<s>[INST] so i am a 20 year old male who has asthma i have recently started coughing up mucus and have a hard time breathing there is alot of tightness in my chest and my albuteral is basically usless i have taken a bronchiol tablet and i took an antibiotic today but nothing has helpled [/INST] Thanks for your question on Chat Doctor. I can understand your concern. Worsening chest tightness and coughing in asthma patients suggest acute exacerbation of asthma. This is acute emergency. If you don't treat it now, it will worsen more. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Oral corticosteroid is also useful in some cases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>