### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am a 39 years old woman suffering with asthma for the last 31 years.I am under continues medicines,I was taking Derifillin, then asthalin 2mg, then 4mg from 1979 to 1998.I have been to hospital every alternate days night stay, morning school.... was given aminophillin, adrenalin, betnasol IV etc...Was taking celestamin from 1987 to 1991. From 93, I am using Asthalin inhalers and foracort inhalers. For the last 9 years I am taking combitide 250 and 15 to 20 puffs of asthalin a day. I am a professional musician..Now a day, I gain 10 kg weight, now I am 80kg. I have knee pain, back pin and I feel very much depressed.... What is the end of this medicines. without steroid I can not survive. With steroid my physical condition is getting worse. Can you predict, what will be the next step in my life. I have two small children and a multi talented genius busy husband. If I am not  fine, everybody will get affected. I purchase 2-3 inhalers a month. Keeping it in every corner of my house. I want to live without steroid...... CAN ANYBODY HELP ME?

### output:

Yes off course!! You should not be so much worried at first instances, as there are ways to be free from steroid. First I would recommend you to get Sr.IGE done. Next get a spirometry done latest. Next pl seek an appointment for the allergy skin testing(AST). As AST will identify your allergens. And you try to avoid them. This will decrease the continuous pouring in of allergy content in your body. Then you have the option of steroid sparing treatment. Depending on the severity with bronchodilators and montelukast. Then you have anti Sr. IgE omalizumab therapy. Before all that I would strongly recommend you to seek an orthopedics specialist. Opinion as this will help you to measure you bone density. As you were on steroids since long so pl get serum ca levels also. Rest assured that you can lead a life comfortable without steroid.