<s>[INST] I have a child that is around 1 1/2 years old, since two days it started breathing heavily and coughing. It has no fewer yet. What could it be and when should I go to the child doctor with her? [/INST] From your description, it sounds like your child may have a respiratory infection or illness. Heavy breathing, coughing, and lack of fever are concerning symptoms in young children and it would be best to have your child seen by a pediatrician as soon as possible to determine the underlying cause and get the appropriate treatment.

Common illnesses that could cause these symptoms in toddlers include:
- Asthma: Wheezing, coughing, difficulty breathing. An inhaler or other medication may be needed to open airways.
- Bronchiolitis: Congestion, wheezing, rapid breathing. Often caused by a virus and can be severe in young infants. May require hospitalization for oxygen or IV fluids.
- Pneumonia: Cough, fever, difficulty breathing. Caused by a bacterial or viral infection. Antibiotics may be needed.

Please take your child to the doctor right away for an evaluation to get the necessary care. The doctor can check for any of these conditions or other possible issues, and recommend ways to manage symptoms and prevent illness. Please let me know if you have any other questions. </s><s>[INST] Thank you. I will take it to the doctor as soon as possible. [/INST] You're welcome. Get well soon.

Please let me know if you need more help. </s>