Conversation: The conversation between human and AI assistant.
[|Human|] Hi, Ive had pretty bad lung congestion for 5-6 weeks now.  I make a wheezing sound when breathing.  I my coughing a lot but producing very little.  At this point, my lungs actually hurt as if theyre bruised or something.  I completed a Z pack 1 week ago with no change whatsover.  Generally, Im a very healthy runner and have never experienced this before.  I usually dont have sinus or allergy issues but I do have acid reflux for which I take omeprazole.  Any ideas what in the world is happening?  or whay?  Causes?  Thanks!
[|AI|]  Hi, Following causes has to be ruled out like:-tuberculosis if fever, weight loss present -pneumonia -acute bronchitis 1. Viral 2. Allergic 3. Bacterial Your work up done is as follows:-Auscultation-CBC-Chest x-ray If x-ray shows consolidation than sputum gram stain and AFB staining examination needed -sputum culture if needed. According to cause specific treatment is given. For congestion relief Ben Chat Doctor.