http://www.nlm.nih.gov/medlineplus/ency/article/003073.htm5 u5 A$ c% _! Q7 ?- I
Coughing up bloodEmail this page to a friendShare on facebookShare on twitterBookmark & SharePrinter-friendly version
, |4 |2 ~# e- @# a7 l0 w: ?Coughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract).
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! ]6 {1 \$ L% r8 D0 PHemoptysis is the medical term for coughing up blood from the respiratory tract.
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3 W. J9 q% S9 F* F% ?Considerations+ A7 f7 O% R& ^) r
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Coughing up blood is not the same as bleeding from the mouth, throat, or gastrointestinal tract.
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4 E+ p. l) u7 E6 ^- TBlood 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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5 J" r5 s) p9 U8 s+ k$ R. SCauses. Q* N9 q. q) T9 M9 W
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A number of conditions, diseases, and medical tests may make you cough up blood, including:% o& p6 }! {6 i+ n5 C# m
1 I$ f0 t6 G; C) J& ^; hBlood clot in the lung
6 P$ Z! C7 P3 I( u, uBreathing blood into the lungs (pulmonary aspiration)
( j: c. ?. t7 @. [0 GBronchoscopy with biopsy# a' n% j" f9 N+ f4 q3 S# r/ ^
Bronchiectasis
1 z# Q$ `8 o& q/ uBronchitis+ Q g6 s+ j. _+ n. t& o
Cancer
- Y4 s/ F5 E- X- ECystic fibrosis
( ~7 v4 |" m- B4 c! g+ m4 ^# ~; _Inflammation of the blood vessels in the lung (vasculitis)
, n1 k9 ]6 i- P9 Q Z( k) kInjury to the arteries of the lungs% j [- I) T) t7 L- `1 `' u: e+ ^
Irritation of the throat from violent coughing (small amounts of blood)
' H# N" B: j5 _Pneumonia or other lung infections
$ J5 R9 s1 z8 B/ N$ B9 N9 H- TPulmonary edema
0 ?7 T8 N7 j$ T( cSystemic lupus erythematosus
' V: O/ p# w! Y* S+ n2 gTuberculosis( d/ J, l% `) c
Home Care
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# [( M! e) t! f4 o* cCough 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. Q: @) v# K; e. Z, |0 n% Z f
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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.6 \- A6 y- n8 t, l% w4 H; Q% [
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When to Contact a Medical Professional3 b6 V- P0 N% {9 S! a8 y
" f1 K" i; X8 K/ q* dGet 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# M2 l( B( L7 k! N/ ?& j, j
Blood in your urine or stools$ d% H& i0 q0 j% L3 D) K+ D: Z4 `
Chest pain
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Fever* ^7 U% Q7 I) S) ]( }" }
Light-headedness
" ~% Y( K1 B1 F# g; OSevere shortness of breath( j" f) H: _3 K" c5 L; D
What to Expect at Your Office Visit5 N2 p5 x' T8 T9 x
6 T8 X& m+ S$ K$ W5 U) tIn 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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( a/ w9 u7 r) u6 D b4 }0 b; u NType. `% S* u2 P" i3 K8 Z, D6 f, _
Are you coughing up large amounts of blood (massive hemoptysis)?
$ \4 O9 ` @3 qCan you see blood when you cough up something?
8 M) R+ O5 k) }How many times have you coughed up blood?: T7 s0 ?' E, G4 Y9 X* C
Is there blood-streaked mucus (phlegm)?
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Did it begin suddenly?2 c$ B' B4 N7 _- h
Has it increased recently?- H/ k9 k5 b' O/ K
For how many weeks has the cough lasted?+ U; V! u+ P; }3 A/ j ]
Is the cough worse at night?
1 J, O l) {6 ]/ W. Z8 C$ O* ^What other symptoms do you have?
. b7 j/ Z7 a; t: g! ^: z1 |% h0 yThe doctor will do a complete physical exam and check your chest and lungs. Tests that may be done include:
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/ ^4 Z( o2 v' T/ I: \Bronchoscopy, a test to view the airways
9 F, P5 X# \/ a& m3 \Chest CT scan
! U# R4 |. y$ u/ g+ l8 pChest x-ray
: Y. R a0 R* U$ T- WComplete blood count
v2 J; l& |6 p7 F- y" q- rLung biopsy& A% O* d9 j% W. C( @, V
Lung scan0 {, b: P7 t* |. K4 I3 w ~
Pulmonary arteriography- t9 z# X! J3 k0 `* @
Sputum culture and smear
# P" t/ F$ O' t4 V- o' l- UTest to see if the blood clots normally, such as PT or PTT |
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