Conversation: The conversation between human and AI assistant.
[|Human|] hello im a 45 yr white male 65 285 lbs type 2 diabetic with hypertension. 3 days ago im sitting at my friends house smoking meth as usual. i felt fine every thing was normal, but later in the night i started having a sensation of phlem build up in my lungs. i still had not coughed it out but started to notice a slight bloody taste in my mouth, so i coughed to clear my throat and I spit up a dark red bloody chunk of phlem, never had blood in my phlem before so i wonder why all of a sudden i do now? it has  - thank you
[|AI|]  Hi welcome to the Chat Doctor Blood in phlegm cam have lots of causes Sometime blood from gingival bleeding can lead confusion with bleeding from sputum Bronchitis, pneumonic consolidation, lung mass, mitral stenosis, bleeding disorder etc. might be the cause Work up done as follows... -Auscultation-CBC -Chest x-ray -Spirometry if needed -EKG According to cause further specific treatment given For bronchitis suitable antibiotic course given Take care With keeping these in mind consult pulmonologist for examination and further work up accordingly