<human>: hello doctor . i m from bangladesh....my father has been suffering from chronic bronchial asthma for 4 years......he used prednisolone, ipraatopium, seretid accuhaler inhaler, salmeterol inhaler, euphyllin.he is 48 years old not diabetic, but hypertensive for 5 years.though using all drugs he  is also attackted by asthma everyday.then it is necessary to give 100% o2. now i want to consult you .......if u kindly advice me ....i will grateful to you...with regads- Masum Habib (student of MBBS course)
<bot>: Hello Masum Habit, Thank you for asking at Chat Doctor. I went through your fathers history and would like to make suggestions for him as follows:1. I would like to know in great detail what are his symptoms of asthma, how it was diagnosed, whether he is allergic, what are his nose/sinus symptoms, whether he is/was a smoker, his environment, etc. etc.2. Furthermore, I would like to mention here that it is possible that he may need O2 for a severe attack. But it is unusual of asthma to require O2 too often. That's why I would suggest him spirometry with post-bronchodilator reversibility testing which measures his lung capacity, airway reversibility and response to bronchodilators. Spirometry will also help to identify whether he really has asthma, or COPD or so-called asthma with irreversible obstruction or similar disorders. Spirometry will also help to choose appropriate medications and inhalers for him.3. For him, I would also suggest Chest X-ray as it is unusual for a normal asthmatic patient to require O2 too often. 4. I would like to know about his antihypertensives. Beta-blocker group of antihypertensives can aggravate asthma or bronchoconstriction. So if he is taking beta-blocker group of Chat Doctor. 