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How to manage uncontrolled asthma despite taking steroids?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been struggling with asthma for years, but this past month, it has been really bad. I am 28 years old and using my inhaler more often than before. I have even started a course of steroids, but there has not been much improvement. Weather changes always make it worse for me, and now I feel like I am constantly short of breath. Is there anything else I can do to keep it under control? I keep hearing about biologic injections for asthma. Do those help? Also, I have been getting a lot of nighttime wheezing. Any tips to stop that? I am doing steaming, but it does not seem to work. Should I get allergy testing to see if something is triggering my asthma, or should I push for hospitalization or just manage at home?

Kindly help.

Thank you.
Answered by Dr. Kaushal Bhavsar

Education:

MBBS

Professional Bio:

Dr. Kaushal Bhavsar is an experienced Internal Medicine Specialist and Pulmonologist with expertise in managing respiratory conditions such as asthma, COPD, tuberculosis, and lung infections, along with chronic illnesses like diabetes, hypertension, and metabolic disorders. He is skilled in critical care, pulmonary function testing, and evidence-based medical management. Dr. Bhavsar is committed to delivering holistic, patient-centered care for long-term health and respiratory wellness.    

This doctor is not available for online consultations on the platform anymore.

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Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

I suggest you first undergo the following tests to assess the severity of the allergy and asthma:

  1. Serum immunoglobulin E (IgE) test.

  2. Eosinophil count.

  3. Chest X-ray.

  4. Pulmonary function test (PFT)

Biologics will be helpful only in cases with high immunoglobulin E (IgE) levels.

I hope I have resolved your query.

I will be happy to assist you further. Kindly follow up if you have more doubts.

Thank you.

Medically reviewed by iCliniq medical review team
Published At March 20, 2025
Reviewed At November 19, 2025

Education:

MBBS

Professional Bio:

Dr. Kaushal Bhavsar is an experienced Internal Medicine Specialist and Pulmonologist with expertise in managing respiratory conditions such as asthma, COPD, tuberculosis, and lung infections, along with chronic illnesses like diabetes, hypertension, and metabolic disorders. He is skilled in critical care, pulmonary function testing, and evidence-based medical management. Dr. Bhavsar is committed to delivering holistic, patient-centered care for long-term health and respiratory wellness.    

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

Education:

MBBS

Professional Bio:

Dr. Kaushal Bhavsar is an experienced Internal Medicine Specialist and Pulmonologist with expertise in managing respiratory conditions such as asthma, COPD, tuberculosis, and lung infections, along with chronic illnesses like diabetes, hypertension, and metabolic disorders. He is skilled in critical care, pulmonary function testing, and evidence-based medical management. Dr. Bhavsar is committed to delivering holistic, patient-centered care for long-term health and respiratory wellness.    

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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