What causes breathing problem at the time of season changes?
Patient: .22years,5.8f,73kg,asthma since childhood,every year facing breathing problem at the time of change of season and in the month of april.i take asthalin inhaler 2or 3times a day.since last 1 year taking foracort inh.(200) twice daily. some times i take nabulizer(levolin).am  i taking right treatment. Doctor: Hello.Thank you for asking at HCM.I went through your history. Please consider following points, they will be helpful to you:1. From your history, I would agree with your doctor that you are taking regular controller inhaler, that is, Foracort 200 twice a day. It is important for you to know that it is a preventer/controller type of inhaler and you have to take it regularly regardless of your asthma symptoms. Please review your treatment at least every 3 months with your doctor, who may increase or decrease your controller medications.2. Asthma inhaler or levolin nebulizer - both are similar type of drugs (rescue inhalers) for asthma patient. You can use either of them, whichever you are comfortable with.However, if you have to use them more than twice a week, it suggests your asthma is not well controlled and you should upgrade your regular(controller/preventer) medicines.3. Most important thing - please make sure your technique of using inhaler is perfect. If all the necessary steps of using inhalers are not followed, adequate amount of drug might not reach the lungs.4. Were I treating you, I would suggest add daily montelukast to above treatment, which may reduce your foracort dose. 5. Personally I would suggest you to get allergy testing done, which may identify the substances you are allergic to and guide you how to avoid them to improve asthma symptoms.6. In general, please try to avoid exposure to dusts, smokes and air pollution as much as possible. 7. Regular breathing exercises and a nutritive diet rich in vitamins and minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will also help you in a long run.\Hope above points solves your query and will be helpful to you.Wish you the best of the health.If you have any further query, please feel free to ask at HCM.Thank you & Regards.