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

### input:
I am a 40 yr old, normally in excellent physical conditiona. I workout almost on a daily basis if I am not sick. I got walking pneumonia 2 years ago and didn t take proper care of myself. (I am a single mother with my own business). I got better for a couple of months and then began getting Bronchitis every month. Finally, after a friends suggestion, I went to an allergist and was diagnosed with asthma . It was over a year before I was able to get everything under control. It s been 7 months since my last battle with bronchitis and I am in bed with it again. I was around a tractor that was pushing a lot of dust around and exhaust from a jeep. I was struggling to breathe. Within a few days, I was sick. Can my lungs be this sensitive to environmental factors? Is there anything I can do to make my lungs stronger? I run when I am well to try to help strengthen my lungs. I am so sick of being sick. It scares my child so much every time I get sick because of how ill I have been the last couple of years. Please tell me anything you think I can do to prevent me from getting bronchitis. Thank you so much!

### output:

Hello, If the lung function test was suggestive of asthma, and hopefully you had skin tests to find the environmental triggers, the most important thing would be to get your asthma under control. Combination inhalers will be the choice such as Symbicort turbo haler if budesonide 400 has not helped. You must keep Stalin (or the blue albuterol) inhaler with you at all times and take 4-6 puffs as required but maximum 10 puffs at one go. Montelukast 10 mg addition at night will also significantly help. You also need to know the current status of your immune system with Egg, IGA and IGM levels and functional antibodies against His, pneumococcus and tetanus if available. These tests if normal exclude an antibody deficiency, as these control recurrent chest infections (bronchitis). You will also need a yearly influenza jab due to your asthma. Hope that helps. Thanks.