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

### input:
I am a 52 year old male, 6-0, 175 lbs, in relatively good health with a history of asthma as a child/adolescent.  I do have very infrequent attacks as an adult which are usually well controlled by Proventil.  I exercise daily and my lung capacity is pretty good.  However, the last several times that Ive had an asthmatic episode I wake up with extreme general (and very painful) muscle soreness that lingers for at least 24-48 hours.  Does this sound like an unrelated problem or is there some reason that they might be linked?  Thank you very much.

### output:

Hi, Thanks for the follow-up query, Asthma is a chronic inflammatory disease of the airways characterized by variable and recurring symptoms, reversible airflow obstruction and bronchospasm, mostly episodes comes in the nighttime. Asthma may trigger the oxygen deprivation in tissues by which causing decreasing blood supply, one can have the symptoms of muscle pain or weakness, but there is nothing to worry much because it will end with the immediate asthma medications. The chronic inflammation is associated with airway hyper-responsiveness that leads to recurrent episodes of wheezing, breathlessness, chest tightness and coughing particularly at night or in the early morning. You must go for spirometry (pulmonary function tests) to measure peak expiratory flow rate and which will help to make a clear diagnosis along with your symptomatology. 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.