Hello,

Thank you for posting your query at DoctorSpring.com

I can understand your problem.

You are suffering from allergic rhinitis( nasal allergy)

it can be due to temperature change or due to many indoor allergen including dust mite, fungus in damp area, cockroach, mosquito, pollen or pets etc.

We can start following medication -

Mometasone ( metaspray) nasal spray one spray in each nostril two times daily for 3 months

Monteleukast 10mg + levocetrizine 5 mg ( montair- LC) one in night for 10 days

Avoidance of allergen is an effective measure , but it is difficult practically.

If you are still symptomatic an allergy skin test can be done to identify allergen.

Your loss of taste sensation may be due to loss of smell due to nose block partly due to dry mouth due to mouth breathing.

Hope this helps,

Best regards




Dr. Sunil Jalan
MBBS, DLO,MS(CMC,VELLORE)DNB(ENT),DAA,MBA(HM)

Hello.
Loss of smell may be due to nose block.
Area for smell (olfactory area) is at the roof of the nose. Minimal obstruction to this area even without a full nose block may cause loss of smell.
To know more details a CT PNS (paranasal sinuses) can be done to rule out any aassociated nasal polyp or sinusitis or any other anatomical obstruction.
Hope this helps.

Best regards, Dr. Sunil Jalan, MBBS, DLO, MS(CMC,VELLORE), DNB(ENT), DAA, MBA(HM).

Hello.

Please start Metaspray nasal spray one spray in each nostril two times daily.
and
Monteleukast 10 mg + levocetrizine 5 mg combination for 10 days.

After 2 week if no symptomatic improvement then do CT PNS(paranasal sinus )

Hope this helps.


Best regards


Dr. Sunil Jalan
MBBS, DLO,MS(CMC,VELLORE)DNB(ENT),DAA,MBA(HM)

Hello.
Thank you for the follow up.
It is due to the dryness of the tongue that is one of the common side effects of anti histaminic drugs.
If you're feeling better now you can stop the drug.
Once you stop, the taste sensation will be normal within 1-2 days.
Hope this was helpful.
Regards.