is a disease of the airways. There is hyperreactive airways and in response to allergen, the airways go into spasm and airway narrow.
Some patients may be allergic to few specific allergens and if identified and avoided, there is possibility of complete CONTROL.
In most patient the allergens are multiple, and identifing them is tedious. in these pts. even avoiding the known allergens helps in decresing the symptoms.
Another important point is that more than 90% patients of asthma, do not take there inhalers correctly, which leads to inadequate dose and inadequate response.
The trick is to use the correct drug, in the correct dose for the correct duration along with allergen identifiaction and avoidance.
Most of my patients who have done so are very well controlled and some, I can proudly say, have discontinued their medication including inhalers.
Remember each person is unique and there is no "one size fits
all" treatment for asthma.
Also Asthma is 100% controllable in most patients and for some patients it is equal to a cure once off medications.