Brief Answer:
Information

Detailed Answer:
Hello and welcome,

I'm sorry your are sick. The hallmark symptoms of pneumonia are fever (and often chills too) and a cough that is productive of discolored sputum (and not just discolored when you first get up after sleeping or lying down for awhile).

Your fatigue could be due to a viral infection (cold) compounded by asthma. People who have asthma often have worsening of their asthma whenever there is an upper respiratory infection (cold) because the secretions drip down and irritate and inflame the airways.

I suggest that you go in to your doctor (if you can get in this afternoon yet) or to an urgent care clinic. They can listen to your lungs and see if you need an increase in inhaled steroids (such as adding fluticasone to your Advair). If at all possible, avoid oral steroids (such as prednisone) because with bipolar disorder, it can cause mania. If it is imperative that you need an oral steroid, then check with your psychiatrist who can help with adjusting your medication(s) or at least be alerted to the situation.

While at the doctor's or urgent care clinic, a chest X-ray is warranted also. Because with asthma, it can sometimes be confusing to sort out if there is pneumonia, and so it would be helpful to get the X-ray.

If you go in to an urgent care clinic, request ahead of time to see a physician and make sure the provider is not a physician's assistant or nurse practitioner. Because your problem is more complicated than the expertise of someone who isn't a doctor (i.e. it's not just evaluating a simple cold if you have a history of asthma and are taking meds for bipolar disorder).

I hope this information helps and you are feeling better soon!

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