<s>[INST] Hi, I had a dry cough which lasted for 3 weeks before christmas (it cleared up when I decided to make a dr appointment).  Anyway, the cough is back (for over a week now) it has been accompanied by loose stools, intermittent pain on left side of my chest.  I am asthmatic and have been needing to use my reliever more frequently.  I have also been vomiting - this is at least daily but not frequent, possibly a few times a day.  I am getting tired and would appreciate any insight into what is causing these symptoms.  I am female, 39 and smoke 15-20 cigs a day. thanks [/INST] your symptom resemble legionnaires disease , you have to go for sputum examination as gram staining bacterial culture sensitivity and fungal staining and also urine antigen test for legionella,take chest xray PA also and stop smoking in beteween these days. tab moxifloxacin 400 mg od tab azithromycin 500 OD tab Abflo sr 200 od and your inhaler with good inhaler technique(watch you tube for good technique) </s>