Conversation: The conversation between human and AI assistant.
[|Human|] I have bad allergies and asthma, i sneeze alot and cough from asthma. The past few days days i have been getting pain on the left side of my upper back area and i have been having pain in my chest area and i am very shaky and it  hurts when i breathe. What could be causing this?
[|AI|]  Hello dear, The symptoms as mentioned in your post can be attributed to Acute exacerbation of asthma, secondary to respiratory tract infection. The pain in chest & upper back is due to fatigue/ exertion following attacks of asthma. Management consists of:1. A course of antibiotics based on culture & sensitivity reports.2. Stalin+ Aeroflot inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs). So, it can be used during an acute attack.3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma & allergy.4. Antihistamines like Cetirizine can also be used to provide symptomatic relief.5. Also make sure that you are well protected from exposure to cold, dust or other allergens. If symptoms still persist, kindly consult a Pulmonologist for proper clinical evaluation. Wishing a good health. Take care.