Hi dear , I have gone through your question and i understand your concern.Firstly asthma may be diagnosed if symptoms are: *Coughing, especially at night, during exercise or when laughing *Shortness of breath *Chest tightness or pain *Wheezing (a whistling or squeaky sound in your chest when you breathe, especially when exhaling) Any asthma symptom is serious and can become deadly if left untreated. You have not mentioned much details of any similar concerns. As far as relief is concerned you might have achieved with cocktail of medicines you had. I would like to take your attention towards them :- you had nebulization pretty good and other 2 medication are Gastro related and last drug is Prothiaden (dothiepin) belongs to the Tricyclic group of antidepressants - CNS/Psychiatric medication. About recent episode i would say if its asthma then Symptoms may be triggered by exposure to an allergen (such as ragweed, pollen, pet hair or dust mites), irritants in the air (such as smoke, chemical fumes or strong odors) or extreme weather conditions. Illness — particularly a respiratory illness or the flu — and exercise can also make you more susceptible. Advice: I may be bit longer but with kind heart I want to help you sooner please pay keen attention. Firstly asthma symptoms can be mimicked by other conditions such as bronchitis, vocal cord dysfunction, and even heart failure. Secondly asthma diagnosis is based on several factors, including a detailed medical history, a physical exam, your symptoms,few lab tests. In Physical exam your doctor may:Examine your nose, throat and upper airways. Use a stethoscope to listen to your breathing. WHEEZING - high-pitched whistling sounds when you breathe out - is one of the main signs of asthma. Examine your skin for signs of allergic conditions such as eczema. Some asthma tests, such as lung (or pulmonary) function tests, measure lung function. Other asthma tests can help determine if you are allergic to specific foods, pollen, or other particles. Blood tests give a picture of your overall health; specific tests also measure levels of immunoglobulin E (IgE), a key antibody that’s released during an allergic reaction. So to don t worry dear be calm and I would suggest you to book a appointment to nearby health facility and confirm your diagnosis and take appropriate treatment. Lastly medications for asthma are hassle free and easily once you control acute attack by them , you may take advice of prescriber to stop them and further know your trigger allergens by lab tests and avoid any further contact with them. Hope you find the answer helpful, please do get back for further queries I will be happy to assist you. Wishing your good health. Regards Dr.Vigyan Mishra