How should a 29-year-old manage worsening allergic asthma?

Question

Hello doctor,

I am 29 years old now. I have had allergic asthma for the last 6 to 7 years, but in a very mild form (mild suffocation and coughing for 2 to 3 days, once in three months). It used to get triggered by an old house (old book or newspaper dust) or distemper and paints or orange-flavored drinks. But for the last month, frequency and magnitude both have increased. Yesterday, for no possible reason known to me, it got triggered. My query is, can such allergic asthma turn into permanent asthma? I want to avoid any long-term course unless it is extremely important. What is my option to tackle or control and reduce the above symptoms, with mostly home remedies, diet control, exercise, and minimal synthetic medicines? Nose bleeding in childhood, frequent nasal blockage till the age of 21.

Kindly guide.

Answer 1

Hi,

Welcome to icliniq.com.

As per your symptoms, you are suffering from bronchial asthma with allergic rhinitis, but you need to confirm this by doing a spirometry with a reversibility test. Asthma is a disease related to hypersensitivity of our respiratory system to some allergens, which causes triggering and inflammation in the respiratory mucosa. Undoubtedly, you need to take medications; otherwise, symptoms will get worse as you age. So visit a chest physician. I am a practicing chest specialist, so I know the pros and cons of the disease. See, this asthma is a genetic disease acquired during childhood, and any genetic disease means in genes, and currently, we in our medical field are under research for a permanent cure, like answers in this genetic disease field, so my opinion would be visiting a pulmonologist or a chest physician for a proper workup and guidance. A chest physician can do a spirometry and total serum IgE levels, and as per your need, will prescribe you some inhaled medications like long-acting beta 2 agonists and inhaled corticosteroids, and maybe some oral steroids as per need, which can help you with minimal side effects. Maybe you will need those medications for some duration, like three months a year, or maybe long-term, or during changing seasons.

I hope this helps.

Regards.