they won’t help)
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Allergic in nature.
Go for allergen test.as igg is very high.
Tab ab phyllinsr200 two times a day after food for ten days.
Azee500 one per day after food for five days.
Montek lc one at night for 7 days.
Duoline n budecort respule two times for nebulization.
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T avil hs for 3 days
Or whenever u encounter an allergic episode.
Syp ambrodil 5ml tds for 7 days
T moxclav 625mg bd for 7 days
T pantop 40mg od for 7 days
Chest xray needed
About inhalers consult physician.if worse.
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Go for Allergy test to identify the allergen.
Get your xray chest done.
Continue with antiallergic and cough suppressants.
Consult for further details.
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Your serum igE is very high.. Need allergy test and treatment.please connect me through practo or wattsap nine zero seven two twozero seven zero nine three
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Your symptoms point towards diagnosis of allergic asthma .
This symptoms generally occur more during night and in winters
Consult me on practo
Next Steps
identify the allergen ( pollens , dust ) which exaggerate your symptom
Continue the medication
Health Tips
Avoid allergen
Track your symptoms ( how many times it occur in a day )
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Allergic asthma / cough-variant asthma with allergic rhinitis.This is not an infection
High IgE explains your chronic symptoms
Inhaled steroids are essential, safe, and long-term
Early control prevents progression to severe asthma. Please consult me on practo asap for further management and better evaluation.
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Your symptoms—chronic cough for months, wheezing, chest tightness, nocturnal worsening, and clear mucus with cold/dust triggers—along with a very high serum IgE (>2500) strongly suggest allergic asthma / cough-variant asthma with underlying atopy. This is not just a simple allergy cough and usually needs controller treatment rather than only cough syrups.
Next Steps
You should start regular inhaled therapy (an inhaled corticosteroid with a long-acting bronchodilator) to control airway inflammation, along with an anti-allergic medication. A pulmonary function test (spirometry with bronchodilator response) is important to confirm asthma and assess severity. If symptoms persist or IgE remains very high, evaluation by a pulmonologist/allergist is advised to consider add-on therapies.
Health Tips
Avoid dust, cold air exposure, smoke, incense, and strong perfumes; use a mask when exposed to dust. Do not rely on repeated antibiotics or only cough syrups—they won’t control the disease.
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Looks like allergic bronchitis.
Totally managable condition at home.
You should visit a clinic so a doctor can listen to your chest and make a decision about inhaled bronchodilator medications.
You will also need some anti allergic medications in view of raised IgE.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated
Do consult
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Dr. Navajit Hatibaruah
General Physician
30 yrs exp
Guwahati
Your IgE levels are high probably signify allergic asthma
To pinpoint allergy focus u can do FENO test(food/dust/smoke especially automobile smoke)/spirometry test to check FEV1/FVC
Next Steps
spirometry test
Health Tips
stool culture for helminths
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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. Pradeep Bhati
General Physician
12 yrs exp
Jaipur
If you are smoker or previously suffering from same complain better consult with near by government hospital
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Consult online
U are suffering from allergic bronchitis
Start montec lc daily
Consult online will guide you further course of medicine
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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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.