Suggest treatment for allergic asthma
Patient: Am having allegic asthama since my childhood,I am serious about my health taking precautions regarding dos n donts. Still 1ce or twice m having breathing pblm am using rotahaler . Some doctors prefer its good for asthama but some asks not to use it please suggest me what to do??? I am confused Doctor: Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. Were I treating you, first of all I would like to know more about your symptoms in detail. Depending upon frequency of your symptoms and severity of your symptoms only, I would be able to say whether you need inhalers and what type of inhalers. (There are two types of inhalers - rescue type to be used for symptoms relief and controller type for regular use)2. I would at least suggest you regular montelukast which would help in allergic asthma and may reduce your requirement of inhalers. 3. In general, inhalers are safer than oral tablets as they act directly into lungs and hence dose required is small. Enuring right type of inhaler with correct technique also is important to minimize the dose of inhalers.4. I would also suggest you allergy testing which will help you identify the substances causing allergies to you as well as to know how to avoid their exposure. Based on allergy testing report, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on your immune system to improve your allergy symptoms for long term.5. In addition to above, I would also suggest you to have a regular exercise schedule and a healthy diet rich in vitamins, minerals and antioxidants with improves your immunity gradually.6. Regular breathing exercises, Pranayama and Yoga also will gradually improve your lung capacity.To summarize regarding your main query for inhalers, I would like to say that inhalers are better than orally taken drugs, and they need to be taken if they are necessary for you. Please follow your doctor's advice regarding inhaler use. Please learn proper technique of using inhaler and avoid the substances which are worsening your allergies/asthma.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards.