### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hello doc.Im Gigi 51 yrs old previously i have ptb but the doctor told me that it was cured already 7 yrs ago every time i go to his clinic he told me i have a pneumonia after en x-ray result even though i told him that i spit w/ blood last monday i go to his clinic agin for a medical check up and he prescribed me cefuruxime kefstar i bought 9 pcs only and switch to another brand of cefuruxime Axetil after 4 days i spit mucus w/ blood as for now im suffering severe backpain what should i do thank you so much doc

### output:

Hello Gigi ! Coughing up blood with sputum (hemoptysis) is a red flag sign . Meaning to say it definitely needs Medical attention. Considering you have had TB in the past there are many possibilities for your present episodes of hemoptysis.  It could be a bacterial infection or relapse of TB or post TB bronchiectasis (abnormal permanent dilation of your airways at few places which happens when they get damaged due to your past TB). Take a course of antibiotic as prescribed by your physician, Consult with your physician and discuss taking Chat Doctor.  While sleeping, Lie on the side which was previously affected by TB and be on complete bed rest. Once your hemoptysis gets controlled go for sputum examination to check for TB bacilli, chest x-ray and if needed HRCT thorax (to pick up bronchiectasis which can sometimes be not evident on x-ray). Since u mentioned severe back pain, vascular abnormalities concerning the descending aorta (the major blood vessel carrying blood from the heart)needs to be also considered Treatment is to be decided based on the cause for your hemoptysis. Do review with your physician and get the necessary investigations done.