Hi all! I’m coming to Reddit because I am desperate and seeking some advice.

I was diagnosed with asthma in 2024 at the age of 24 after pulmonary function testing confirmed it. Prior to that, I had never experienced asthma or any breathing problems. My symptoms basically developed from one day to another and I noticed them after being extremely out of breath, especially I would notice it after eating (no matter the size or speed of the meal).

Medication History
- Albuterol: Provided temporary relief, but my asthma remained uncontrolled.
- Alvesco + Albuterol: Helped for a but, but eventually stopped
- Breyna (no albuterol): Initially worked but eventually stopped
- Wixela 500/50+ Albuterol: Improved symptoms at first, but over time my asthma became uncontrolled again and was referred to allergist.
- Montelukast 10 mg + Wixela (+albuterol as needed): Prescribed by my allergist to determine whether allergies were contributing to my asthma. Allergy testing was negative, so montelukast was removed.
- Wixela + Spiriva 2.5 (+albuterol as needed): This combination has provided the best overall control. However, I continue to experience significant flare-ups.
- Breyna (no albuterol): We attempted switching back to Breyna with an increased number of puffs, but it was not effective. I returned to Wixela and Spiriva.
-Wixela, Spiriva + Azithromycin (Zithromax) 250 mg: Recently prescribed to take a few times per week during the colder months to help prevent asthma flare-ups. I have not started this medication yet until October to test it out.

Tests
-Pulmonary Function Test: Results were consistent with asthma
- Evaluated by an ENT specialist(found some acid reflux and post nasal drip. No major concerns. Recommended I take omeprazole)
- Chest X-rays and CT scan were normal.
- No allergies

Over the past three weeks, my asthma symptoms have worsened again. I currently need to use my rescue inhaler up to three times per day (typically two puffs each time) it provides some relief, but I eventually feel short of breath. My asthma is also not caused by my environment because I continue to have the same issues when I travel and have moved.

I don’t know what else to do. It has been exhausting to feel this way for two years with no clear solutions or understanding why this happened out of nowhere!!!! Made an appointment to see my allergist again but nothing is open until end of August..

Thank you!