<s>[INST] HI I am having sharp pains in  my right lung.  I am asthmatic, chronic bronchitis..so COPD..42 female.  acid reflux havent taken asthma or AR meds today....this has been happening in both lungs recently.  I can pinpoint it and I am concerned as I dont have health insurance right now [/INST] Thanks for your question on Chat Doctor. I can understand your concern. You are having COPD, acid reflux and not taking any treatment, so possibility of chest pain due to worsening acid reflux or lung infection is more. Lung infection is very common in COPD patients due to poor lung defense. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray to rule out lung infection. If your chest x-ray is normal than no need to worry about lung infection. You should start treatment for COPD and acid reflux. Inhaled bronchodilators and inhaled corticosteroid are the treatment of choice for COPD. Proton pump inhibitors and prokinetic Chat Doctor.  Don't worry, start treatment and you will improve. Hope I have solved your query. Wish you good health. Thanks. </s>