Hello,
Thank you for your query at DoctorSpring.com
You are suffering from swellings of tongue, allergy, mild snoring.
In picture you have elongated uvula with minimal congested. Most likely this is due to vitamin deficiency causing glossitis.
You can start following medications
Triamsinolone(kenakort) ointment for local application on tongue, it will decrease swelling
Continue claritin
Add folic acid, folvite tablet one daily.
Hope this helps, feel free to ask further queries,
Best regards
Patient replied :
Hello again,
I am writing to you in the hopes that you may be able to guide me further in the right direction….it’s been a 1 year struggle with its ups and downs but as I just mentioned the ast 3 days the downs…
It’s 3:30 am here in San Diego and I have awoken with a start, sinuses inflamed, heart beating fast, anxious, a little light headed. I took a sublingual Claritin ( I had taken one 10mg about 22hrs ago) plugged in to my oxygen bottle for a few minutes and tried to relax.
I took my vitals- bp 132/ 81 pulse 80 my o2 finger sensor reading 98%
Now 3:48, I am a little calmer as I am typing, I am lying on the sofa in a different room somewhat propped up, sinuses better but feeling like they are just at bay waiting for their chance to pounce. The throat externally feels more relaxed but when I drank some water and felt like doing a small surface burp just below the adams apple it seemed constricted. No problem swallowing or breathing but chest feels a little tight.
vitals again
bp 124/79 pulse 72 o2 98%
Seems to me like an allergic reaction to something unidentified as of yet whether it may have been food or smog from pollution or dust (perhaps in the room as I switched on a powerful air purifier that may have stirred up some dust, or I had worked on pulling carpets today for an hour)
Claritin seemed to help a little during the day wit a small noticeable size reduction in the tongue but only small.
Can this get worse? can I take 2 claritins so 20mg? or take claritin and in a little while zyrtec? (can I mix the 2)
What shall I do?
I have been taking b12 4000mg folate 400mcg d3 5000IU and drinking lots.
Thank you
Hello,
With all details, your vitals are in normal range every time. But you have symptoms of anxiety, restlessness, dryness of throat when you get up in night.
Your symptoms are not suggestive of allergic reaction , but you may have nasal, sinus allergy, which is improving by claritin.
Cause of this breathing difference, feeling of chocking may be sleep apnea, though you have mentioned, but still it can be reevaluated. Another thing it may be anxiety disorder, for that you need consultation of psychiatrist.
Hope this helps,
Regards.