prompt: I am writing to seek advice on a persistent cough and chest congestion issue that I have been experiencing for a while now. My name is Maria, and I am 32 years old.
  The main symptoms I've been dealing with are:
  Persistent Cough: This started around two months ago, and it's been bothering me ever since. It's usually worse at night when I lie down to sleep. The cough feels dry most of the time, but occasionally I do get some phlegm.
  Chest Congestion: Alongside the cough, I often feel congested in my chest, as if there's something heavy sitting on top of it. This makes breathing slightly uncomfortable.
  Wheezing: Sometimes, especially after physical exertion or during a particularly bad coughing fit, I notice a wheezing sound when inhaling. It goes away after a few minutes though.
  Fatigue: Due to the constant coughing and chest discomfort, I've been feeling more fatigued than usual.
  
  I've tried over-the-counter medications like cough syrups and inhalers, but they provide only temporary relief. 
  Could this be asthma? If so, what steps should I take next?
chosen.role: system
chosen.content: A chat.
chosen.role: user
chosen.content: I am writing to seek advice on a persistent cough and chest congestion issue that I have been experiencing for a while now. My name is Maria, and I am 32 years old.
  The main symptoms I've been dealing with are:
  Persistent Cough: This started around two months ago, and it's been bothering me ever since. It's usually worse at night when I lie down to sleep. The cough feels dry most of the time, but occasionally I do get some phlegm.
  Chest Congestion: Alongside the cough, I often feel congested in my chest, as if there's something heavy sitting on top of it. This makes breathing slightly uncomfortable.
  Wheezing: Sometimes, especially after physical exertion or during a particularly bad coughing fit, I notice a wheezing sound when inhaling. It goes away after a few minutes though.
  Fatigue: Due to the constant coughing and chest discomfort, I've been feeling more fatigued than usual.
  
  I've tried over-the-counter medications like cough syrups and inhalers, but they provide only temporary relief. 
  Could this be asthma? If so, what steps should I take next?
chosen.role: assistant
chosen.content: So, first things first. Let's find out what's going on. You have cough, chest congestion and wheezing. So we need to figure out why. To do so, we will need to do some tests. First test would be spirometry, which will show us how well you breathe, if you have any obstruction problems, etc. Next thing you should do is chest x-ray to see if there is anything in your lungs, maybe even CT scan. Next thing would be blood test. We want to check for infections, inflammation markers, etc.
  After we know what's going on, we can start treating you. If you have asthma, you will be treated with inhalers. There are two types: reliever ones (like Ventolin) and preventer ones (like Seretide). Relievers are used when you feel symptoms, and preventers are used daily to prevent symptoms from appearing. Also, you should avoid things that might trigger your asthma attacks. Things like allergens, pollution, cold air, etc.
rejected.role: system
rejected.content: A chat.
rejected.role: user
rejected.content: I am writing to seek advice on a persistent cough and chest congestion issue that I have been experiencing for a while now. My name is Maria, and I am 32 years old.
  The main symptoms I've been dealing with are:
  Persistent Cough: This started around two months ago, and it's been bothering me ever since. It's usually worse at night when I lie down to sleep. The cough feels dry most of the time, but occasionally I do get some phlegm.
  Chest Congestion: Alongside the cough, I often feel congested in my chest, as if there's something heavy sitting on top of it. This makes breathing slightly uncomfortable.
  Wheezing: Sometimes, especially after physical exertion or during a particularly bad coughing fit, I notice a wheezing sound when inhaling. It goes away after a few minutes though.
  Fatigue: Due to the constant coughing and chest discomfort, I've been feeling more fatigued than usual.
  
  I've tried over-the-counter medications like cough syrups and inhalers, but they provide only temporary relief. 
  Could this be asthma? If so, what steps should I take next?
rejected.role: assistant