Allergy, Asthma & Respiratory Care in Patna

Dust allergy and allergic rhinitis

Repeated morning sneezing, nose or eye itching, watery discharge and blockage often fit allergic rhinitis rather than repeated infection.

• Identify realistic trigger reduction instead of trying to remove every speck of dust.
• Correctly used nasal corticosteroid sprays are not the same as decongestant drops and do not usually cause dependence.
• Frequent self-use of decongestant nose drops can worsen blockage.
• Sinus pain, fever, one-sided symptoms or loss of smell may need a broader assessment.

Chronic urticaria and skin hives

Raised itchy wheals that come and go are commonly called पित्ती or hives. Chronic urticaria is often not caused by a single food.

• Photographs help when the rash disappears before the visit.
• A detailed medicine and infection history is more useful than indiscriminate allergy panels.
• IgE and AEC results need clinical interpretation and do not identify every trigger.
• Lip or tongue swelling with breathing difficulty needs emergency care.

Asthma, bronchitis and COPD

Wheezing, cough and breathlessness can have overlapping causes. Diagnosis uses the symptom pattern, examination and, when suitable, spirometry.

• Inhaled medicines deliver treatment to the airways; technique is as important as the prescription.
• Controller inhalers should not be stopped merely because symptoms improve.
• Smoking and indoor air pollution worsen COPD and asthma control.
• An individual action plan explains what to do when symptoms increase.

Severe breathlessness, difficulty speaking, blue lips, drowsiness, chest pain or low oxygen needs urgent emergency assessment.

High eosinophils and tropical pulmonary eosinophilia

An elevated eosinophil count can occur with allergy, asthma, parasites, medicines and several other conditions. Tropical pulmonary eosinophilia is one specific diagnosis, not a label for every high AEC.

• Night cough, wheeze and markedly raised eosinophils need a structured history and examination.
• Treatment depends on the confirmed cause rather than the eosinophil number alone.
• Repeat testing or chest imaging may be needed in selected patients.
• Do not repeatedly self-start steroids or anti-parasitic medicines.

Tuberculosis and pneumonia

Cough, fever, weight loss or abnormal imaging may require evaluation for TB, pneumonia or another lung condition.

• Pulmonary and extrapulmonary TB require the correct specimen and programme-aligned treatment.
• Antibiotics should not be chosen from an old prescription.
• Treatment adherence and adverse-effect monitoring are essential.
• Hospital or specialist referral is arranged for severe disease or advanced procedures.