"I am age 75 and have had asthma almost my entire life. It has been well managed as an adult until a few months ago. I began having nocturnal asthma often. It was not severe but disrupted my sleep. My pulmonologist added a Fluticasone nasal spray at bedtime to my other meds: singulair, QVAR and albuterol. Previously I had been taking 1 to 2 puffs of albuterol a day but now have 5 or 6 puffs and still have breathing issues at night. Nocturnal asthma is my biggest issue but recently my asthma has flared during the daytime at times. I have been trying to figure out what is causing this. The doctor is great about treating symptoms but I have to assume there is a root cause for this. I had an air quality specialist test air quality in our house. He found some mold in my office and high particulate count in the 3 rooms he tested for that. I remediated the mold and a subsequent mold test indicates there is no mold issue anymore. I also had air ducts cleaned and did thorough cleaning of the house. A subsequent air quality tests showed air quality in the normal range now. My pulmonologist did a blood test for allergies and the only one I am highly allergic to is dust mites. Also, I have acid reflex which can trigger asthma symptoms if I do not eat properly. I am still struggling with this and trying to figure out what else to do. Does anyone have suggestions of other things to consider that may be triggering my nocturnal asthma. Does it make sense to see another type of asthma doctor? Perhaps as a second opinion. My pulmonologist is very good but maybe another set of eyes are needed."