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Pediatrics/high TIGE

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Question
Respected Dr,
     my 3 1/2 son is suffering from v. high Total IgE of 284.30 IU/ml.His AEC count is 640.He gets constant cough & cold( cough-more common).Can nasonex/furamist with asthafen help him? Could you kindly suggest any other prescription.
         Thanking you

Answer
Hi
The calculations are not so easy. These levels are high though not very high to suggest major modifications in therapy...
Treatment is decided by symptom frequency of nose or cough symptoms and is assessed by charting the symptoms once a day on a recall diary.you may download a diary from kondekar.com or breathingdiary.com
Once you chart them, doctors plan therapy depending on dominance of symptoms and frequency of night symptoms..
At this age, in addition to above he may need a xray nasopharynx to be done to rule out adenoids..a common cause for stuffy. Nose.

Please get back if you need more information on this.

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Dr Kondekar Santosh Venketraman Pediatrician MD, DNB, Mumbai India, Online Pediatrician

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I was a pediatrician at Seth GS Medical College and KEM Hospital Mumbai India, since 1999 till 2010. Currently as a pediatrician and as a associate professor at Topiwala National Medical College, BYL Nair hospital Mumbai. Pioneered as Online Indian Pediatrician for free advice SINCE 2002. Now also at Shushrusha Hospital Dadar,Mumbai INDIA daily 7 to 9 PM. Child Specialist dr Kondekar

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I am MD DNB in pediatrics and a fellow of College of Physicians and surgeons of Mumbai, and fellow of foundation for advancement of medical education and research GSMC. Currently also as a consultant in child health specialist pediatrician in Mumbai India at Shushrusha Hospital Walk in clinic Daily 7 to 9 pm Dadar West.

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