Conversation: The conversation between human and AI assistant.
[|Human|] my daughter is suffering by dust ,smale and unknown eliments from a long time according to doctor.and she getting breathing problem at those times.she is now 8+yrs old .reading in class three.doctor has given her inheller and a tab montare.in a deep suffering condition we have to give her asthalin and budecord by nebuliser mechine.grouth rate of her health is very poor .can not want to eat food.less energetic .so what i have to do now.pls give me your valuable suggetion to keep her normal .we both are very much orrid about that. atanu bandyopadhyay. jalpaiguri.0000mail - YYYY@YYYY
[|AI|]  Hello Mr Stand Bandopadhyay, I went through your daughters history and would like to know more about her as follows:a. What are her nose symptoms - running nose, sneezing, nose congestion - and how frequent?b. What are her chest symptoms - wheezing, breathing difficulty - and how frequent?c. Does she get symptoms while physical activities like exercise, outdoor games, etc’d. Does she have frequent headaches?e. Does she have eye symptoms - red eyes, itchy eyes, excessive watering?f. Does she have any digestive complaints - frequent acidity, vomiting, constipation, frequent stomach pain, etc.?g. Does/did she have any skin allergies like dermatitis or urticaria?h. Day symptoms or night symptoms?i. Seasonal variations? Above details would help me to know more about her health and therefore to make more specific suggestions for her. At present, from your provided details, I would like to make suggestions for her as follows:1. For identification of allergies, I would suggest her skin testing for common air-borne allergens like house dust mites, pollen, molds, insect proteins, animal dander (if you have pet), etc. This will help you identify the substances causing allergies to her as well as to know the measures to avoid them.2. Based on allergy testing, an Allergist-Immunologist may also prescribe her allergen specific immunotherapy which works on immune system to gradually improve her allergy symptoms over a long period.3. For symptom relief and prevention, I would agree with your current treatment. I usually suggest my such patients regular levocetirizine + montelukast.4. Allergies and asthma are a bit worrisome but not very much. With proper understanding of the disease, care and use of medicines child Chat Doctor.