Conversation: The conversation between human and AI assistant.
[|Human|] Hi Im a 54 year old male and weigh around 169 pounds. Last night I was brushing my teeth when I spit up blood, I also had some acute chest pain. This afternoon, the chest pain started up again on my left side and is getting milder. I have acid reflux, but I dont think thats causing my chest pain.
[|AI|]  Hi and thank you for asking in Chat Doctor. According to your complaint better to exclude some lung diseases in order to be sure that everything is ok. Coughing up blood is the sign of lung diseases first and when excluding these last, you can go further with other tests. I would advise you to do as follows:Chest X Rathole blood count PPD testSputum smear for tb EKG Cardiac UltrasoundNasoscopyAfter you have the results first you should see a pulmonologist. According to the above results he will decide for the next step you should follow. I wish you good healthThank you Chat Doctor.