Conversation: The conversation between human and AI assistant.
[|Human|] I ve had a hoarse cough with shortness of breath for 8 months now. Lately my lungs have been sore too. I ve had xrays, ct scans, bloodwork, a pulmonary functions test and even a bronchoscopy. Nothing was found. During the bronchoscopy, he removed a bunch of excess phlegm and told me that I was inflamed, but he couldn t see why. Both the fungal and bacterial cultures also came back negative. From the pulmonologist I was sent to the allergist. There I had blood work and allergy testing. All came back fine. What could this be???It feels like my airways themselves are open, but I have something in the middle of my chest. I was thinking maybe a hernia, but would that cause a hoarse cough? Also, they put me on gerd medicine. No improvement.
[|AI|]  Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having uncontrolled HERD (gastroesophageal reflux disease) mostly. Since your extensive pulmonary work up is normal, no need to worry much for pulmonary causes. Uncontrolled acid reflux can cause chronic cough and breathlessness due to micro aspirations. And following lifestyle modifications along with Chat Doctor.  So avoid stress and anxiety. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Go for walk after meals. Keep 2 - 3 pillows under head in bed to prevent reflux. Avoid alcohol and smoking, if you have these habits. Lose weight if you are obese. Don't worry, you will be alright.