Conversation: The conversation between human and AI assistant.
[|Human|] Iam 38 yrs/Fe 61 kg Family H/o Asthma suffering from chronic cough initially mild fever with yellwish sputum local Dr gave Augumentiin 625 mg bd and cough syp.cough persist with white sputum again started on Inj. amikacin250mg bd, Nacfil gold bd 3days. Seen pulmonologist took xray chest and sinus normal study.PFT 340 gave Pan D bd, Romilast B 10mg 1/2 bd , allegra 120 Hs. Am I suffering from asthma this is my first episode cough occur once at night and end of congh some drag sound comes.doinh normal work.In Walking Able to cover only half distance compare to previous. Is this meds ok. My health will b ok
[|AI|]  Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. First, I would like to know more about you like - a. Since when do you have repeated cough? b. Have you had wheezing or breathing difficulty? If yes, how frequently? c. Do you have nose symptoms of allergy - nose obstruction, sneezing, running nose, etc.? d. Do you have headaches, facial heaviness, tickling in throat, etc.? e. Do your symptoms worsen in any particular season? g. Do you have symptoms like burning chest, nausea, feeling fluids in mouth, especially after a heavy/spicy meal? Above details would help me to know your complaints better. 2. Regarding diagnosis, I would like to mention here that PFT 340 only cannot diagnose or rule our asthma. PFT with post-bronchodilator response would be more helpful to know whether you have asthma. Chest X-ray is always normal in asthma.3. I would also think possibility of sinusitis. X-ray sinus is not the best investigation to diagnose sinusitis. CT scan of sinuses is considered a better investigation or sinusitis.4. I would also suggest you allergy testing for common air-borne allergens like house dust mites, indoor molds, regional pollen, insect proteins and pet dancers (if you have pet). This will help to know whether you have allergies, also to identify the substances causing symptoms to you as well as to know the measures to avoid them.5. At present, I would agree with your current treatment. Should you have wheezing of breathing difficulty, I would suggest you to use albuterol inhaler on an as-and-when-needed basis.6. In general, I would suggest you to have plenty of warm fluids during day to maintain HY Chat Doctor. 7. Regular physical exercise, breathing exercises and a healthy diet rich in vitamins & minerals will also help you in a long run by improving your lung capacity and immunity respectively. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards.