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

### input:
I am 18, just got told I have asthma this year.  I am on Asthmanex and Foradil and Ventolin. I was wondering when I should consider my asthma bad enough to go to er. Most times I put it off and say im fine. I dont have a peek flow meter or anything so I just wondered.Thanks Kristen

### output:

HelloSign you are an asthmatic patient and taking asthma, floral (frail) and Ventolin. All these are bronchodilator and anti-allergic. This indicate that you are having asthmatic allergic bronchitis and for your kind information this is a very common disorder in modern life due to so many allergens surrounding around us. These allergens are : Pollen, mite, fine dusting powder, sudden fall and rise of temperature, mold, pests (cockroaches) pets (cats and dogs in home) fumes, smoking (active and passive) . As all these are predisposing factors, so avoidance help great. Do these measures :Wash all bed covers in hot cycle every week. Treat carpets w/parricides or tannin acid. Keep dust-accumulating objects in dust cup board. Replace curtains with blinds or easily washable curtains. Use vacuum cleaner, Encase mattress, pillows & quilts in impermeable covers. Install air- conditioner or dehumidifier. When such patient visit I only prescribe them to take montelukast+ albuterol one or two tablets in day. All patients respond this treatment very nicely. No medicine except this. Hope this will help you. Take whenever necessary, stop once relief, recurs, use again. In my opinion there is no need of ER. Good luck.