<s>[INST] my son who is six years old has blood streaked sputum for about 5-6 times today .He is on constant nebulization with duolin,levolin and budecort for past 20 days .Few weaks earlier he was advent forte and crocin due to sore throat and fever.He also has enlarged adenoids ..right noe he iis not having fever From delhi we have come to tour in mysore ...kindly suggest effective medicine for him [/INST] Blood streaked sputum or hemoptysis could be a sign of pneumonia or tuberculosis. The cause needs thorough evaluation as well as follows up. He is already on antibiotic (advent forte) and so the response to it needs to be monitored. The medicines that you are giving along, are proper. Give steam inhalation alongside. Further treatment can only be suggested after proper examination and investigations. Antitubercular medications would be required only if the test reports indicate tuberculosis. </s>