http://www.nlm.nih.gov/medlineplus/ency/article/003073.htm" i: G) b$ Z6 `: n4 ?8 E
Coughing up bloodEmail this page to a friendShare on facebookShare on twitterBookmark & SharePrinter-friendly version
: i* ?% V, Z' g+ X- V2 C/ V; YCoughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract).# [# k0 o2 T+ m' G( i
+ U" ?( |! [' l& ZHemoptysis is the medical term for coughing up blood from the respiratory tract.
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! ^+ T) m5 B& H% {' QConsiderations
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Coughing up blood is not the same as bleeding from the mouth, throat, or gastrointestinal tract.% b% @. Q7 L) B
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Blood 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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Causes. p9 y, [7 W* j F5 I% b8 w
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A number of conditions, diseases, and medical tests may make you cough up blood, including:
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0 M* E. {5 P, x6 W- RBlood clot in the lung* p% F# U% T: |
Breathing blood into the lungs (pulmonary aspiration)
3 a- k3 \; b1 bBronchoscopy with biopsy
% T S) _3 o# U$ ^/ _: A5 ^1 n5 vBronchiectasis
3 n' q. g' S* Z7 l ABronchitis! }' g6 e, x8 u& q: j
Cancer- N1 Z+ N+ _% V) Y. C* y
Cystic fibrosis
9 b) Y$ T j; R! e( b4 aInflammation of the blood vessels in the lung (vasculitis)9 A I% n. V% O* {; s( u, J% L
Injury to the arteries of the lungs3 P; @; b# _/ t3 e
Irritation of the throat from violent coughing (small amounts of blood)! I8 v0 H7 z0 l
Pneumonia or other lung infections8 b% g6 o& g4 i2 X
Pulmonary edema
1 m$ ]; \$ @$ `5 E4 Y# LSystemic lupus erythematosus2 C1 O! R6 l" F* W
Tuberculosis
8 Y4 T6 Y; ~. d: I! S! DHome Care. U: {" K, T* Q4 s
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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.1 r! i, k0 C0 _: m, u4 X
) {9 e9 k2 I- F( h9 Z0 MIt 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.: ^* Z$ Y6 v( W) I: k
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When to Contact a Medical Professional( g4 ]/ J* [' x9 v% ]; i7 H) C
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Get 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
' V; n' ]6 U( N* F: P- ~; DBlood in your urine or stools
5 D g6 M6 j: f9 W, {5 w" Z8 uChest pain
# G8 [ i) e( ?5 lDizziness- ?$ Q/ L' x4 E
Fever
5 ?+ V- N: @" z nLight-headedness; C* W& a7 h' Z
Severe shortness of breath
, ~9 Q c( R* r; }% G& a8 CWhat to Expect at Your Office Visit
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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:
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Type) U3 _4 P. `. t5 F* o
Are you coughing up large amounts of blood (massive hemoptysis)?9 X% t$ U. V* [9 J; _8 D4 {, l! S
Can you see blood when you cough up something?4 E8 _, `0 _+ R- R* i* R: a! j9 @
How many times have you coughed up blood?! p( y4 F% u& \/ |8 n. ? R" v
Is there blood-streaked mucus (phlegm)?* h5 a! S. ~8 V. h4 [, w5 Q! E+ o
Time pattern
2 K% v% t. | T' v4 x9 Z' V# y& {' X( ADid it begin suddenly?
% g, ]# w) f+ H4 i0 m6 Q( E5 eHas it increased recently?
- o1 I# F' c+ |# ~$ ?! |9 ]For how many weeks has the cough lasted? |8 A/ @8 r& v+ R# `2 l+ ]- v
Is the cough worse at night?
) R/ j8 A @. D8 P% P) J& x3 lWhat other symptoms do you have?
: o5 @2 ^% s; k4 c+ S+ r8 S. XThe doctor will do a complete physical exam and check your chest and lungs. Tests that may be done include:
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2 ]! J5 a/ S$ G, Z; y9 xBronchoscopy, a test to view the airways& V. Y7 A& X: ?2 s. V; v: D
Chest CT scan
) l. _* f( x1 i0 O7 o( QChest x-ray1 j/ R5 j# u; t/ E% c; e* J
Complete blood count9 e: T" @! G" t G5 `$ E7 D% l
Lung biopsy% s' Q& Y4 w) H) |) F
Lung scan" t0 w/ \1 I( o
Pulmonary arteriography8 i# r5 |9 ~5 q+ ?. X# D
Sputum culture and smear
# V7 r" m" w: I% m( g- PTest to see if the blood clots normally, such as PT or PTT |
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