http://www.nlm.nih.gov/medlineplus/ency/article/003073.htm/ I8 E" |/ @: m6 R: B/ J. R5 \
Coughing up bloodEmail this page to a friendShare on facebookShare on twitterBookmark & SharePrinter-friendly version
9 u) X: N) A& R9 N5 FCoughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract).5 l( @4 ^2 F8 I% @
D0 o' p3 w* BHemoptysis is the medical term for coughing up blood from the respiratory tract.: n& ~0 {: N0 y) P% k3 n4 e
! c; ^# e' G! O) c* ?7 FConsiderations
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, S; x) l) c3 CCoughing up blood is not the same as bleeding from the mouth, throat, or gastrointestinal tract.# S" |. F( \2 D- W4 M
! e/ q1 n0 Y+ k1 H" sBlood that comes up with a cough often looks bubbly because it is mixed with air and mucus. It is usually bright red, although it may be rust-colored. Sometimes the mucus may only contain streaks of blood.) T+ C% @% |0 J# i4 P
1 R0 j) N+ C, V3 H- ]7 |: ECauses( z! K$ w8 `7 y- f$ x @" D% ^
( ]/ A% ?6 ^2 qA number of conditions, diseases, and medical tests may make you cough up blood, including:
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8 |% M6 a6 ]2 j* N8 C8 ^3 s. P: jBlood clot in the lung* ^$ B2 Q7 x; H1 s7 z7 Q9 c
Breathing blood into the lungs (pulmonary aspiration)
+ z5 j8 F" `- N) ^Bronchoscopy with biopsy& a4 k- S$ o( |1 ^" x
Bronchiectasis
7 g. I1 b, |1 aBronchitis( P9 w7 z Y9 F1 c- `' X& }2 v
Cancer
8 [& H0 k# |) \( D# @" n* }9 ^% aCystic fibrosis
; h7 W; P) U% d' u# S- v4 d( l0 @Inflammation of the blood vessels in the lung (vasculitis)
8 i% ]* N% L: K$ xInjury to the arteries of the lungs
% o2 |, V: t0 c/ J9 ^# CIrritation of the throat from violent coughing (small amounts of blood)
2 N6 G" S) H8 A4 h, ^( V4 g9 mPneumonia or other lung infections
( K M( I3 N9 x+ X' U4 L; }4 OPulmonary edema, o2 X, N0 J7 g5 u" s6 ?% G% E e* k- y( q
Systemic lupus erythematosus( F' U' h# A: W4 [- N# S
Tuberculosis
5 `4 q( W6 m5 y8 YHome Care! B4 Z% f1 d3 K3 G; f7 R
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Cough suppressants may help if this condition is due to throat irritation from violent coughing. However, cough suppressants may lead to airway blockages in some cases. Always check with your doctor before using them.$ i- |5 P+ A; n4 @
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It is very important to note how long you cough up blood, and how much blood is mixed with the mucus. Contact your doctor any time you cough up blood, even if you do not have any other symptoms.
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When to Contact a Medical Professional
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0 {& V, a) }1 i0 GGet medical help right away if you cough up blood and have:
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A cough that produces more than a few teaspoons of blood
8 t; ]7 T, u* {; v% R ~; IBlood in your urine or stools6 }, Z9 a, H& R% ]8 x
Chest pain3 a% R+ G+ k3 o5 k$ }
Dizziness
1 X* ?6 W, K' R! `1 }Fever) ^" A: F; Z5 r: h3 k! Y$ {
Light-headedness. o5 e3 A8 K: m5 ~2 e1 F# t
Severe shortness of breath
, `( @' R" p8 e$ w* ?What to Expect at Your Office Visit# { J7 A6 }8 I: |4 |
6 L1 E t5 {8 i" h+ CIn an emergency case, your doctor will give you treatments to control your condition. The doctor will then ask you questions about your cough, such as:4 \) d1 T r1 M4 K. ^% k
# R! U2 @9 i9 g1 [ [* sType9 Y6 p; P6 v$ }" V( H0 j2 g e
Are you coughing up large amounts of blood (massive hemoptysis)?# y* d' f* \/ V/ M. B3 Z; i! I
Can you see blood when you cough up something?6 b' p3 q# W# v& v$ O
How many times have you coughed up blood?, x9 R8 b& B- C9 Z
Is there blood-streaked mucus (phlegm)?
) a2 D' o5 V% @# k* `Time pattern
+ c+ N" u/ E- ?; }% N' H. C, jDid it begin suddenly?/ U) q1 M; D6 ?) \" a
Has it increased recently?
! d" }* h4 x, @3 ]) H6 v+ T. EFor how many weeks has the cough lasted?
2 @0 V2 d2 K7 j1 AIs the cough worse at night?3 }. X; ]& c8 N& K
What other symptoms do you have?
3 B$ l1 H' w1 t! C! x: o' \The doctor will do a complete physical exam and check your chest and lungs. Tests that may be done include:7 b% |, m3 p# ]* ?) Z* s2 C: V5 p# B
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Bronchoscopy, a test to view the airways8 V4 y1 \& j1 Z5 l2 m2 f! u
Chest CT scan1 U% b/ M" {5 _. |( e! w5 n
Chest x-ray! t- c3 K6 v: ~% W1 U- M
Complete blood count
7 R/ j+ Y4 Y9 ~* R* ALung biopsy9 ?( a' g3 ]4 H( i/ \) X- f
Lung scan
5 g# y$ o/ d/ |$ aPulmonary arteriography8 L8 a. i4 i7 a$ `
Sputum culture and smear0 [/ N0 ?$ p+ z/ T
Test to see if the blood clots normally, such as PT or PTT |
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