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

### input:
I have been very sick with an asthmatic type illness. I am a substitute teacher and had to leave school on Monday, due to feeling as though I were going to throw up when I bent over, not being able to breath,upper respiratory especially and nasal region. I took Benedril liquid, what I had left, have run out of my Zyrtec and get more tomorrow, am extremely weak and asked other subs to cover the rest of the week for me. I cough continually and am very weak. When I visited an doctor for allergies, her told me I was extremely allergic to Elm trees which are all around the back yard. I ride a lawn mower with a mask that usually works. This began to happen on Saturday with sneezing 9-10 times each and I rested, hoping I could work on Monday. My allergist it may also be dust and pet dander. When I mow there is a lot of dust and I do have two dogs and a cat who are my only family. I have rested now for two days and am not much better. I have been wheezing with strange noises coming from within my chest. I did not go to the emergency room, nor the same doctor because I feared it would be the identical respond as previously. I was just watching the news and heard about this virus that has affected many throughout the nation. I seem to have the same symptoms and they keep reoccuring, which cause me to be unable to sub. I could use the sub money, since I only have Social Security to live on at this point. I have been a Superintendent of Schools in SC and my friends can tell you that I am not over reacting or a hypocondriac who may think he/she has everything that comes along. I really need help and everywhere I turn, I hear you just have allergies like everyone else. My throat closed the other night and I had to drive to my neighbors and wake them up to help me. I could not speak to tell them what was wrong. They finally figured it out, knowing my situation. I see that there are no doctors available in WV where I live, but I could drive to Alexandria, VA if necessary. Could you help in anyway? I do not have a credit card to pay today, but could get one tomorrow at a convenience store and will continue to chat. Please tell me what to do?

### output:

Hi, Welcome to Chat Doctor, I have read your whole query. From which it seems that you might be having allergic asthma due to elm tress or dust. Now, Asthma is itself an allergic disease due to cold or dust or pollen or grass etc. irrespective of the triggering factor. You can go for pulmonary function tests if not done. Treatment is mainly symptomatic which might require inhalation steroids, beta agonists, anticholinergics as MDI or rota haler as a regular treatment. To decrease the inflammation of bronchi and bronchioles, you might be given oral antihistamines with mast cell stabilizers(montelukast) and steroids (prednisolone) with nebulization and frequently steam inhalation. The best way to cure any allergy is a complete avoidance of allergen or triggering factor. Consult your pulmonologist for thoroughly clinical examination and treatment.