<s>[INST] my husband suffers from severe copd in the past few weeks he has been bringing up bloody mucus off and on he went to theER they took chest xray found granuloma and several nodules said xrays was ok also blood test they came up with diagnosis of probable bronchitis. Gave him antibiotics and was told it coud last up to three months. My question is it normal to bring up bloody mucus off and on [/INST] Thanks for your question on Chat Doctor. I can understand your concern. He is having hemoptysis (blood in sputum). And this is not normal in bronchitis patients. Hemoptysis suggests following possible causes. 1. Worsening of bronchitis 2. Pneumonia 3. Tuberculosis 4. Lung cancer. Since he was also having granuloma and nodules previously, possibility of tuberculosis or lung cancer is more in his case. So better to consult pulmonologist and get done 1. Fresh chest x-ray 2. CT thorax 3. Sputum examination for AFB (acid fast bacilli - bacteria causing tuberculosis). He may need anti-tubercular Chat Doctor.  Don't worry, he will be alright but first diagnose him and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks. </s>