<human>: my daughter 16 has just started to have breathing issues. cannot take a breath. it is starting to happen more often and getting more severe. her doc gave her med for acid reflux and is not working is it possible to have onset of asthma without ever having problems before.
<bot>: Hello, Thank you for asking at Chat Doctor. I went through your daughters history and would like to make suggestions for her as follows:1. There are many possible causes for breathing problems in child Chat Doctor.  They can be as simple as allergic rhinitis or anemia or more serious such as asthma or other lung/heart disorders.2. As your daughters previous health is almost good, please do not think of any serious cause at present. Please follow a step-by-step approach for identifying the cause.3. Were I treating her, I would take her history of symptoms in great details which would guide me towards possible diagnosis. 4. In general, I would suggest complete blood counts with ESR. If she has repeated/longstanding nose symptoms, I would treat her for allergic rhinitis with antihistamines & montelukast. If her symptoms are suggestive of asthma, I would suggest her spirometry/PEER testing and would treat accordingly. If she does not have any of above, I would advise chest X-ray and also would think of stress-related causes such as anxiety, etc. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish your daughter the best of the health ahead. Thank you & Regards.