What could cause asthma, anxiety, breathing difficulties, and pain under the left rib cage?

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

You have an exacerbation of asthma and probably gastritis along with it. Firstly, the Advair inhaler is to be continued on a long term, with two puffs to be taken twice a day. This is a slow and long-acting inhaler. For quick relief, you need to take MDI (metered dose inhaler) and Albuterol two puffs whenever needed up to six times a day. You tabletSingulair bedtime, on a regular basis till exacerbation is controlled. Even if not controlled the need to add some oral medicine as well, which we will discuss later.

It appears you also have acidity and gastritis. Along with upper abdominal pain you also have, nausea, bloating, burping, an increase in pain on food, sour water feeling in the throat, or chest burning, these are the other symptoms and may be associated. You should avoid a fatty, oily, and spicy diet. Have some walks after having food instead of taking a rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Have lots of green leafy vegetables, and fruits. Avoid smoking and alcohol if any.

You can get prescribed tabPan DSR 40 mg or Esomeprazole with Domperidone combination before breakfast once a day for two weeks. If not adequately relieved, then you should add SyrupSucral O or Gelusil two teaspoons three times a day for a week. For immediate pain relief, you can have an antispasmodic tablet Dicyclomine 20, or10 mg whenever needed up to three times a day.

Hope this helps, you can get back if you have any doubts.

Thank you for consulting me.

You can always come back and reach me at icliniq.com.