<s>[INST] Yes for over two months I have had a cough and have vomit sometimes really nauseated then other times I am not then when I am coughing I vomit and it s getting to where now where I have trouble brething and have to go crawl out side to get the fresh air to get my breath witch takes while, I have been to the dr three times and have been put on z pak and rthromycin and zophran for the nausea helps for awhile then starts back again. It just seems to continue what do you suggest [/INST] Hi, Breathlessness can be a cause of cough which in turn can lead to nausea and vomiting. The way you describe your complaints, may I request you to evaluate your breathlessness by means of spirometry. And it can be treated with bronchodilators. Breathlessness:In- Spirometry - MDI Albuterol 100ug 2 Puffs via spacer as and when breathless (Max 4 times a day)Cough:Rule out infective etiology. Inv - Chest X-ray, Sputum Culture Rx - Antibiotics (Amoxicillin + Clavulanate or Azithromycin)Nausea:Apparently secondary to coughing Rx- Tab. Ondansetron 4 mg three times a day Tab. Pantoprazole 40 mg Once a Day before breakfast. Regards. </s>