<s>[INST] I am a 57 year old woman, basically very healthy, though I get a lot of colds (probably from my 10 year old students).  I have developed a cough that resonates very deeply in my chest, and, when I lie down, I can hear all sorts of gurgling and wheezing sounds.  I got myself kind of worked up last night, I think, and also had very sharp pains across my chest that did not feel like reflux or indigestion, but certainly could have been. I do have other cold symptoms (needing to blow my nose), but no fever.  As I said, I have had lots of colds in my life, but this one is presenting quite differently from anything I have ever had.  Another factor is that I do have asthma (mold allergy), but it is mild and I only use my inhaler about a dozen times a year.  I live in New England, though, and the mold from wet leaves is probably quite high right now.  Thanks very much for any insight you can give me. [/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)3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.4. Antihistamine & anti-tussive preparations for symptomatic relief from cough.5. Steam inhalation & deep breathing exercises.6. Maintain adequate HY Chat Doctor. 7. 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 you a good health. Take care. </s>