<s>[INST] my toddler is breathing very fast. He has had a cold and is now coughing. Last night he could not sleep properly because of his coughing and labored breathing. His chest and throat moves up and down really fast when he breathes. Should I take him to the hospital to check for asthma or pneumonia? [/INST] Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe cold and shortness of breath which could be due to severe upper respiratory track infection/lung infection, and it could be sinusitis. I would suggest you to do warm saline gargles and Betadine gargles alternatively, avoid eating spicy and heavy food. I would suggest you to consult ENT specialist for proper examination. Doctor may order throat swab test, viral culture test and blood test. Doctor may prescribe anti-viral (acyclovir) along with anti-inflammatory Levocetrizine.  Chat Doctor.  </s>