<s>[INST] My name is Dilawar Hussain my daughter Name is Madeeha.she is suffering for last 10 years from asthma so please advice me what should i do .I have referred many specialists in the field but effect of the treatment is temprory. Can you recommand any good doctor in my city .(karachi).Waiting for your reply.Thanks in advance. [/INST] Hello Delaware As you mentioned that your daughter is having ASTHMA, so first I want to tell you that don't be so desperate as this is very common in this Sub Continent and reason is allergy so call as asthmatic allergic bronchitis. Pollen, hay, fodder, fumes, smoking 9 active or passive), sudden rise and fall of temperature, mite, pests (cockroaches) pets (cats and dogs in house) are certain predisposing factors for this type of allergy. Bronchoconstriction is the main cause of such symptoms. Take these measure :Wash all bed covers in hot cycle every week. Treat carpets with parricides or tannin acid clean upholstered furniture keep dust accumulating objects in dustbins vacuum cleaner Encase mattresses, pillows & quilts in covers (impermeable) Install Air conditioner or dehumidifier. When such patient visit my clinic I only prescribe them to take MONTELUKAST+ALBUTEROL tablet once or twice in day and I assure you your daughter will be alright within 3-4 days. Stop the medicine, once symptom free, restart when some problems. In my opinion no need of any tension. Hot coffee and steam inhalation also provide instant relief. Good luck. </s>