Conversation: The conversation between human and AI assistant.
[|Human|] I    am a lady of 8o years my blood pressure is 146/95   It was previously 125/70 medication bisoprolol & losartanaspirinI suffer frequently from chest infectionI have corkscre esophagus medication glyceryl trinitrate spraybackpain in the spine due to used up cartilage
[|AI|]  Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Recurrent chest infection in old age can be dangerous. Ideal treatment of chest infection is to identify the causative organism first and then start appropriate antibiotic which is effective on that organism. So you should consult pulmonologist and get done1. CT thorax2. Sputum culture and sensitivity3. Bronchoscopy and BAD (Bronchoalveolar lavage) analysis. CT thorax is more superior than simple x-ray in diagnosis of chest infection. Sputum culture is needed to identify the causative organism.  If you are not having sputum production then bronchoscopy and BAD should be done. Haphazard use of antibiotic can lead to delayed recovery and increase Chat Doctor.  So better to consult pulmonologist and discuss all these and start appropriate treatment. Don't worry, you will be alright.