<s>[INST] hi i have asthma last week or two its get worse due to weather ive also had blood come from my mouth coz of my lungs they thought it is haemoptsis they gave me antibiotics yets all getting worse i wheeze alot more also from inside like rustly sound i get panicky dont now what to do sice january this has been happening i get sharp pains in my left and right side lungs sharp also it feels like someone punch me in my ribs im getting scared fromn this normally im fit i walk up road and was short of breath also i get migranes headaches i have been very stressed lately.i think i might have phumonia im also very tiredim not able to control my asthma [/INST] Hi sari ta, dont get confused have asthma have clinical symptoms of asthma along with hemoptysis now symptoms are aggravated now don't know whether PFT with bronchodilator reversibility is done or motif not done then do ITU asthma is not at all controlled don't know what medications are u taking right now but your treatment must be stepped UPU may take - inhaler with spacer 1. Formeterol + budesonide 400 mcg 2 puffs BD, 2. Levosalbutamol 2 puffs CDs, 3. Tab deriphyllin OD 300 mg Öland if there is aggravating lung infection then do treat it with proper antibiotics think with these steps your asthma ll be controlled do consult a good pulmonologist </s>