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

### input:
Following a mild sore throat with cold like symtoms my 17 year old son developed a cough that got progressively worse over a 10 day period. The cough is almost resolved but over the last week, when he does cough he has a severe bronchospasm and cant get air in..these episodes last about 1 minute and or horid. He is now maxed out on steroids, on albuterol, proair, symbicort, and Biaxin orally (in case it is pertussis). If his lung studies arent better this Monday the asthma doctor will admit him for IV steroids. CxR was clear and blood work is ok. At the time of these spells he coughs...then starts wheezing so hard you can hear it across the house...it is almost like an upper airway obstruction. He is a healthy, strong 17 year old without a previous history of asthma or any other illnesses. What are your thoughts? Karen kl

### output:

Thanks for asking your question I completely understand your question actually it seems like an exacerbation of bronchial asthma along with a severe lower resp tract infection. You need to continue with the inhalers and oral steroids and antibiotics points to be discussed with your pulmonologist are-to change the antibiotic as per sputum culture and sensitivity report to increase the dose of inhalers to increase the dose of steroids to add some more bronchodilators oxygen saturation is normal and resp rate and other vitals are normal then, no need to worry consider consulting a pulmonologist rather than a general medicine physician, he can guide you better regarding the resp illness thanks feel free to ask more questions may god bless you with more questions