With an IgE of 2000 and only 50% improvement after three months, his treatment with Montair LC and Rotocaps needs a review by his pediatrician or an allergist. They may need to adjust his dosages or try alternative controller medications to give him better relief. Please do not stop these medications without consulting his doctor. For natural support, you can try daily saline nasal rinses to clear allergens, use dust-mite-proof covers on bedding, and keep windows closed during high-pollen seasons.

Your blood clotting and liver tests are improving. Your persistent mucus, tiredness, and shortness of breath might be due to a prolonged inflammatory response or airway hypersensitivity. While medications like prednisolone, Montair LC, and Pantop DSR help manage inflammation, allergies, and reflux temporarily, using oral steroids long-term requires careful monitoring. I highly recommend consulting a pulmonologist. They can perform lung function tests to pinpoint the exact cause of your airway irritation and help you safely transition to a sustainable, long-term treatment plan for permanent relief.

Since your symptoms have lasted a month despite taking Montair LC (montelukast/levocetirizine), it is best to consult a dermatologist for a tailored plan. Regarding your routine, you can bathe daily, but keep it short, use lukewarm water, and apply a gentle, soap-free cleanser. For an Ayurvedic alternative to coconut oil, you might try refined sesame oil (Til Taila) or sweet almond oil; they are deeply hydrating, light, and have a very mild, almost odorless profile.

It is very common to have a lingering cough after COVID-19 as the airways remain sensitive. Since she has completed her course of Bro-zedex SF and Montair, please avoid starting new medications without a doctor's advice. To help her recover faster, focus on supportive remedies. Encourage her to drink warm fluids, try steam inhalation twice daily, and take a spoonful of honey to soothe her throat. Ensuring she gets plenty of rest and stays hydrated is key. If her cough remains severe, worsens, or is accompanied by breathlessness or fever, please consult her doctor for a physical examination to ensure her lungs are healing well.

The 'scars' are likely post-inflammatory pigmentation, which will fade with time. The persistent itching might be due to dry, healing skin or irritation from past steroid use (like Panderm) rather than active ringworm. I recommend keeping the area well-moisturized with a gentle, fragrance-free cream and wearing loose cotton clothing. Please follow up with your dermatologist to confirm the infection is fully resolved and safely treat the residual itch.

The symptoms of shaking, sweating, and extreme weakness after minimal walking could be a side effect of Asthalin (salbutamol), which can cause temporary tremors and a rapid heart rate. However, because your grandfather is 80 and has high blood pressure, these symptoms after walking just a few steps could also indicate a strain on his heart, potentially triggered by the recent chest infection. His heart ultrasound (Doppler) and cardiologist's findings are essential to check his heart's pumping function. Please share these test results with his cardiologist immediately. They will determine if his medications need adjustment to help him regain his strength safely.