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

### input:
I am 59 years old.My weight is 78 kgs and height is 1.81 meters.There is asthma in my family history.Of late I am facing symptoms of breathlessness only when i have some exertion like little brisk walking,while taking bath etc.If i take an anhaler(orange tip),i am comfortable for about 2 days but subsequently same symptoms crops-in again.Do I have to take inhaler on regular basis.I am not on any other medication.I am more on naturopathy treatment eating right type of fruits and vegtables.I regularly do breathing exercises in the morning,i am off the dairy products,sweets,fried stuff etc,i go for a walk every day for about 30-40 minutes.Recently when I had been to Australia for 2 months period,i never had to face such problem.I am more keen to have some natural remedy(not allopathic) to take care of my present symtoms R R Chari,Vadodara,india

### output:

Hi, Hi,It can be due to upper respiratory tract infection like pharyngitis or laryngitis or may be acute bronchitis, pleurisy you can go for routine blood and X-ray chest with sputum examination, it will be helpful to make clear diagnosis. You should take antibiotics (quinolones or accolades group) with analgesics and anti-inflammatory, antihistamines. You 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. You need to see pulmonologist for further advise.