<human>: i am a 19 yr old female and i have been sick since dec 22 and have had only 9 "feel good" days in between then and now.... i have a severe cough, runny nose, my lungs hurt 24/7, cant sleep, ive been getting little bruises on my legs, and my hands will tighten up sometimes and i cant move my fingers (when they are not doing that they hurt all the time)
<bot>: Hello Since, you are having cough for last 8-9 months with runny nose, and lungs hurt. Also having pain in fingers joint and also hurt. All these symptoms may be due to these reasons:1 Anemia, since cough is for long duration, so get in blood for hemoglobin examination.2 Tuberculosis, since this cough, runny nose is for last 8-9 months, so we can't rule out tuberculosis. Diagnosis can be confirmed by X-ray chest, Contours test and sputum for AFB.3 Allergic bronchitis is another reason of such symptoms. When such patient visit I advise my patient to take montelukast+albuterol tablet once or twice in day according to severity of symptoms (normal dose is one tablet at nighttime). Also take some cough syrup containing chlorampheniramine+ dextromethophan + aerosol. However, there are so many other reasons of such symptoms, but physical examination is important in this case because symptoms are for 8-9 months so consult a physician and get his opinion.