[63F] With severe cough and chest tightness

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

• Common Cold or Flu: These viral infections can cause a range of symptoms, including a hacking cough, sinus congestion, body aches, and sometimes vomiting due to the postnasal drip. The fact that your symptoms have been present for a few days is consistent with this possibility.

  • Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms.

• Acute Bronchitis: This is an inflammation of the bronchial tubes in your lungs. It can cause a hacking cough, chest tightness, and production of mucus. Your history of asthma could make you more susceptible to bronchitis.

  • Treatment often involves rest, fluids, and possibly an inhaler to help with breathing.

• Pneumonia: This is an infection that inflames the air sacs in one or both lungs. It can cause a cough with phlegm or pus, chest pain, and vomiting. Given your history of cardiomyopathy and asthma, you are at a higher risk for developing pneumonia.

  • Treatment typically involves antibiotics, rest, and fluids.

• Asthma Exacerbation: Your history of asthma and the presence of a hacking cough, chest tightness, and wheezing could suggest that your asthma is not well-controlled at the moment.

  • Treatment involves using your prescribed asthma medications and possibly seeking medical attention if symptoms do not improve.

Please note that these are possibilities based on the information you've provided and not a definitive diagnosis.

What you can do

1. Continue taking over-the-counter medications such as Tylenol for pain and fever, and Benadryl or Sudafed for congestion as needed.
2. Stay hydrated and rest as much as possible.
3. Monitor your symptoms closely. If they worsen or do not improve in the next few days, seek medical attention.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Difficulty breathing or shortness of breath that is getting worse
• Chest pain
• High fever (temperature over 100.4°F)
• Coughing up blood or yellow or green mucus
• Confusion or changes in mental function
• Persistent vomiting

Please remember, while I strive to provide accurate information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.