<s>[INST] Im a very severe asthmatic with a peakflow of 200 at the moment. I m freezing but have a temperature and im coughing up alot of yellow muck. And to add to this, I cant stand up without needing my inhaler. I also have vocal chord dysfunction, should I go to a+e? [/INST] Hello dear, The symptoms as mentioned in your post can be attributed to acute exacerbation of asthma, secondary to a respiratory tract infection. Management involves:1. A course of antibiotics to eradicate the causative organism.2. Stalin & Aeroflot inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)Can be used during an acute attack.3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.4. Antihistamine & anti-tussive preparations for symptomatic relief from cough.5. Maintain adequate HY Chat Doctor. 6. Also make sure that you are well protected from cold, dust & other allergens. If symptoms still persist, kindly consult a Pulmonologist for proper clinical evaluation. Wishing a good health. Take care. </s>