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

### input:
I developed a cough in December followed a few days later by cold symptoms. Chest pain and coughing up mucus so went to the doctor who said i had pharyngitis. 2 weeks after and still coughing i developed really sore ribs especially when laughing, coughing, sneezing deep breathing and lying down in bed. Went to the doctor who said it was the intercostal muscles and gave me pain relief and an inhaler due to shortness of breath. 2 weeks later due to not breathing properly i developed a chest infection given anti biotics. After a month of pain relief and still not much relief she wondered whether the pain relief (diclofenac) was causing reflux making the cough worse so prescribed some tablets to go along with it. The night time cough did disappear. Rib pain is still present when deep breathing especially when exercising. A week ago i really overdone it strenously walking and then 3 days ago developed a cough, that is progressivley getting worse. Last night it caused throat pain whilst coughing and a feeling of a lump in my throat and struggling to breathe took my inhaler and it actually relieved it all. Rib pain is now alot worse again and this is 14 weeks since the illness started. I dont understand why the rib pain hasnt gone and why this cough keeps reoccurring.

### output:

Hello After reading your query, these symptoms may be due to these possibilities, these include:1 Pleural effusion, diagnosis can be confirmed by X-ray chest and blood examination for CBC, ES R .2 Thickened pleura, diagnosis can be confirmed by X RAY chest .3 Asthmatic allergic bronchitis with tuberculosis. Since you are having these symptoms for December and continue for 14 weeks. In my opinion consult a pulmonologist and get his opinion (2nd one). Good luck.