Conversation: The conversation between human and AI assistant.
[|Human|] I coughed up a blood clot this morning. I have an appointment with my Dr tomorrow, but I m just wondering how bad can that be. I mean it s certainly not normal, but I have no other symptoms other than this hacking cough that occurs every morning. This is the first time I ve seen a blood clot. This cough has been hanging on for several months.
[|AI|]  Hello, You haven't mentioned other features associated with the chronic cough. Those are whether you have fever, chest lightning, loss of appetite and weight loss. Since you are having cough for some time we can't exclude chronic infective causes like tuberculosis just by history. Need to do blood investigations on you like full blood count ESR, CRP. I need a chest x-ray also. If investigations are suspicious I might request to do sputum investigations also. Have you had a recent contact with a person who had chronic cough? You haunt mentioned your country. If your country is endemic for Tuberculosis and you are having other associated features also i It is a one possibility.  You get this type long-term cough due to atypical pneumonia also. Depending on your investigations will come to the diagnosis. And if it is an atypical pneumonia I will prescribe you erythromycin.  You haven't mentioned whether you are a smoker. Smoking also cause chronic cough and blood with sputum. Hope this helps. Thank you