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I have been experiencing cold/flu/sinusitis symptoms off and

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on for almost two years...
I have been experiencing cold/flu/sinusitis symptoms off and on for almost two years (longest stretch not being sick = 34 days). I have gone to an ENT (6/16) who suggested surgery for an anotomical block which he says will help me breath better and things will drain more easily, but he warned that if my symptoms are caused by allergies, more allergens will enter through my nose, if I have the surgery.Onto the allergist/immunologist who did a scratch test (1/17) and found I have allergies to dust mites and grass. Bear in mind I have been taking Allegra, Claritin or Allegra D for 2+ years daily and using Flonase since 2007. I also rinse with a neti pot nightly.Last week, 3/9/17, I came down with what felt like a cold but it kept getting progressively worse with headaches, coughing, major fatigue and an itchy throat. I have been on Zithromax since 3/14/17 and the worst of my symptoms were today 3/16/17. My doctor sent me a message saying she thinks it's allergies...where should I go for a second opinion and if it is allergies, what more could I be doing?Thank you so much!
Submitted: 8 months ago.Category: Medical
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Answered in 9 minutes by:
3/17/2017
Doctor: Dr. Phil, MD, Medical Doctor replied 8 months ago
Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Medical
Satisfied Customers: 56,999
Experience: Medical Doctor Trained at a Top Academic Institution
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Hi, this is Dr Phil, here to assist you. I am Board Certified with over 10 years of experience. I will respond with my answer shortly. Thank you.

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Doctor: Dr. Phil, MD, Medical Doctor replied 8 months ago

do you use any nasal sprays?

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Customer reply replied 8 months ago
Flonase (mentioned in original message)
Doctor: Dr. Phil, MD, Medical Doctor replied 8 months ago

what about singulair pills or astelin nasal spray?

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Customer reply replied 8 months ago
No
Doctor: Dr. Phil, MD, Medical Doctor replied 8 months ago

I have had great success with singulair lately

Alternatively you could get a second opinion from another allergist but that would take time and be costly

I would just try the singulair

is this helpful?

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Customer reply replied 8 months ago
Do you think allergies would cause such debilitating symptoms (I was in bed all day today and got such a bad throbbing headache I couldn't even move) ?
Doctor: Dr. Phil, MD, Medical Doctor replied 8 months ago

absolutely

allergies are like having an infection

the body knows no different

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Customer reply replied 8 months ago
Ok. Is singular a spray? Also, the doctor just prescribed a new allergy medication- would there be any problem taking both?
Doctor: Dr. Phil, MD, Medical Doctor replied 8 months ago

No it isn't a spray

it is a pill

what is the new med he gave you?

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Customer reply replied 8 months ago
Levocetirizine Dihydrochloride 5mg
Doctor: Dr. Phil, MD, Medical Doctor replied 8 months ago

OKay. Yes, they could be used together

I really like singulair

it is highly effective for resistant allergies. Is this helpful?

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Customer reply replied 8 months ago
Somewhat
Doctor: Dr. Phil, MD, Medical Doctor replied 8 months ago

what else would you like to know?

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Customer reply replied 8 months ago
Perhaps, I'd like to get to the bottom of my compromised immune system. If it is allergies, I don't understand why the allergist wasn't more adamant about starting the treatment with shots.
Customer reply replied 8 months ago
I work as a teacher and I had to be out this whole week. It is very distressing to have to be so sick and then also spend so much time and money trying to get to a solution.
Doctor: Dr. Phil, MD, Medical Doctor replied 8 months ago

shots are not for everyone

they are very intensive

if it were me, I would try singulair first

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Customer reply replied 8 months ago
This is the first time I've ever had chest symptoms. Usually it's all sinus/headache pain.
Customer reply replied 8 months ago
Do you have a financial interest in recommending Singulair?
Customer reply replied 8 months ago
Thank you for your time, but I am not satisfied with this service.
Doctor: Dr. D. Love, Doctor replied 8 months ago
Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 18,904
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.
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The other expert has opted out.

There are several options for medicines in this situation to try to control the current symptoms. Certainly, the Singulair is an option. Another option would be the addition of other nasal sprays that work by different mechanisms, such as NasalCrom or Atrovent NS. In someone with more severe symptoms, then a short course of oral steroids, such as prednisone, would be an option.

Allergy desensitization shots also would be an option. The most common reasons are for someone with more severe or persistent symptoms. However, allergy shots will usually take months to work well, so the decision to use allergy shots is usually made independent of the decision of what to use to control the current symptoms.

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Dr. D. Love
Dr. D. Love
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