Hello Sahidul Haque,
Thank you for asking at HCM.
I went through your history and would like to know more about you like - apart from asthma, do you have any other medical condition? Do you need to take any other drugs frequently/regularly? Do you have nose symptoms - sneezing,
nasal congestion, nasal itching? Do you have burning in chest, regurgitation of food/fluid, especially after hot/spicy meals? Do you have
headaches or facial pain/heaviness? Is there particular season when your symptoms are worst? Do you take any regular medications for asthma? etc etc.
From your current history, I would like to make following suggestions to you:
1. Were I treating you, I would suggest you daily
montelukast and inhaled
corticosteroids for at least 2-3 months.
I would specially emphasize on correct technique of using inhalers so that maximum drug would enter your lungs.
2. Were I treating you, I would suggest you antibiotics like Clavam 625 for every asthma episode. Asthma episodes are usually not due to bacterial infections and hence do not require antibiotics unless specifically prescribed by doctor.
3. If you need to take asthalin (
salbutamol) inhaler every 2-3 hours, it suggests your asthma is not under good control. Hence in my opinion, you require regular medications to improve control of asthma as suggested in no 1.
Asthalin should be used only on as-and-when-needed basis.
4. Should you have frequent nose symptoms also, I would add an antihistamine like
levocetirizine in your treatment.
5. I would suggest you allergy testing which will help you identify the substances causing allergy to you and also to know how to avoid their exposure.
Based on the allergy testing, an Allergist-Immunologist may also prescribe you allergen specific
immunotherapy which works on immune system to improve allergy symptoms on long-term basis.
6. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible.
7, Regular breathing exercises and healthy diet rich in vitamins & minerals (adequate green leafy vegetables, fruits, sprouts) will also help you in a long run by increasing your lung capacity and immunity respectively.
Hope above suggestions will be useful to you.
Careful lifestyle changes, proper medications and patience can definitely help an patient suffering from long-term asthma.
Should you have any further query, please feel free to ask at HCM.
Wish you the best of the health.
Thank you & Regards.