Dear Doctor, I am 30 year old female, I am having recently eosinophilic asthma, I had Urticaria allergy since 2014 for that I am treated with Allegra 180 mg, now there is no of Urticaria, but my problem is severe wheezing when I exposed to chilled wind weather and Green leaves. It makes my wheezing very worst, and feel heavy shortness of breath, some times kapha, skin rashes while wheezing occurs. I didn't have eosinophilic asthma before. Now I have been treated with Banocide forte, Defcort, and Albutamol and Ambrekoff for my cough since a month as my AEC was 750, and eosinophil was 7% other than this my CBC counts and Chest X-ray were normal including all the findings of USG normal. But my Serum Calcium level is 8.1, due to which I am getting severe, lower back, both the knees, elbows and chest pain towards left. My ECG, Echo, and 24 hr holter are all normal. I am taking shelcal HD 500 once a day and weekly once Vit-D3 tablet, but there is no use, day by day my knee pain, chest pain and lower back pain increasing rapidly, I do not have any liver disease issue, but had, kidney stones 3 years ago and got lithotripsy done, now there is no kidney stones recurrence as per USG scan. But have PCOD problem for that taking Glycomet 500 mg once a day after my meal, as I am now diagnosed with pre-diabetes since 6 months. I was 80 kg before 60 months, now reduced upto 74 kg as I am doing strict diet with brisk walk every day. How shall recently I have got this disease, please give a proper medication to my problem. I suspect that I am developing osteoarthritis due to my calcium deficiency so I am getting eosinophilic asthma and chest pain. My water intake min. 2 ltr everyday, please treat me with a proper medication doctor. Thank you very much.
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Reduce weight. PFT to confirm asthma. No role of banocide for asthma. Start LABA and ICS combination by inhalation with spacer for asthma.
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First do not be so apprehensive. Relax and take things easy. Stop calcium tab. Get x ray of both knee done stop all medication get following tests LH, FSH, prolactin, testosterone, dheas, 17 ohp, tsh, kft, lft, Fasting sugar and fasting insulin for glucose insulin ratio. 1.no alcohol 2. Reduce body wt 3. No smoking/ tobacco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. No sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts ,6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water- proper hydration. For medicine contact on private chat.
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