Diagnosed as allergic rhinitis, worries if it’s more than that (diagnostic dilemma?)
Family history: My sister & dad have rhinitis. My mom has chronic cough and her PCP said it’s allergic (don't have detail check-up). I had strong allergic reaction to Erythromycin (whole body & face swollen & covered by hives/rash) when I was a kid
Since 2010, I started feeling congested at night (bedtime & early morning) and okay in daytime. Occasionally took Claritin because of tickle in throat but nothing serious. Normal daily life & sleeping is fine.
Things starts changing in 2013-2014.
Oct 2013 when I was 30 (female), me & my husband moved from Culver City CA (Los Angeles) to Carson CA (South Bay).
Jan 2014, I had flu for 2 weeks (101F fever + cold symptoms). In Feb, my PCP started prescribing Flonase (50 mcg 2 sprays per day) as I had really bad congestion, tickle & cough did not go away. In Apr, started feeling chest tight & had disturbed sleep on and off for 2 weeks. PCP prescribed Albuterol and gave me relief. I did chest x-ray, lung function test (carbon monoxide diffusing capacity + spirometry before & after bronchodilator), blood test and nothing is abnormal. Coughing is on and off. In Jun, visited urgent care as had really coughing fit at night & couldn’t sleep (used 6-8 puffs per week). Urgent care doc gave me a trial of Singulair (10 mcg for 3-month) and started feel less cough, chest tight (now use 2-4 puffs per month) and tickle, but still feel a bit congested. In Aug, my PCP referred me to ENT and suggested to add Astelin for treating me persistent rhinitis. I did an allergy blood test for 13 kinds of environmental allergen but it’s negative.
I did ask my PCP if I am having asthma. She said it’s only an allergy.
However, she said I need to keep taking/refilling Flonase & Singulair for long-term, and keep my Albuterol handy. My PCP said I can use the inhaler if I cough a lot at night, feeling short of breathe or wheezing.
How should I follow up with my PCP &/or ENT? I feel a bit better when the weather is warm/hot, but easy to start coughing when it’s cold, temp change, dusty room or laughing hard.
Any suggestion will be greatly appreciated!
Have you thought it may be environmental allergies, are you outside a lot have you looked up and like we do here in CA seen all the aerial spraying they are doing? You could ask for a heavy metal toxicity test to see if there is anything toxic you are breathing in ..
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