<s>[INST] a 5 year old chil having blood in his urine and stool for atleast 1 month which is of bright red colour, and he also having fever and cough with sputum for 5 to 6 months, he is having treatment but its not seem to be work on long term,, please help me as soon as possible [/INST] From history It's seem that he had CHRONIC RESPIRATORY DISEASE WITH SECONDARY GASTROINTESTINAL-GENITO URINARY DISEASE.your child may have fever and cough with sputum for 5-6 months suggestive of PERSISTENT OR PROLONGED COUGH which may have one of the following causes:pneumonia(bacterial, viral,fungal), bronchiectasis,anatomical airway defect, accidental foreign body ingestion, immunodefeciency disorders, but we can not directly jump to conclusion.history of recurrent infections, associated symptoms, past and current Chat Doctor. If I had such type of patient I would advise for investigation like, complete blood count, ESR,MT(Monte test if any contact history of Tuberculosis patient), Chest X RAY, Sputum microscopy and culture for gram staining and AFB, USG thorax. On the basis of report I will decide to do either bronchoscopy, CT scan or Special investigation for Cystic fibrosis or immunodeficiency.I would start antibiotic short course like third generation cephalosporin and Caroline like azithromycin till I will get all my report. After that I would do further management. You have mention that your child is currently taking some  </s>