Hi there. I am looking for some advice please. I have asthma - at least I think I have it I have never had a spirometer test. I have been on and off inhalers for years but this past two years I have had to use them daily. I am on serotide 250 and ventolin. I have had peak flows - lately they have ranged from 150 to 250. Dr has increased serotide 250 to two puffs three times a day - doesnt do much good. Asthma nurse suggested alpha-1-antitrypsin test but in the next breath she said I was too old to be diagnosed with it ( I am 47). I have path worn to doctor. They said initially it was heart related so sent me to echo - normal, no action. Back again to asthma nurse - she didnt like peak flow so made appointment with dr to discuss. But by time appointment came, I thought I had chest infection but he said no, lungs needed steroids so on two weeks of them at 30mg per day for five days and then decreasing. Asked him about the Alpha 1 test - he said they couldn't do it at surgery - referred me to chest clinic . That was Tueday. Today breathing is worse and have pain when breathing so back to dr, saw different one who said pain was chest muscle due to coughing. Explained coughing isnt severe, its not being able to breath. She then said it was pleurisy and told me to go home and take ibuprofen. I am allergic to aspirin so she said give it a go and if it doesnt affect your breathing, keep taking it. Otherwise use paracetamol. I am beyond fed up. I don't smoke (did in my twenties) , had numerous chest infections as a kid including pneumonia etc. Mam died of breast cancer but no lung issues that I know of until cancer spread. Dad has COPD put down to smoking - he stopped twenty odd years ago. What should I do next? Insist on a spirometer? blood test? I am starting to feel like a hypochondriac. I am not wheezy but I get breathless if that makes any sense. Its like a big elephant is sitting on my chest and it becomes hard to breath. I am beyond tired but breathing is worse lying down. I wake up as if I am drowning - sorry that sounds so dramatic. They have already done normal blood tests which came back normal apart from vit d which is deficient. My ten year old son has asthma (again no tests other than peak flow) his recent blood tests showed raised levels of something in his liver and vit d def. Neither warranted a phone call from Doc. Receptionist said re test in six months and take vit d supplement. (sorry for long post!) Where do I go from here? thank you so much.