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

### input:
hello sir my kid is 4yrs old he has been treated for childhood asthama since birth now his pediatric doctor is saying to consult a chest specialist another doctor has seen him and he is saying that his toncils are bigger than normals that is why all this problems are emerging. sir what i am confused to what to do and whoom to consult now plz help me.

### output:

Hi... Suggestions on wheezing - 1. There are certainly alternative management therapies in allopatry now-a-days. Medicine has advanced a lot and not asthma is 100% controllable.2. Inhalers are the newest management strategies for this. If I were your pediatrician I would have suggested the use of Decor metered dose inhaler (100mcg) 2 puffs twice a day through a spacer and this is for regular use for 8 weeks. Another metered dose inhaler is Leveling and this can use as rescue therapy whenever the kid is having severe cough in spite of regular usage of Decor. The technique is very important and very crucial for the Chat Doctor.  Regularity of medicine usage also matters a lot. So do not discontinue abruptly after you notice some improvement. The technique of administering an inhaler using a spacer has to be taught to you by your doctor and these are prescription medicines. So I suggest you consult your pediatrician for this.3. Triggers can be environmental changes/ dust/ talcum powder/ seasonal changes/ uncleaned a / c vent/ cold weather etc....we can specifically say this is the cause - unless we observe the kid closely - the best person is the parent. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.