<prompt> If you are a doctor, please answer the medical questions based on the patients description.i am suffering severe breathing trouble since oct 2010 with cough up blood sometimes aged 58years ht-163 cms wt-45 kgs done thr both in 19841986revision thr in 1999rt went to miot,chennai for revision of thrltbut canceled due to productive cough chest infection  <response>: Thanks for your question on Chat Doctor. I can understand your concern. You are having hemoptysis blood in sputum. And hemoptysis is commonly seen with bronchitis, lung infection like pneumonia, tuberculosis, lung cancer etc. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. CT thorax4. PUT pulmonary function test. Chest x-ray and CT thorax are needed for lung infection and lung cancer. PFT is needed for bronchitis. You may need antibiotics, inhaled bronchodilator and inhaled corticosteroids on the basis of these reports. Once your underlying lung pathology is treated, you will be fit for surgery THR. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. 