Hello.
Thank you for asking at HCM.
I went through your history and can understand your concern. I would like to make suggestions for you as follows:
1. Personally I do not suggest any of my adult patients to have a
nebulizer at home. There are many reasons.
a. Fist of all, there are many good inhaler portable devices are available (Metered dose inhalers, rotahalers, etc) which are very efficient, convenient and as good (sometimes even better) as nebulizer.
b. Nebulizer has problems with maintenance, also requires electricity, also chance of cross-infections.
In my opinion, nebulizers are good for young children and very old patients who cannot breath good by themselves.
2. Were I treating you, I would suggest you regular
montelukast and controller type of inhalers like inhaled
corticosteroids for at least 3 months.
3. I would also suggest you
allergy testing which will help you identify the substances that you may be allergic to and to know the measures to avoid them.
Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific
immunotherapy which slowly improves your immune system to improve allergy symptoms.
4. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.
5. Personally I would suggest you daily breathing exercises,
Yoga & Pranayama which gradually improves immunity and lung capacity.
6. I would also suggest you a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) which are very important for overall health and immunity. (Allergies &
asthma are basically immunity related disorders).
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.
Thank you & Regards.