<s>[INST] Hi doc,I'm heavy smoker and I'm regularly whizzing but recently my issue is whenever I sneeze or cough I immensely feel like my breathing is missing. I am using voltraine inhaler and when I puff twice or thrice I feel better. My question is am I having asthma problem and what medicine should I take to get cured from this nightmare of my life. Please advice I'm regular follower of yours.RegardsUsman [/INST] Dear Usman,The case history as mentioned in your post suggests that you might be having asthma.Wheezing is caused due to broncho-constriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages due to asthma.Management consists of:1. Avoid smoking- it causes broncho-constriction & aggravates asthma.2. Asthalin+ Seroflo inhaler- provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, it can be used during an acute attack.3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.4. Antihistamines like Cetrizine can also be used to provide symptomatic relief.5. Need for anti biotics can arise if there is a secondary infection.6. Also make sure that you are well protected from exposure to cold, dust or other allergens.This condition is related to the hyper-sensitivity of the immune response.It can only be managed symptomatically.Complete cure will need complete shut down of the immune mechanism, which will make you prone for severe life-threatening secondary infections.So, it is advisable to kindly continue the medications & inhalers as prescribed by your treating Doctor.Wish her a good health.Take care. </s>