I have seasonal asthmatic attack with history of smoking. How could I control this?

Hi,

Welcome to icliniq.com. I can see that you are worried about your asthma. Let us start from scratch. Firstly, let us confirm your diagnosis of asthma and because you are having symptoms now it is the best time to perform spirometry. Secondly, for asthma, you have to use inhalational medication for at least a year after diagnosis and then we can taper-off as you are relieved of symptoms. I totally understand this is a long duration, but we need the medication for controlling your future symptoms. Thirdly, the medicine (Ventorlin) will provide you immediate relief but it will not prevent further attacks, so you need to add inhalational corticosteroids to your medication. And last but not least, you need to quit smoking. You already know the health hazards of smoking and in your case, it is worsening your asthma symptoms. It will be a difficult job but I can help you with that, only if you want. I hope this helps. The probable causes include poorly controlled asthma due to smoking, not taking medicine regularly and not taking inhalational corticosteroid as well. Investigation to be done is spirometry with bronchodilator reversibility testing. The probable diagnosis is poorly controlled asthma. The treatment plan include inhaler (Formoterol 6 mcg + Budesonide 200 mcg) with spacer, two puffs twice daily and can be taken up to four times daily if required and once exacerbation is over it can be tapered off for a month. Tablet Fexofenadine 120 mg once a day for a month. The preventive measures include quit smoking, avoiding exposure to allergens, PEFR (peak expiratory flow rate) monitoring. Follow up to be done with investigations.