Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I am a 60 yr old female and lately I have been having pain in my back where my lungs are, also pain in my shoulder, armpits and sometimes my hands...the last few days I have been quite breathless, even when talking. Could it be a chest infection? I m not coughing but seem to have a lot of phlem, most times quite thick. THANKYOU Yvonne
[|AI|]  You complain of chest pain, breathlessness and productive cough. The reasons can be many, hence let me come directly to your question. Could it be chest infection? An infection will usually come with its accompanying signs and symptoms. Fever is one of the cardinal signs of an infectious etiology. A productive colored sputum is an indicator too. It needs evaluation with blood counts and Chest X-ray. To rule out an infection. Also, if possible, a sputum culture is highly recommended. Also given the age and degree of breathlessness, I would advise you to be evaluated for obstructive airway disease (COPD) by getting a Spirometry done. Any more queries are welcome. Regards.