Hello.
Thank you for asking at HCM.
I went through your history and would like to make following suggestions for you:
1. If you need to take inhalers 10 times (3 puffs each time), I would add other controller treatment for your
asthma in addition to as-and-when-needed inhalers.
Usually I add
montelukast to my patients to control asthma. If that is not effectively, I prescribe regular inhaled
corticosteroids for at least 2-3 months.
2. If you have nose symptoms (
nasal congestion, running nose,
sneezing) also, I would add levocetirizine/cetirizine in addition to montelukast.
3. Personally I would suggest you to get
allergy testing done which will help you identify the substances you may be allergic to and also the measures to avoid them.
4. If the kitchen you work in is closed/crowded/inadequate ventilation, I would suggest you to use appropriate Personal Protection Device (such as face mask) to cover nose and prevent fumes/particles to enter your nose.
5. Please try to avoid exposure to dusts, smokes & air pollutions as much as possible.
6. A healthy diet rich in
vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) and regular breathing exercises will also help you in a long run to improve your immunity & lung capacity respectively.
Hope above suggestions will be helpful to you.
Should you have further query, please feel free to ask at HCM.
Wish you the best of the health.
Thank you & Regards.