Hi and thanks for the query,
I strongly think an allergic condition should be considered in this case. A family history of asthma
is an important consideration in this case. Past history of breathlessness in childhood, night cough
, wheezes are important risk factors. A clinical evaluation and peak flow measurements could be very useful. A chest X ray
could be useful o be sure of the size, shape and state of the lungs and heart. Measuring of blood Immunoglobulin E
(IgE) levels and raised Esinophils in the complete count could be indicative of an allergic component. Other rare conditions like Aspergillosis
must be borne in mind.
Consulting a pulmonologist, and an allergist if need be could be of great help.
Thanks and hope this helps. Kind regards.
Bain LE, MD.