<s>[INST] hi my 7year old has had bad cough loads of phelm and fast breathing and high temp he gets very weak when this happens it lasts for about 4 days he has nebuliser which helps he has already been sick 4 time since sept with this and has missed 15 days from school doc doesnt think its asthma [/INST] Hello,A high grade fever with cough requires nebulization to be responded favoring diagnosis of asthma.Still require clinical examination, chest auscultation, chest x-ray, and blood examination for allergy profile.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sachin Kumar Agarwal </s>