<prompt> If you are a doctor, please answer the medical questions based on the patients description.Im a very severe asthmatic with a peakflow of 200 at the moment. I m freezing but have a temperature and im coughing up alot of yellow muck. And to add to this, I cant stand up without needing my inhaler. I also have vocal chord dysfunction, should I go to ae?  <response>: 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 lungsCan be used during an acute attack.3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.4. Antihistamine anti-tussive preparations for symptomatic relief from cough.5. Maintain adequate HY Chat Doctor. 6. 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 a good health. Take care. 