Since your nasal endoscopy was normal?which is very reassuring?your ongoing ear pressure, crawling sensation, and jaw pain may not be sinus-related. Instead, they could stem from Eustachian tube dysfunction or Temporomandibular Joint (TMJ) issues, where jaw tension affects the ear nerves. Since medications like Montair LC and Avamys haven't fully resolved this, I gently recommend consulting your ENT specialist to evaluate your Eustachian tube directly, or a dental specialist to check for TMJ dysfunction. In the meantime, applying warm compresses to your jaw may offer some comforting relief.

For fever, paracetamol remains safest, but with Hepatitis B, please limit his total daily dose to under 2,000 mg (about three 650 mg tablets) to protect his liver. Avoid other pain relievers like ibuprofen. Consider pausing Giloy, as it can sometimes strain the liver. For recovery, offer small, frequent portions of easy-to-digest, nutrient-rich foods like lentil soup (khichdi), yogurt, porridge, and coconut water for hydration. Ensure he continues his daily blood pressure and liver medicines. Since he is barely eating and very weak, please consult his doctor promptly to monitor his liver and oxygen levels safely.

Please note that Montair LC is typically taken only once daily; she should avoid taking it twice a day. For her body aches and sore throat, she can safely take paracetamol. Encourage her to rest, drink plenty of warm fluids, and try warm saline gargles to soothe her throat. If her symptoms worsen, or she develops a high fever or breathing difficulties, please consult a doctor promptly.

It is quite common to experience lingering symptoms like neck pain and loss of smell, often referred to as long COVID, even after recovering and completing your treatments with Fabiflu and Montair LC. Please rest assured that these symptoms usually improve with time. For your loss of smell, you can try olfactory training by sniffing strong scents like lemon or eucalyptus daily. For the neck and shoulder pain, gentle stretching and warm compresses can help. I highly recommend consulting your doctor for a physical evaluation to rule out nerve compression or persistent inflammation, and to guide your recovery safely.

I understand how concerning a persistent "black cough" can be, especially after finishing your Montair LC, Budamate 200, and Pulmocler. Since you have already had a CBC and chest X-ray, the most important next step is to have these results reviewed by a pulmonologist or your doctor. A "black" cough can sometimes be caused by inhaled environmental dust, soot, or small amounts of old blood from irritated airways. Your doctor may suggest a sputum test to check for specific infections or inflammation. Please rest assured that getting these test results evaluated will help your doctor find the right solution for you.

Since you are already taking Montair LC (which contains montelukast and levocetirizine), new or worsening generalized itching suggests your allergies might be active right now. While having allergic asthma doesn't automatically prevent you from getting the Covishield vaccine, it is safest to have a doctor evaluate your itching before you get the injection tomorrow. This ensures you aren't having an active, severe allergic reaction that could complicate your vaccination. Consult the medical officer at your vaccination center before getting the shot.