http://www.nlm.nih.gov/medlineplus/ency/article/003073.htm
# H! ]9 X4 }: |7 i$ h+ T$ uCoughing up bloodEmail this page to a friendShare on facebookShare on twitterBookmark & SharePrinter-friendly version
8 T3 [( `/ v" L& ECoughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract).
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; T Z; q: v* @) V* PHemoptysis is the medical term for coughing up blood from the respiratory tract.3 D. ?! D e3 ?) S
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Considerations+ U+ ^- z1 V3 x/ J; I4 q
; n" h2 ~- S% q ^Coughing up blood is not the same as bleeding from the mouth, throat, or gastrointestinal tract.% f7 X# o0 d& O0 Q
B' e% o1 k5 FBlood 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.
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6 [/ F( U& F+ \1 bCauses1 I1 \/ k9 z# Z
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A number of conditions, diseases, and medical tests may make you cough up blood, including:8 F% z3 J0 E" N; V0 u# t
6 N6 }3 h3 ^9 m( T+ K& T( o! K+ R* ?Blood clot in the lung* u1 S/ Q8 S7 K0 |
Breathing blood into the lungs (pulmonary aspiration)6 Z8 y6 I, X9 T
Bronchoscopy with biopsy! u1 Y/ n6 h/ g% _7 B
Bronchiectasis
0 ]( u4 ^; Y! c, Q7 }7 mBronchitis
/ i# ~6 B$ E- A' g0 zCancer4 W9 M. Z4 l) I }
Cystic fibrosis4 J/ I7 F2 E* Z2 V
Inflammation of the blood vessels in the lung (vasculitis)
7 t1 T" h" d/ ]. s& r9 yInjury to the arteries of the lungs
9 c8 {: H+ ~, h7 @- }Irritation of the throat from violent coughing (small amounts of blood): L3 i; `! P+ O& h6 x/ W0 l( A1 V* `
Pneumonia or other lung infections) R% s8 J$ a2 d
Pulmonary edema
0 B8 F6 k% i/ X# B `Systemic lupus erythematosus
{2 v; F# R* n- q/ {% k2 o% o' BTuberculosis- A$ ]5 h- m" I- x* l! Z/ E% k
Home Care" a" R3 _9 u% r; w1 g
) R. R3 p$ A( ~* V. Y( x! d5 dCough 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., E( }" x- \! P' r/ f! y" u
. ?7 x" j$ z# `) T% Q; y* ?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.% N$ J6 {8 s/ h: D5 f" e
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When to Contact a Medical Professional
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; X1 O' N6 l1 K8 _& ]6 Q+ U4 dGet medical help right away if you cough up blood and have:0 G/ W4 T5 z) \- k' B+ w
4 S" b4 M& B" t" fA cough that produces more than a few teaspoons of blood; T4 k& k9 \! q- ~# x) T5 C1 d
Blood in your urine or stools
0 q( Z" n5 E/ T% nChest pain) }0 Z: \# ?) n3 S
Dizziness
0 y6 o0 [% B7 p5 `2 T0 ~0 ~" w# `Fever
$ |$ A- S' H7 t: ^: aLight-headedness* u4 S2 H& t+ u- f e
Severe shortness of breath
, _7 [: z/ L6 {' AWhat to Expect at Your Office Visit( M* \# K$ L& z T7 X d; H2 N" p
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In 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:9 H) o3 o) P D: L; z
N: C* ?9 Z4 p- a: DType
( }: }4 \$ W, m& cAre you coughing up large amounts of blood (massive hemoptysis)?
" C' Y) X+ W4 j1 t) }/ {Can you see blood when you cough up something?
3 U% V& a% @( Z& g9 G7 zHow many times have you coughed up blood?: F$ A7 t7 ] w. k2 Z: ]
Is there blood-streaked mucus (phlegm)?
* J- _4 p" n) h3 ]Time pattern
+ M2 a7 Z% L- W4 ?9 H% k* vDid it begin suddenly?6 S: m { W3 X
Has it increased recently?9 c1 Z _$ A/ w4 [
For how many weeks has the cough lasted?" a$ X7 l2 ^/ k! Z: C8 O- U* U
Is the cough worse at night?; ~7 M3 P# S( w) J+ V
What other symptoms do you have?
0 ], w0 p) }2 [' X# ^! ]! tThe doctor will do a complete physical exam and check your chest and lungs. Tests that may be done include:
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$ p' v$ F+ ^' M- J( Z5 B8 T) iBronchoscopy, a test to view the airways
- d! u6 J4 b: G* u3 d4 u7 oChest CT scan1 M) {6 N& X/ A
Chest x-ray
3 D1 A( ]: f @6 }" lComplete blood count9 U! t: B4 Y! m4 }2 o
Lung biopsy! k+ ]; g1 n) w: M1 d
Lung scan8 V2 I* G2 K( U
Pulmonary arteriography
" o9 V2 ]5 n5 ASputum culture and smear) t; n+ ~' @! u# R+ P/ }
Test to see if the blood clots normally, such as PT or PTT |
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