<human>: Hi, My husband has asthma, and COPD he takes symbicort and Spiriva. Hes 55, lately hes really tired, some muscle tightness in his hamstrings, some back pain. Im learning about his medical history and what to do.  I have a general understanding and Im trying to learn more. I have noticed that hes goes for a week or so before he refills his meds and we are addressing these habits. Do you have any advise?
<bot>: Hello dear, Asthma is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages. Management consists of:1. Stalin or Corticosteroid Inhalers-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, can be used it whenever having an acute attack.2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma.3. Antihistamines can also be used to provide symptomatic relief.4. Protection from exposure to cold, dust or other allergens. Presence of pain can be attributed to either fatigue of respiratory muscles due to labored breathing or due to infection. If symptoms still persist, it will be better to consult a Pulmonologist & get a proper physical examination done. So that appropriate management steps could be taken. Wishing a good health. Take care.