Hello.
Thank you for asking at HCM.
I went through your history and would like to make following suggestions for you:
1. First of all, as you have both asthma and
panic attack, I would like to confirm diagnosis as sometimes one can be mistaken for another.
Were I treating you, I would suggest you
spirometry with post-
bronchodilator study to measure your lung capacity and component of asthma.
2. I would also suggest you allergy testing as it will help you identify the substances causing troubles to you as well as the measures to avoid them.
3. I would like to know more about you like whether you have other allergy symptoms like running nose, sneezing, etc; what is the frequency of your asthma; how so far you have been treated for asthma; etc etc.
4. At present, I would suggest you regular
montelukast and to use salbutamol or
levosalbutamol inhaler on as-and-when-needed basis for asthma symptoms.
5. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.
6. I would also suggest you regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) which will improve your lung capacity and immunity respectively.
7. Stress is very much linked to all three of your complaints - panic,
epilepsy and asthma/allergies. So I would personally suggest you to be involved in some stress reduction activity like
meditation, Yoga, relaxation, etc. It may also improve your general well being and self confidence.
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 ahead.
Thank you & Regards.