<human>: Hi, I have had asthma for quite a long time and treat it with salbutamol, salmeterol and beclomese something or other. I am male, 24 and a smoker. I also have rhinitis For the past week I have had all the symptoms of a cold; blocked nose, tight chest and headache. Today my symptoms changed a lot, my asthma was bad and have used my inhaler a lot. I feel very light headed. My hands feel numb, every now and the I get a sharp pain in my chest(several areas both left and right) I have a strong global wheeze and I occasionally get a weird feeling in my left collarbone, it feels like a heartbeat.What can I do?
<bot>: Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I usually treat my such patients with regular montelukast+levocetirizine and regular inhaled corticosteroids for at least 6 weeks as your asthma is at present not well controlled.2. Furthermore, I would also suggest you allergy testing as it will help you identify the substances you may be allergic to and also to know the measures to avoid them.3. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which gradually works on immune system to improve allergy symptoms over long time.4. Regular steam inhalation and adequate fluids, preferably warm, during day will also help early recovery.5. Feeling heartbeats, etc. could be due to side effects from albuterol as well as albuterol. Chest pain, etc. could be due to gastritis or some other cause. Please consult your doctor regarding these symptoms.6. I strongly recommend you to quit smoking as smoking has very bad effects on asthma & rhinitis. It can also reduce effectiveness of some Chat Doctor.  From my side, it is the most important step towards long term improvement in asthma & rhinitis. I would highly suggest you to seek a professional help for the same.7. In general, please avoid exposure to dusts, smokes and air pollution as much as possible.8. Regular breathing exercises and a healthy diet rich in vitamins & minerals will also help you in a long run by improving lung capacity and immunity. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards.