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.

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.

The most suitable inhaler depends on the severity and type of your asthma, but commonly a combination of a daily inhaled steroid (e.g., budesonide or fluticasone) and/or a rescue bronchodilator (e.g., salbutamol) is used. Ask your doctor to tailor the inhaler type and dose to your symptoms and breathing tests.

You should seek urgent medical attention immediately, as chest tightness and acute respiratory problems can be serious and may indicate conditions like a heart attack, asthma attack, or severe infection. While waiting for help, stay calm, sit upright, and avoid any physical exertion. If you have a prescribed inhaler or medication for heart or lung conditions, use it as directed by your doctor.

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.

Frequent wheezing, cough, and repeated Bronchitis may indicate an underlying problem like Asthma or airway sensitivity. You should avoid dust, smoke, and cold air, drink warm fluids, and do simple steam inhalation daily to ease symptoms. Since this is recurring, it?s important to get a proper check-up and lung function test to start the right long-term treatment.