<s>[INST] Hey, I have really bad shooting back pains now and then throughout the day, and a very bad chesty cough that hurts quite badly. I coughed up a little bit of blood this morning. I am very worried and have been looking on the internet. The symptoms sound like phenomia or bronchitus? [/INST] Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have symptoms of coughing up of blood which seems to be due to upper respiratory tract infection leading to bronchitis/ granular pharyngitis. Need not to worry. I would suggest you to do warm saline gargles and take steam twice a day. Avoid use of sharp and spicy food substances. Avoid cold carbonated beverages. Your symptoms will resolve in 1 week. if symptoms keep son persisting you should consult ENT specialist and take proper treatment. You should get X-ray chest done along with pulmonary function tests. Doctor may prescribe antibiotics amoxicillin for at least for 5 days along with decongestant.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari </s>