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

### input:
female age 46, non smoker, social drinker, no previous health problems, exercise regularly, not overweight I have been having pressure in the chest for over a month with a little tickle in my lungs but no cough. No fever but tired feeling all the time. Went to my doctor and he did an ekg and lung function test (where I blow through a tube). He said everything looked fine but was a pattern of allergic breathing? so told me to take Claritin for a couple of days. Nothing improved so I went back to my doctor and he gave me Dulera to take for a couple of days. Still no improvement. I am guessing I need a chest x-ray next but any idea what it could be?

### output:

Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. You seem to suffer from -HERD with esophagitis with tickle in lungs without cough. The pressure in the chest is mostly from esophagitis with bloated stomach. The accompanied HERD with acid reflux with stomach gases from pyloric and LES(lower esophageal sphincter-Dystonia dystonia) is giving the chest pressure with cough like feeling but no coughing in real terms. The problem is therefore is in the Stomach and Esophagus with legal irritation giving bronchial irritation with accompanied bronchospasm like feel, but no bronchospasm as such. The feeling of short less of breath is from diaphragmatic pressure by bloated stomach. Dos Suggested-In the given scenario as discussed above, You need to Consult Physician and Surgeon to fix the cause of the HERD with acid reflux. Causes of the basic IBS causing HERD with acidity needs to be ruled out. Check up for HERD from IBS due to accompanied- perianal ailments like fissure in ANO, parotitis, Sigmoid spastic colitis with amoebic colitis and other causes like Diverticulosis/Polypoid cold need to be ruled out by-Stool Ova/Cyst test/ photocopy from Surgeon/Colonoscopy / CT Contrast abdomen for Diverticulosis and Crohn's disease. Thus Check-ups from a team of Chest physician /GI Surgeon/Colonoscopies / EGD-Esophago-duodenoscopist would be needed to fix the causes and treat them accordingly. Hope this reply would help you to resolve the health issues with help of doctors attending on you. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS