<prompt> Translate the following text to EnglishAlipokuwa na umri wa miaka 20 hivi, alijua kwamba alikuwa na ugonjwa wa kifua kikuu, na kwa kadiri miaka ilivyopita, alikuwa akikohoa damu zaidi na zaidi.  <response>: By his middle 20s, he knew that he suffered from tuberculosis, and he coughed blood increasingly as the years went on. 