<human>: My mother is suffering from Asthma.  Bangalore weather being very cold during winter season, she also took some oily foods which resulted in breathing problem, piles, swelling on the face and a little bed sore.  She is using inhalers, nebulisers, Deriphyllin medicine / injection, ointment proctosidyl, etc.  Kindly suggest me further course of treatment.
<bot>: Hellos you mentioned that your mother is taking oily food and having breathing problems, piles (proctosidyl ointment) , SWELLING on the face, bed sore, these symptoms may be due to these reasons, these include:1 Cardiac asthma, as you mentioned that there is swelling on the face, this is one of the most prominent reason of such symptoms in long-standing case. I recommend you consult a Cardiologist and get his opinion.2 As you mentioned that she is taking inhaler and nebulizer for asthma. So swelling on the face may be due to steroid in inhaler or nebulizer. 3 Anemia, diagnosis can be confirmed by hemoglobin examination.However, there are so many other reasons like hypoproteinaemia, chronic renal failure (swelling on face). In my opinion you must consult a cardiologist and get his opinion. When such case visit for breathlessness (asthma) I prescribe montelukast+ albuterol tablet once or twice in day and patient respond very well (stop inhaler and nebulizer and thereafter start this treatment. Hope this will be helpful for your mother (only a limitation).