Conversation: The conversation between human and AI assistant.
[|Human|] My NP did an EKG which was normal listened to my lungs and heard a whistle. She gave me azithromycin for 5 days and recommended steam several times a day . She also said that I should continue with using fluticasone 2x day and saline rinsing. 2 days later, I am still feeling exhausted and dizzy and now have dull upper back pain. Any suggestions? I really need to get back to work, but I feel so lousy.
[|AI|]  Dear-thanks for using our service. I read the question in detail and will try to help you with my medical advice. If you had wheezing during the auscultation, you might be having an acute bronchitis. Azithromycin is a good antibiotic for it, but you might have the upper back pain from the irritation of the lungs. It is important to have a CXR to evaluate the possibility of a lung infiltrate. The back pain also could be related to pleurisy, which is an inflammation of the pleura or membrane that covers the heart. It can take few days until this improves. If it doesn't get better after few days of finishing the antibiotics, you high need further diagnostic test as a CT scan of the chest. I hope that my advice has been helpful Chat Doctor.