Since your symptoms are not fully controlled, you may benefit from oral medications. A leukotriene receptor antagonist like montelukast is highly effective as it treats both asthma (wheezing) and allergic rhinitis (sneezing). Daily oral antihistamines, such as cetirizine or loratadine, can also help control your sneezing. However, using your Salbutamol inhaler three times a day indicates your asthma is currently uncontrolled. While oral pills can assist, you likely need a daily preventive inhaler rather than just quick-relief medication. Please consult your doctor or an allergist so they can safely evaluate your lungs and prescribe the most effective, personalized controller treatment.

Long-term night-time breathing difficulty for 7-8 years, especially needing daily nasal drops like Nasogest, may be due to chronic nasal blockage such as Allergic rhinitis, sinusitis, or even a deviated septum. Continuous use of decongestant drops can actually worsen blockage over time, so it?s important to stop unsupervised use and switch to safer options like saline sprays or prescribed steroid sprays. Please consult an ENT specialist (as advised) for proper evaluation and long-term treatment rather than relying on daily drops.

Asthma is typically managed using two main types of inhalers: Preventers (Controllers) and Relievers (Rescue). Preventer inhalers (usually containing corticosteroids) must be taken daily to reduce airway inflammation and prevent attacks. Reliever inhalers (like Albuterol) are fast-acting bronchodilators used only during sudden flare-ups or shortness of breath to quickly open your airways. Since your doctor has already suggested specific medications, it is crucial to use exactly what they prescribed. Please discuss your personalized Asthma Action Plan with them to understand when and how to use each inhaler safely.

Wheezing and breathlessness after your Cholecystectomy are usually not directly related to the surgery and may be due to conditions like Asthma or reduced lung fitness. Since you feel symptoms while climbing steps, it could be exercise-induced breathing difficulty. Try slow breathing exercises, regular walking, and avoid triggers such as dust or cold air. It?s important to consult a doctor for lung function tests to confirm the cause and start proper treatment.

It is understandable to feel frustrated when your cough persists. Since your current quick-relief medications (salbutamol) and theophylline are not providing enough control, your asthma likely requires a daily 'preventer' medication. Inhaled corticosteroids (such as fluticasone or budesonide) are the most effective daily treatments to reduce airway inflammation. For severe, uncontrolled asthma, advanced injectable treatments called 'biologics' (such as omalizumab, mepolizumab, or dupilumab) are available and highly effective. We should also ensure your acid reflux (treated with omeprazole) is not triggering the cough. Please consult your doctor or a pulmonologist to discuss adding a preventer inhaler or exploring these injectable biologic options safely.

For better long-term asthma control, your doctor may prescribe a preventer inhaler containing a steroid to reduce airway inflammation. While there is no permanent cure for asthma, regular use of a preventer can significantly improve your long-term control.