Suggest treatment for asthma with wheeze and sneez
Patient: Hi, this is Badri, im suffering from  asthma since my childhood around 10 years but from last two years it converted in to "Bronchial asthma", but from the last two years it became more my problems are:1) An allergic reaction associated with extreme breathing difficulties and wheezing. 2)  Thick mucus is usually produced in large quantities and the airways become irritated. 3) Most of the attacks are triggered by hyper-sensitivity to air-borne particles(dust, pollen) or any sort of allergy to foods.4) when the climate is little bit cool my throat is getting very reddish and followed by sneezing and it automatically producing more mucus in my lungs then asthma is getting started                         This is the way my problem is getting more and more now my age is 24 male i got married..                         Please give me the solution for my asthma problems i have used so many medicines but no use.... Doctor: Hello Badri,Thank you for asking at HCM.I went through your history and would like to know more about you like - what is the frequency of your asthma symptoms? Are there any particular foods that trigger your asthma? What is the frequency of your nose symptoms - like running nose, nasal congestion, sneezing, etc?From your given history, I can understand your concern and would like to ake suggestions for you as follows:1. Were I treating you, i would suggest you daily montelukast for at least 3 months and an inhaler like salbutamol/levosalbutamol to be used on as-and-when-needed basis for asthma symptoms.Should you have significant nose symptoms, I would also add an antihistamine like levocetirizine/fexofenadine to your daily treatment.2. I would suggest you allergy testing which will help you identify the substances causing troubles to you and also to know how to avoid them.Based on the report, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which will work on your immune system to gradually improve your allergy symptoms.3. Please avoid exposure to dusts,smokes and air pollution as much as possible.4. Regular breathing exercises like Yoga & Pranayama and healthy diet rich in vitamins and minerals (adequate amounts of green leafy vegetables, fruits, sprouts) will improve your lung capacity and immunity respectively and will be helpful to you.Bronchial asthma is very much manageable disease. With combination of appropriate medications, immunotherapy (if needed), nutrition and lifestyle changes, one can live a life just like other normal people. So please do not get stressed about it.Hope above suggestions will be helpful to you.Should you have any other query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards.