A severe wet cough with a runny nose is often due to a viral infection and usually improves with rest, fluids, and steam inhalation. If symptoms worsen, fever develops, or breathing becomes difficult, you should consult a doctor for proper evaluation and treatment.

This itching could be an allergic reaction to an active ingredient, dye, or filler in the supplement. Sometimes, high doses of certain nutrients, like niacin, can also trigger itching. Since antihistamines haven't provided relief, I recommend temporarily stopping the supplement and consulting your healthcare provider. They can help safely identify the exact cause. Please seek immediate medical care if you experience any swelling, hives, or difficulty breathing.

I understand how frustrating chronic throat irritation and fatigue can be. Your elevated IgE level of 495 IU/mL strongly suggests an allergic response, and since your sinus imaging is clear, allergic rhinitis is a very likely cause. Fexofenadine (Allegra) is an excellent, non-drowsy antihistamine that is highly appropriate for these allergy-driven upper airway symptoms. While it will help, some patients also benefit from a nasal steroid spray for complete relief. Additionally, managing your allergies may help improve your sleep and ease your fatigue. I recommend discussing these results with an allergist to find the best combination for you.

Your symptoms could indeed be related to the sudden hormonal changes following your recent surgical abortion, which can trigger temporary hair loss and feeling unusually hot. However, severe itching without a rash that doesn't respond to allergy medicines like cetirizine or Allegra warrants a closer look. Sometimes, this can point to liver, kidney, or thyroid function changes. I highly recommend visiting your doctor for routine blood tests to check these organs and your hormone levels.

Itching in the hands, fingers, and ears may be caused by allergy, dry skin, fungal infection, or irritation from soaps or chemicals. Keep the skin clean, moisturized, and avoid known irritants or harsh products. If itching persists or worsens, consult a doctor for proper diagnosis and treatment.

You can safely proceed with your scheduled vaccination. Environmental allergies, dust sensitivity, and a crooked nasal passage are not reasons to delay your vaccine. Additionally, taking allergy medications like Montec LC (levocetirizine/montelukast) or Allegra (fexofenadine) will not interfere with the vaccine's safety or effectiveness. There is no need to reschedule your appointment. Please inform the vaccination staff about your allergies and current medications before receiving the dose.