Conversation: The conversation between human and AI assistant.
[|Human|] My 3 year old daughter had been suffering from frequent wheezing for past 2 years. She has been on Montair course for 2 months then the medication shifted gradually to Seroflo 125 (1 puff twice a day) to Maxiflo 125 (1 puff twice a day) to the present Maxiflo 250 (1 puff twice a day). However, the inhalers do not seem to be having any effect on her condition. We are giving her Inhaler through spacer and baby mask for 1 minute each time. She is currently also on Asthafen syrup and L Montus (1 tab. a day). She had Pneumonia 2 months back and was hospitalized for a week. She had wheezing last month in which we gave her Levolin nebulization 3- 4 times a day in conjunction with the routine Maxiflo inhaler. This continued for 15 days. After around 5 days of stopping the nebulization, she started wheezing again. This time, Levolin did not help and she was wheezing even after 5 days of inhaler and nebulization. She was then given a 5 day course of oral steroids (Omnacortil). Wheezing appeared to have cleared after those 5 days but started just 2 days after the oral steroids were stopped from being given to her. She has been wheezing for last 1 week + and Levolin nebulization again did not help her out for 1st 5 days. Hence, the doctor suggested Duolin nebulization for another 5 days. Today is the 2nd day of Duolin (= Maxiflo+ Asthafen+ L Montus) and she is still wheezing. Please advise what else can be done. Just FYI- we got her Comprehensive Allergy Panel Test done a week back and the test results did not find any allergen. The result was negative. Please help...as our child is not really in a good physical health for last 2 years continuously and it is very upsetting to see her in such a bad shape
[|AI|]  Hi, thanks for query. What she might be having is asthma. Allergy or infection aggravates it. She will definitely respond to the inhalation therapy. Dose adjustment is the only thing that is required. In some cases inhalation steroids needs to be given. They are better than oral steroids. Continue with the treatment. Give her light diet, fruits and vegetables, more of liquids. If needed to take help of chest disease specialist in your city. Please look for something in your home which may be reason for allergy. Vacuum clean her pillows and mattresses, avoid pets and any strong smell.bye.