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

### input:
I am a twenty six year old female with a hx of HIV positive fractured back since april 2010 and a complete hysterectomy. For nearly three weeks now I have been having SEVERE chest pain in the right side seemingly worse in the middle and near or beneath the bottom of the breast, pain shoots straight through to the back affecting my right shoulder. I was in the hospital over a week ago from this and then the DR thought it was bronchitis as I have a cough that is as loud and deep as a fog horn, Since then I have quit smoking but the cough seems to be worse. Everytime I try to breath in I cant catch my breath and I start hacking very badly, I have been spitting up green and yellow. I have been on antibiotics for a week and they arent seem to be helping. I have had severe vomiting projectile kind. Moderate to bad headache. However the chest/shoulder pain is so bad I cant sleep for more than a few hours and then it wakes me up and doesnt go away or lighten up at all it seems after all this time to just be getting worse and worse. I have taken pain medicine for it and it helped for a few days but now it isnt even working. The Pain meds were Percocet and now they arent even touching the severe pain. Two or three days ago when i tested my blood pressure it was alwaysaround 98 over 71 and pulse ranged from 120 to 130. I have been scared too call my dr or test it again but the pain is getting bad enough i am getting afraid to go to sleep what should I do.

### output:

Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* This narration indicates there is substantial amount of underlying respiratory infection.* It is strongly recommended to get hospitalized and start intravenous treatment with antibiotics, bronchi dilators, analgesics, other supportive care. Hope this will clear your query. Wishing you fine recovery. Welcome for any further guidance. Regards .