Hello.
Thank you for asking at HCM.
I went through your history and would like to make suggestions to you as follows:
1. First of all, I would suggest you to stop smoking completely, you can please seek a professional help to quit smoking. Smoking is very dangerous for lungs, can worsen asthma as well as can reduce beneficial effects of some asthma medications.
2. Were I treating you, I would suggest you to use inhaled
corticosteroids (
Budesonide or
Fluticasone) for at least 3 months.
3. I would also suggest you
montelukast for at least 3 months.
4. I would suggest you
allergy testing which may help identify the substances causing allergy to you and to know the measures to avoid them.
5. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.
6. Regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate green leafy vegetables, fruits, sprouts, etc) will also help you in a long run by improving your lung capacity and immunity respectively.
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.