Conversation: The conversation between human and AI assistant.
[|Human|] hello sir i am suffering from asthma since last 11 years (age 26). i have inherited this from my mother. Due to carelessness and being away from home , the disease has grown very dangerously.After researching thru internet i found that i have very high asthma.I use inhaler around 10 times daily and have also developed symptoms of eczema and hiatus hernia
[|AI|]  Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions to you as follows:1. I would like to know the inhaler you use. There are two types of inhalers - rescue type and controller type. I assume it a "rescue" type of inhaler like albuterol or levosalbutamol. If you are using it 10 times a day, it suggests your asthma control is poor. Were I treating you, I would suggest you regular montelukast and a "controller" type of inhaler like inhaled corticosteroids for at least 2-3 months depending upon response. You can use "rescue" type of inhaler on as-and-when-needed basis for breathlessness/asthma symptoms. 2. Should you have nose symptoms, I would add regular antihistamine like levocetirizine to above medications.3. I would like to know more about hiatus hernia and your symptoms. Do you have regurgitation of foods, heart burn, nausea, etc.? Have you had endoscopy to diagnose hiatus hernia? Etc. It is also important for you to remember that albuterol (commonly used asthma medication) can worsen some esophageal problems like gastroesophageal reflux.4. I would suggest you allergy testing which will help you identify the substances causing troubles to you and also to know how to avoid them. Avoidance of foods causing allergies and air-borne allergy-causing substances will help you both for asthma and eczema. Based on allergy testing results, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune symptoms to improve allergy symptoms on long term basis.5. In general, I would suggest you to avoid exposure to dusts, smokes & air pollution as much as possible.6. Personally I would suggest you regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) which will help you in a long run by improving your lung capacity and immunity respectively.7. I would suggest you to avoid stress by relaxation and meditation as stress can aggravate allergies. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. It will be my pleasure to help you with best of my knowledge and efforts. Wish you the best of the health. Thank you & Regards.