How should chronic sinusitis and nocturnal cough associated with elevated IgE levels be evaluated and managed when current treatments, such as fexofenadine/montelukast and cough suppressants, provide insufficient relief?
Since fexofenadine and montelukast aren't providing enough relief, your elevated IgE levels suggest an underlying allergic trigger that needs a closer look. I recommend discussing a referral to an allergist or an ear, nose, and throat (ENT) specialist. They can evaluate you for conditions like cough-variant asthma and may recommend targeted therapies, allergy shots, or a sinus CT scan. In the meantime, using a daily saline nasal rinse and asking your doctor about a generic corticosteroid nasal spray may help soothe your airway.
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How should chronic sinusitis and nocturnal cough associated with elevated IgE levels be evaluated and managed when current treatments, such as fexofenadine/montelukast and cough suppressants, provide insufficient relief?