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Asthmatic bronchitis
What it is Which is best medicine or food for anti allergy and is this recurrent?what precautions to be taken? Why this happens
Budamate g and pulmoclear and grilling bm and vonatime 20 and Allegra 180 i m taking yet lot ot cough in sinus area near nose throat and chest stick to wall of throat and sinus have uncomfortable feeling what to do for permanent solution.to.reduce bronchitis of airway inflammation? No smoking habit few days went for tea near pan vendor so passive smoking and renovation in office so dust may be
Answers (30)
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Ideally need Allergic evaluation test.
Use face mask along with your drugs
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Do some yoga exercises
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Kindly consult
Need further history
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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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Dust and renovation paint smell may be causing you allergy. Kindly consult with me on 94 two six eight six 78 nine six for proper guidance and treatment.
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Your prescription has virtually almost all medications (except oral steroids) used in Asthma management.
I would be suspicious the root cause is ‘chronic sinusitis’ which caused discharge to drip down the back of the throat and in sleep goes down the lungs.
Do the following,
1. Check your peak flow every day (for your age and height you should be able to blow 380-450) and keep a record of it.
2. Continue all your current meditations
3. Send your sputum sample for microscopy and culture
4. Consult ENT doctor
5. If ENT give you all clear ONLY THEN,
*Blood tests: CBP, Immunoglobulins, alpha 1 anti-trypsin levels, Aspergillus antibodies, ANA, ANCA, serum avian prescipitans-IgG levels
*HRCT lungs scan
*Treatment trial with newer treatments including ‘Immunotherapy’ and ‘Laser Therapy’ which are available in Mumbai.
All the best.
www.jgsr-health-education.in
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Most probably you are having allergic rhinosinusitis with allergic bronchitis.It is not resolving because you are constantly exposing to allergic triggers such as dust and passive smoking.
Next Steps
You’ll need
1)budamide inhaler - budesonide plus formoterol (or) salbutamol inhaler -use inhaler with proper technique,if you want I can tell you how to use it for effective drug intake
2)Always rinse mouth after taking inhaler to prevent candidiasis infection
2)continue pulmoclear and vonatime
3)avoid allergic inducing environment like dust and passive smoking,if unavoidable use n95 or disposable mask
4)Always drink warm fluids and avoid cold drinks
5)do steam inhalation regularly
6)adequate hydration
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You may have a persistent moderate asthma,reactive airway disorder or allergic rhinitis or upper airway cough syndrome.You may need a chest x-ray,lung function tests, CBC,ser IgE to check for allergy.Do consult a pulmonologist in your area for a clinical examination and appropriate management
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From your description:
• Persistent cough
• Mucus sticking in throat
• Sinus congestion
• Chest inflammation feeling
• Triggered by dust / passive smoking
And you are already taking:
• Budamate (inhaled steroid + LABA)
• Pulmoclear (mucolytic)
• Allegra 180 (antihistamine)
• Vonatime 20 (likely PPI)
This pattern strongly suggests:
Allergic airway disease with Upper Airway Cough Syndrome (UACS)
± Early allergic bronchitis
± Post-nasal drip
Why this happens:
• Dust exposure
• Passive smoking
• Renovation particles
• Pollution
• Allergic hyper-reactive airway
Your airway lining becomes inflamed → produces sticky mucus → cough persists.
This condition is recurrent if triggers are not controlled.
It is not infection. It is inflammation.
Next Steps
Since symptoms persist despite medicines:
Step 1: Check inhaler technique
Most treatment failure happens due to incorrect inhaler use.
Use spacer if not using.
⸻
Step 2: Add Nasal Steroid (Very Important)
If not already taking:
✔ Fluticasone nasal spray – 1 spray each nostril twice daily for 3–4 weeks
This reduces post-nasal drip at source.
⸻
Step 3: Steam + Saline
✔ Saline nasal wash daily
✔ Steam inhalation twice daily
This physically clears mucus.
⸻
Step 4: If persistent > 6 weeks
You may need:
• Spirometry test
• Serum IgE
• Eosinophil count
To rule out:
• Allergic asthma
• Eosinophilic bronchitis
Health Tips
There is no “one tablet permanent cure.”
Control depends on trigger management.
Avoid:
✔ Dust exposure
✔ Renovation areas
✔ Passive smoke
✔ Strong perfumes
✔ Incense / agarbatti
Use N95 mask in dusty areas.
