Mr PGB12 came for the treatment of repeated cold and cough since childhood. Cold starts with sneezing, redness of eyes with sticky discharge. Sneezing (15-20 times) is more in the morning.
He has migraine since 2-3 years. Headache is followed by vomiting.
He also complains of severe acidity. Retrosternal burning with pulling type of pain in abdomen. He is a nervous person with tremendous anxiety about health.
He has has been taking allopathic medicines since last 3-4 years with temporary relief.
INVESTIGATIONS
| DATE | INVESTIGATION DONE | RESULT |
|---|---|---|
| 23-04-09 | X-ray chest | There are ill-defined patchy shadows seen in left apex |
| 25-04-09 | Mantoux | Erythema-30x30mm. Induration-28mm |
| 04-05-09 | X-ray chest | Old fibrotic koch’s, left apex |
| 01-04-10 | X-ray Paranasal sinuses | The haziness of above mentioned sinuses is likely to be due to sinusitis with mild Deviated nasal septum. |
| 06-06-12 | Allergy tests | Pollen, fungi, insects- cockroach, dust, dog dander, pigeon-droppings, moong dal, groundnut, tomato, milk, chicken. |
FOLLOW-UP
| DATE | COMPLAINTS |
|---|---|
| 25-05-12 | Sneezing with coryza, redness of eyes. Acidity-burning and pain in abdomen |
| 06-06-12 | Itching of eyes reduced. Sneezing and coryza better. Acidity decreased. |
| 02-07-12 | Itching of eyes much better. Occasional sneezing. |
| 20-07-12 | Itching of eyes has stopped completely.Acidity reduced 80%. |
| 06-08-12 | No Complaints. |
