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

### input:
Hi I have suffered with asthma since I was a child I m now 23 and my asthma is still bad I ve been to the asthma clinics regularly and they have told me it isn t as well controlled as it should be. I have asthma attacks now and again and would find it really helpful to have a nebuliser at home. Can a gp prescribe this ?

### output:

Hello. Thank you for asking at Chat Doctor. I went through your history and can understand your concern. I would like to make suggestions for you as follows:1. Personally I do not suggest any of my adult patients to have a nebulizer at home. There are many reasons. a. Fist of all, there are many good inhaler portable devices are available (Metered dose inhalers, rottweilers, etc.) which are very efficient, convenient and as good (sometimes even better) as nebulizer.b. Nebulizer has problems with maintenance, also requires electricity, also chance of cross-infections. In my opinion, nebulizers are good for young child Chat Doctor. 2. Were I treating you, I would suggest you regular montelukast and controller type of inhalers like inhaled corticosteroids for at least 3 months.3. I would also suggest you allergy testing which will help you identify the substances that you may be allergic to and to know the measures to avoid them. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which slowly improves your immune system to improve allergy symptoms.4. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.5. Personally I would suggest you daily breathing exercises, Yoga & Panama which gradually improves immunity and lung capacity.6. I would also suggest you a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) which are very important for overall health and immunity. (Allergies & asthma are basically immunity related disorders). Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards.