Thanks for your question on Healthcare Magic. I can understand your concern. Rheumatic heart disease can cause pulmonary edema, pulmonary hypertension, pneumonia and pulmonary embolism. All these conditions can cause cough with expectoration and hemoptysis (blood in sputum). So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x ray 3. 2d echo 4. CT pulmonary angiography if needed. You may require antibiotic, diuretics or other supportive drugs on the basis of these reports. Don t worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.