⸻
Food That Helps:
✔ Warm water
✔ Turmeric milk
✔ Ginger
✔ Tulsi tea
✔ Omega-3 rich foods
✔ Avoid cold drinks, excess curd at night
There is no magic anti-allergy food, but anti-inflammatory diet helps.
⸻
Is It Recurrent?
Yes — allergic airway disease is chronic but controllable.
With proper inhaled steroid + trigger control, symptoms can reduce 80–90%.
⸻
If you tell me:
• Is cough worse at night?
• Any wheezing?
• Any acidity symptoms?
• How long total duration?
I can refine further.
If symptoms continue despite correct inhaler + nasal steroid for 3–4 weeks, you should consult a pulmonologist for airway inflammation control plan before it becomes chronic asthma.
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Your symptoms suggest allergic airway inflammation (asthmatic bronchitis) with sinus allergy. Dust exposure and passive smoke are common triggers, causing mucus, cough, and throat congestion.
Continue Budamate inhaler regularly, take steam inhalation, use saline nasal spray, and avoid dust, smoke, cold air, and strong odors. Wear a mask in dusty areas.
Warm fluids and light diet help; avoid cold drinks and fried foods.
This condition can recur but is controllable with trigger avoidance and regular inhaler use. Consult if breathlessness, fever, or persistent cough occurs.
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ideally need a allergy evaluation test
kindly consult
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Please share detailed medical history of your symptoms, get complete blood count done to confirm allergy, share results
Avoid foods or substances that apparently precipitate and or aggravate symptoms.
Apart from anti allergy tablets, if you have recurrent cold, use fluticasone nasal spray, whenever you have beginning of cold.
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Its allergic
Take-
Montair Lc 1 tab po at night
Tab. Lorfast am 1 tab po od
Otrivin nasal drops
Steam inhalation tds daily
Nebulization with duolin and budecort
Tab mucinac 600 mg po bd
Tab. Limcee 1 tab daily
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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It's recurrent. Use of foracort puffs is helpful.
So as nebulization with duoline n budecort respule two times.
Ab phyllinsr200 two times a day after food for 3to5 days.
Montek lc one at night till required.
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Allergy happens when your immune system overreacts to:
Dust
Smoke (even passive)
Pollution
Strong smells
Construction dust
This causes:
Swelling of nose & sinus lining
Excess mucus production
Mucus dripping into throat → cough
Airway irritation → bronchitis-like symptoms
You are already taking:
Allegra 180 (antihistamine)
Budamate (inhaler)
Possibly bronchodilator (Pulmoclear?)
Vonatime 20 (maybe montelukast?)
If you are still coughing, you may need:
1. Nasal steroid spray - very important for sinus allergy.
2. Proper inhaler technique check.
3. Possibly short course of anti-inflammatory treatment (doctor-guided)
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Consult along with PFT report (Pre, Post BD)
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Whenever ther is infection the same thing will happen repeatedly.
You need to be educated about prevention so that the repeated episodes decrease in frequency and symptomatic management possible.
Please consult for comprehensive evaluation and guidance.
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You need to evaluate properly first and required an allergy sensitivity test.please consult me on practo for further management and evaluation.
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Do consult
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This looks like allergy triggered by dust and passive smoke exposure, which can cause repeated cough and sinus discomfort. Avoid dust, smoke, and strong smells, and continue steam inhalation regularly.
Next Steps
Please consult me directly so I can assess you properly and adjust treatment for better long-term control.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Kindly do connect and consult
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear
Your symptoms are most likely due to allergic airway inflammation triggered by dust passive smoking or pollution exposure. This condition can recur because the airways become sensitive.
What you should do
Avoid dust smoke and cold exposure
Use mask in polluted areas
Take steam inhalation daily
Drink warm fluids and stay hydrated
Medicines that may help
Anti allergy tablet such as fexofenadine or levocetirizine
Nasal spray for sinus symptoms
Inhaler if cough persists
Mucolytic syrup for thick mucus
When to consult a doctor
Persistent cough more than 3 weeks
Breathlessness wheezing or fever
No improvement despite treatment
Most cases improve with trigger avoidance and proper treatment.
For further guidance and personalized treatment you may consult me online anytime.
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Few more details needed for further evaluation. Kindly consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Consult ENT surgeon
And pulmonologist and get bronchoscopy done
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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. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Take Levo m once a day
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Allegra m
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
You need to get evaluated and do allergy test and IgE.
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