<s>[INST] I am a 32 year old male suffering from constant wheezing / asthama since 10 years and i am on a dose of seretide 125 mg daily . For four years I worked in the middle east(saudi arabia) and i never had an attack nor was there a need for inhalers.I have asked this question to a couple of doctors but the only answer i get is that you stay near the coastline in and more over in an indian metropolitan city with high levels of pollutions.This has always puzzled me since even in the middle east i stayed near the coast line with frequent dust storms . What might be the actual reason? [/INST] NOBODY CAN TELL YOU EXACT CAUSE NOT EVEN YOU CAN JUDGE WITH IMAGINATION SIT CAN BE ANYTHING ALLERGY CAN START AT ANY TIME WITH ANY SUBSTANCE AT ANY ANGELOU CAN GO FOR ALLERGY TESTS ONLY TO FIND OTHER ARE COMBINATION F MANY ALLERGENS WHICChatDoctorE AFTER TESTATOR FOODS YOU HAVE TO ELIMINATE THEM FROM DIET AND FOR DUSTS AND POLLEN YOU CAN HAVE Desensitization THERAPY TO CURE ALLERGIES MUST TELL YOU THAT ON COSTAL AREAS THERE ARE DUST MITES WHICH ARE MAJOR CAUSE OF ALLERGIES IN WORD </s>