Hello.
Thank you for asking at HCM.
I went through your history and would like to make suggestions for you as follows:
1. First of all, to respond to your query, why symptoms in Bangalore, I would like to mention that flora of Bangalore is quite different from that of Delhi. So the pollens you are exposed in Bangalore are quite different.
Another reason, of course, Bangalore ranks high in air pollution and is allergic disorders & asthma are quite common in Bangalore. Of course Delhi is also polluted. May be the area where you live/work in Bangalore is particularly polluted more.
2. Regarding treatment, I almost agree with regular
Budecort (
Budesonide - inhaled corticosteroid, a controller type of inhaler) and
Asthalin (
Salbutamol - a rescue type of inhaler, to be used on as-and-when-needed basis).
I would like to emphasize on technique of using inhaler as if it is not perfect, there is a chance that adequate amounts of drug may not be reaching lungs.
3. Were I treating you, I would add regular
montelukast in your treatment which may reduce your inhaler requirement.
4. I would also suggest you
allergy testing which may help you identify the substances causing allergies to you and also to know the measures to avoid them.
Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific
immunotherapy which works on immune system to improve your allergy symptoms on long term basis.
5. I would also suggest you regular breathing exercises (including Yoga & Pranayama) and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) which will gradually improve your lung capacity & immunity respectively on a long run.
6. Please try to avoid exposure to dusts, smokes & air pollution as much as possible.
Hope above suggestions will be helpful to you.
Should you have any other concern, please feel free to ask at HCM.
Wish you the best of the health.
Thank you & Regards.