Conversation: The conversation between human and AI assistant.
[|Human|] I have a 4.5 yo with a constant mucus producing cough (7weeks) and audible wheezing. She has completed 4 courses of antibiotics (abbocillin, amoxcillin, roxythromycin to which she developed an allergy and erythromycin) she also had 4 days of steroids and is on ventolin. Her blood test showed an esr of 30 and we are waiting on a mucus culture to grow. Any suggestions?
[|AI|]  Hi... Thank you for consulting in Chat Doctor. By what you quote I put forth these possibilities -1. Congenital airway anomaly - this causes noisy breathing (both inspiratory and expiratory noise, actually inspiratory will be more than expiratory noise). But the child will not struggle to breath and there will not be fast breathing and in- Chat Doctor.  The sound will be more heard during sleeping and feeding.2. Wheezing - Here the sound will be predominantly expiratory; the kid will be struggling to breathe, might turn blue and require oxygen and may have chest wall in-