Hello sir, my son has been diagnosed with allergic asthma. From blood test it has been detected that he is allergic to citric acid. We have been avoiding all the eatables with citric acid. But then too he gets the severe bouts of asthma attacks. It is more often in rainy season. But in summer even if he eats citrus foods he doesn't have any problem. We have tried homeopathy as well as ayurveda but of very little help.

Dr. Harnish VohraPulmonologistyrs exp

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Hi sir, good day n wish you all good health. As per the history mentioned by you, in rainy season the attacks are more and not so in summer, may be the season change is a factor, so may be before the onset of rainy season, if antiallergics are added, it may halt the worsening. *plz ask him to get his stool checked for worms, as they can cause worsening of breathing along with eosinophil count, and treat for same. Any relation to meals should be also noted. please ask him to check that all of causes of allergy are ruled out in blood test by comparing it with any other cause which is checked by skinpin prick test's list of allergens. please domonitor regularly by peak exploratory flow meter/pefr, and that pefr is appropriate to his age n weight. And pulse oximeter to check his oxygen level or spo2 as we monitor should remain above 95% at room air, if below, call your treating physician immediately, and do keep a standby oxygen cylinder, with face mask or nasal prongs, so as to be used, if spo2 is falling below 90 % and simultaneously informing him. And doses are appropriate to his body weight. Thanks.  

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