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

### input:
I AM 35-38 YEARS OLD SUFFERING FROM BROCHTIS ASTHMA , FROM THE AGE OF 12 YEARS I HAVE SINUS THEN LATER LEAD TO BRONCHOTIS AND NOW IT IS COMBINED as BRONCHOTIS ASTHAMA -TRIED FOR SEVERAL WAYS OF MEDICATION BUT OF NO ERADICATION - DOCTOR SAID -MY LUNGS FUNCTIONING HAS COME TO 30% ONLY . IAM USING MONTEXT -LC DAILY ONE TAB, ABPHYLINE CAPS-1 CAP ALSO SPACER MOUTH SPRAY 2 PUFFS-TWICE ADAY. SHALL I CONTINUE- AND HOW LONG -IAM PUTTING ON BODY WEIGHT-IS IT DUE THESE MEDICNES, PLZ LET ME KNOW. THANK U SO MUCH, PLZ MAIL: YYYY@YYYY INDU.

### output:

Hello Hindu, Welcome to Chat Doctor, and thank you for writing to us. Your symptoms and progression to difficult asthma is a story shared by many and is the natural progression of allergic rhinosinusitis to asthma. You must ensure allergies are checked either in the form of skin prick testing or specific IGE against the extended aeroallergens/inhaled panel. If specific allergies are identified, then you need to optimize the asthma control witChatDoctorbined inhalers (long acting beta 2 agonists + inhaled steroids) like Symbicort or Sere tide and continue on Monthly. Immunotherapy against the inhaled allergens is currently the most effective way of preventing allergic progression and occasionally combined with antigen therapy (Omalizumab). The antigen therapy is quite expensive and would depend on where you are now or how easily you can get or afford it. This must be given by physicians experienced with antigen therapy. I hope this helps. Best Wishes.