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.

While an IgE level of 430 strongly suggests an allergic response, symptoms like a dry cough and itching can sometimes be triggered by environmental irritants, dry air, or non-allergic rhinitis. Regarding alternative therapies, there is currently no robust clinical evidence showing that homeopathic treatments can effectively lower IgE levels or safely replace your current regimen of montelukast and levocetirizine. These medications are generally very safe for long-term use. I highly recommend discussing your concerns with an allergist to find a safe, comfortable management plan that works best for you.

Yes, you should consult your doctor. Fluticasone nasal spray can take up to a few weeks of consistent daily use to reach its full effect. Cold, dry air conditioning is a common trigger that can dry out nasal passages, worsening your symptoms. Your doctor can assess your progress and determine if you need to adjust your fluticasone use, restart Montair (montelukast), or add a moisturizing saline spray for travel.

These medications, including Duolin (ipratropium/levosalbutamol), Asthalin/Salmabutol (salbutamol), and Montair (montelukast), are common for breathing issues, but using too many together can overlap. Since they aren't helping and dust worsens her symptoms, she needs a pediatrician's evaluation to adjust her treatment. The doctor may recommend a chest X-ray or allergy testing to tailor her care. Avoid giving Amoxyllin (amoxicillin) unless a bacterial infection is confirmed. Once a proper, simplified treatment plan is started and dust exposure is minimized, you should see her improve within a few days. Please seek a specialist's guidance soon to help her feel better.

Yes, taking Montair LC (which contains montelukast and levocetirizine) 12 hours before your Pulmonary Function Test (PFT) can affect the results. This medication helps relax your airways, which might make your lung function appear better than it typically is without treatment. To get the most accurate baseline assessment of your lungs, doctors usually recommend holding this medication for at least 24 hours before the test. Please don't worry, but do let your testing technician or doctor know that you took a dose 12 hours prior, so they can interpret your results accurately or safely reschedule if needed.

Your morning symptoms are likely triggered by allergens like dust mites in your bedding. A warm bath helps by washing away these allergens and clearing your nasal passages with steam. Montair LC (which contains levocetirizine and montelukast) is highly effective at controlling these allergy symptoms, but it only provides temporary relief and does not cure the underlying allergy. Once the medication wears off, your body's natural response to the allergens returns, causing the symptoms to reappear. I recommend discussing safe, long-term management strategies with your doctor.