Conversation: The conversation between human and AI assistant.
[|Human|] I am having asthma for three years. I feel pain in chest and back. And area of pain is increasing.I have increased my inhalers from seroflo250 to seroflo500 twice daily. Is there need for antibiotics. I also feel breathless many time. doctors have sometimes recommended short course of oral steriods. but it gets worse after that short course. Can antibiotics help me? My age is 25.bharat bhushan
[|AI|]  Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. If you feel breathless despite taking regular inhalers, it suggests you asthma is not adequately controlled, and I would suggest you increasing your controller medications after consulting your physician.2. Were I treating you, I would suggest you to add montelukast regularly which also is a controlled medication for allergies-asthma.3. I would suggest you allergy testing which will help you identify the substances you may be allergic to and also to know the measures to avoid them.4. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve your allergy symptoms.5. In general, I would suggest you to avoid exposure to smokes, dusts and air pollution as much as possible.6. Regular breathing exercises and a healthy diet rich in vitamins & minerals (plenty of green vegetables, fresh fruits, sprouts, etc.) will also help you in a long run by improving your lung capacity and immunity respectively.7. Usually asthma episodes do not require antibiotics as most of the attacks are triggered by allergens (allergy causing substances) or viral infections. So I would suggest you not to take antibiotics without doctors prescription.8. Taking repeated courses of oral steroids also suggests inadequate control of asthma, which can be improved by increasing inhalers and adding montelukast. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards.