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

### input:
Im 22 and pretty sure I have sleep apnoea because I wake up around 3 or 4 times a night gasping for breath. Over the last few month Ive also been having issues with my breathing in the day. Its like Ive become concious of my breathing and now its a concious action. Occasionally my fingers or lips start to tingle when Im having trouble. When Im having trouble breathing my heart pounds, but still at 75 beats a minute. Ive been given an inhaler and Im being treated for asthma and it helps a bit but not much at all. Obviously the fact Im a smoker doesnt help, but Im gradually kicking the habit. Do you have any idea if its something other than asthma or how I should treat it? Sometimes I dont use my inhaler for days, other times I need a puff or two and sometimes I feel like I need it constantly and it isnt helping enough. The doctors dont seem to be much good at diagnosing me... so far theyve treated me for anxiety - which didnt help at all - and asthma, which is helping but not in the way Id like.

### output:

Thanks for your question on Chat Doctor. I can understand your concern. First you need to quit smoking as soon as possible. There is no other alternative to this. So quit smoking first. Secondly, consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). 3. Sleep study. PFT will tell you about severity of the disease and treatment of asthma is based on severity only. You may need newer long acting beta 2 agonist (LAB) (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). If sleep study is positive for sleep apnea then you will need CPAP (continuous positive Airway pressure) machine at night. Avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.