Hello,
Firstly, you do not need to pay me. Secondly, do not be worried. I would like you to do some tests, although, I can well understand that you have a monetary problem.
Chest X-Ray and Spirometry: If possible, you should do these two tests.
Now, I would like to ask you:
1. is there any sound while breathing?
2. do you have any pain anywhere?
3. are you urinating satisfactorily? I mean do you find yourself urinating very less?
I would like to suggest these medicines:
1.
Montelukast 10 mg orally once a day for 1 month.
2.
Salbutamol Inhaler. 2 puffs when you will be short of breath.
I also advise you to take the inhaler in a perfect fashion. Please go through the leaflet/manual that comes with the box of salbutamol inhaler.
There are many tests but as you have monetary problems, I tried to keep it simple.
Also, follow these guidelines: Some
asthma episodes can be prevented by avoiding or minimizing exposure to triggers.
These include environmental triggers such as:
Cigarette smoke, Environmental pollutants (especially when pollution and ozone levels are high), Strong chemicals.
If exercise triggers your asthma:
Breathe warm, humidified air before and during exercise, Use inhalers before exercise, Eliminating allergens at home often can go a long way to control asthma symptoms.
If dust mites are a trigger:
Encase mattresses in airtight enclosures, Clean your home frequently, Wash bedding frequently in very hot water, Remove carpets and heavy draperies from sleeping areas.
Some people may need to avoid animals entirely. Others may benefit from taking preventive medicine before an anticipated exposure to animals. Pet owners should keep pets out of bedrooms and bathe them regularly.
Those who are affected by pollens should:
Stay indoors whenever possible, Use air conditioning, Keep windows closed during the high pollen season.
Prevention also means learning to anticipate future attacks. Monitor your symptoms and peak-flow readings to help identify a coming attack before symptoms develop.
This allows you to adjust your medications to prevent an attack. Thank you and do not worry.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Dipan Samanta, General & Family Physician