My father aged 57 was a chain smoker for the past 35 years.He was suffering from Pulmonary TB with E.S.R Count 150 mm/Hr diagnosed on 2/7/2013 , effected with Jaundice and hospitalized they stopped the TB drugs (stopped smoking ) and after treating Jaundice he has been taking TB treatment since 1month (20/8/2013). Enclosed Discharge summary.

Medicines used :

Cap . R-Cinex -400
Tab Combutal - 600
Tab PYZENA -1000
cap Oxyrep

He is suffering with blood tinged sputum 2 times in 24 hrs and blood vomiting(>4oml) one time in 24 hrs from yesterday.Kindly advice the patient condition