<human>: Im struggling really bad with my asthma when I am in work. I work in a restaurant kitchen. I go to take my inhaler and it calms down but then flares right back up around 10-15 minutes. Today at work I had to leave the kitchen 10 times to take my inhaler - 3 puffs each time. Please help its starting to scare me  Even when I get home and relax its still bad. :-(
<bot>: Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make following suggestions for you:1. If you need to take inhalers 10 times (3 puffs each time), I would add other controller treatment for your asthma in addition to as-and-when-needed inhalers. Usually I add montelukast to my patients to control asthma. If that is not effectively, I prescribe regular inhaled corticosteroids for at least 2-3 months.2. If you have nose symptoms (nasal congestion, running nose, sneezing) also, I would add levocetirizine/cetirizine in addition to montelukast.3. Personally I would suggest you to get allergy testing done which will help you identify the substances you may be allergic to and also the measures to avoid them.4. If the kitchen you work in is closed/crowded/inadequate ventilation, I would suggest you to use appropriate Personal Protection Device (such as face mask) to cover nose and prevent fumes/particles to enter your nose.5. Please try to avoid exposure to dusts, smokes & air pollutions as much as possible.6. A healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) and regular breathing exercises will also help you in a long run to improve your immunity & lung capacity respectively. Hope above suggestions will be helpful to you. Should you have further queried, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards.