<s>[INST] I have esophageal fungal infection. Was on fluconazole for 15 days, now on Sporanox, almost done 21 days. I don t feel any better, almost worse than when I started these antibiotics back in January. I have probably had this infection for almost 1 year. Had an endoscopy last March and one just done this January. Not sure why this infection is not going away. I m supposed to be referred to an infectious disease doctor. Should I be worried about the infection spreading to my lungs? I have IBS, Should I be worried that this infection has spread to the rest of my GI tract? [/INST] Hello,Esophageal fungal infection is a sign of low immunity.Are you on any medications? Either way I suggest you get a HIV test done soon.If your condition did not improve with oral medication, I suggest you get admitted to a hospital and receive intra venous antibiotics. </s>