### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
my niece has chronic broncitis. she is always tired, sleeps all the time and is very  pale.  she has sputum that looks like pepper flackes. dr.s cannot find whats wrong. shes had numerous blood tests, sputum tests, chest x-rays, and all come out normal. she takes spirivia, albuteral breathing treatments, inhaler as needed. she is frequently nauseated and has no appetite. joints hurt, bad painful knees, back problems due to degenerative disk disease. she is only 42 years old. shes been chronically ill for the last 8 months and cant get any answers. this is wearing heavily on my sister of 68 y.o. any advice?

### output:

Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-Chronic Bronchitis with Bronchospasm. Other causes need to be ruled like undiagnosed bronchiectasis and Pulmonary TB etc. Dos -suggested for your case-High Protein Bland Diet-Liquid and semisolid Bland / non-spicy / non-fried diet with Low solids -mostly proteins and high liquids would recoup fast. Tab It B12 / Folic acid to improve the recovery of bronchial mucous to recoup the functioning fast in post-operative period. Anti-TB Chat Doctor. Repeat X-ray Chest and Spiral Chest CT Study to assess for other causes. Stool analysis Test and review with Chest Physician would be needed. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. Need to Check with Physician and Chest Surgeon if need be, if things don't recover.-Other causes need to be verified with your family GP doctor and team of Chest Physician and Chest-Thorasic Surgeon-Specialist doctors, as the facts may be different what you submitted.-For this Second opinion from PCP-or GP doctor and if need be with Chest Physician and Chest-Surgical- specialist-is needed who would do proper investigation after proper physical assessment to resolve your health issues.-for early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! 