<human>: hello doctor,   im Jamal from chennai, india. my spouse(Age 24, Height 5ft 2inch, Weight 62 kg) got Wheezing problem for a long time nearly 6 years. she is using esiflo 250 , but still its not fully controlled. now we got a baby 3 months old. some times while feeding the baby she got the problem and on dust and when she got tensed she feel wheezing. Is there any way to control it Permanently. she is afraid that her wheezing maty affect our baby too. pls tell Remedy for this.
<bot>: Dear Jamal, Asthma is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages. Management consists of:1. Silo inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, it can be used during an acute attack.2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.3. Antihistamines like Cetirizine can also be used to provide symptomatic relief.4. Need for anti bionics can arise if there is a secondary infection. But this should be taken only under the guidance of your Physician.5. Also make sure that she protects herself from exposure to cold, dust or other allergens. This condition is related to the hyper-sensitivity of the immune response. It can only be managed symptomatically. Complete cure will need complete shut down of the immune mechanism, which will make her prone for severe life-threatening secondary infections. So, it is advisable to kindly continue the medications & inhalers as prescribed by her treating Doctor. Wish her a good health. Take care.