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

### input:
Hello Dr. Goyal, thank you very much for offering your service.  I was born with asthma, it would be mostly seasonal when I was younger.  I didnt have to treat it all the time, but when I had the occasional asthma attack it would be pretty serious, almost to the point of hospitalization.  As I grew older, the asthma became less and less apparent.  Up until about 2 months ago, I had not had any asthma symptoms for several years. Then, I did.  It went away for a week, so I thought it was ok.  Then, it came back, and it was very scary trying to breathe at night. I went to a doctor and they said I had pneumonia.  The antibiotics they gave me didnt seem very effective, and a few days later they also started me on a regiment of steroids.  The steroids helped, as did a nebulizer.  I was resting and feeling very ill for about a week and a half of that period, then I started to feel better.  Well, that only lasted a few days, and now for the past few days it has been getting worse again, necessitating several nebulizer treatments yesterday, and (after much effort and wheezing) coughing up mucus with a strange bittersweet taste (perhaps the albuterol from the inhaler and nebulizer?)I am concerned because the illness has already been exposed to a full cycle of both steroids and antibiotics, and yet it persists.  What might a doctor be able to do for me?  Does this require immediate medical attention, or might it subside?  Whooping cough is going around my area, and I do have a persistent cough.  Thank you.

### output:

Hi, This could be acute bronchitis with your asthma as you are having persistent cough with expectoration. It can be diagnosed clinically, but you must undergo routine blood investigation with septum R/ M and C/S, chest x-ray to rule out any other pathology of lungs. You might require long course of antibiotics (amaryllis with chavulanic acid or cephalosporins) with other supportive treatment like bronchodilators (steroids, beta agonists, anticholinergics) inhalers or nebulizers with steam inhalation frequently. Consult pulmonologist immediately and take advise. Thanks.