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

### input:
I am 5.1ftm, and 70kgs 36 years and have been battling with Asthma for the last 21years.  Sometimes my asthma gets very worse.  I am now on seretide and Motelukast.  I often have rhinitis, pain on my left arm muscles and feeling weak at times.  What can i do to be able to manage asthma well

### output:

Hello are an old case of ASTHMA hence taking sere tide & montelukast as both these Chat Doctor.  Since you are an old asthmatic, so I will try to reply in details. Asthma, airways hyperresponsiveness that is secondary to inflammatory airways' disease that results in recurrent or chronic episodes of wheeze, shortness of breath, chest tightness and cough particularly in the night or early in the morning. Causative or predisposing factors responsible for asthma are, dust, mite, pollen, molds, pests (cockroaches) pets in house, hay fodder, sudden increase or decrease of temperature, humidity. So if possible avoid these factors. When such asthmatic patient visit my clinic I prescribe them to take Montelukast + ALBUTEROL tablet once or twice in day till complete relief in symptoms. Hot coffee and steam inhalation also provide relief. Since you are already asthmatic patient, so TERTIARY PREVENTION is important in your case. Wash all bed covers in the hot cycle (60 degree C). Treat carpets with tannin acid.clean upholstered furniture thoroughly. Keep dust accumulating objects in trash can. Install air conditioner or dehumidifier.Also, avoidance is necessary for an asthmatic patient. Hope this will help you.