Hi and thanks for the query, Assuming that you took the drugs prescribed to you during the various infections correctly, recurrent lung infections as such with correct doses of anti biotics for appropriate durations suggest that there should be a predisposing factor which must be investigated. It would be interesting to know if you have nay past history of chronic bronchitis, emphysema or other chronic obstructive bronchopneumopathy (COPD). Secondly, do you have any chronic infection like diabetes, cancer or are you on steroids? Recurrent sore throat with a heart murmur, raised erythrocyte sedimentation suggest the rheumatic fever be investigated. Other tests like ALSO, a cardiac ultrasound and an electrocardiogramme might be very useful. A clinical evaluation by an ENT specialist might be very useful to ascertain the integrity of the tonsils. Enlarged or abnormally large tonsils might require removal to prevent recurrent infections with Group A streptococci that cause throat, which has a big role to play in Rheumatic fever. My suggestion is making an appointment with a cardiologist for a cardiac ultrasound and an electrocardiogramme. Simple tests like a complete blood count might be necessary to know the type of anemia you are having, and precise prescription of an indicated anti anemic drug. Thanks and hope this helps, Best regards, Luchuo, MD.