<human>: Hi doc,Im heavy smoker and Im regularly whizzing but recently my issue is whenever I sneeze or cough I immensely feel like my breathing is missing. I am using voltraine inhaler and when I puff twice or thrice I feel better. My question is am I having asthma problem and what medicine should I take to get cured from this nightmare of my life. Please advice Im regular follower of yours.RegardsUsman
<bot>: Dear Usman, The case history as mentioned in your post suggests that you might be having asthma. Wheezing is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages due to asthma. Management consists of:1. Avoid smoking- it causes bronchoconstriction & aggravates asthma.2. Stalin+ Aeroflot inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, it can be used during an acute attack.3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.4. Antihistamines like Cetirizine can also be used to provide symptomatic relief.5. Need for anti bionics can arise if there is a secondary infection.6. Also make sure that you are well protected from exposure to cold, dust or other allergens. This condition is related to the hyper-sensitivity of the immune response. It can only be managed symptomatically. Complete cure will need complete shut down of the immune mechanism, which will make you prone for severe life-threatening secondary infections. So, it is advisable to kindly continue the medications & inhalers as prescribed by your treating Doctor. Wish her a good health. Take care.