http://www.nlm.nih.gov/medlineplus/ency/article/003073.htm, N1 E" }) p. D% ^6 i
Coughing up bloodEmail this page to a friendShare on facebookShare on twitterBookmark & SharePrinter-friendly version
/ [' S/ H7 W: n) D. Q0 Q: ^Coughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract).% Z& f- L( B4 N4 ]6 ?- ~& P
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Hemoptysis is the medical term for coughing up blood from the respiratory tract.
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" E$ t5 M$ V+ Z& j7 o; ]Considerations
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Coughing up blood is not the same as bleeding from the mouth, throat, or gastrointestinal tract., N3 `4 D F* L. |! n
9 f' _) S8 P* r: jBlood 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.9 o7 V+ z6 k. a; j8 Y" r; l
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Causes/ b( }; |3 ]2 p# f) R! v
* C7 z/ H% ^8 x2 B) g- lA number of conditions, diseases, and medical tests may make you cough up blood, including:
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, C/ @9 d3 W4 Y8 }# cBlood clot in the lung
( u: o3 u- ]. ZBreathing blood into the lungs (pulmonary aspiration)
& i, p K, V" u3 I) pBronchoscopy with biopsy( M( Y" k8 H7 l4 @
Bronchiectasis
?$ M9 N9 F6 `, a* R! hBronchitis! X: t: k- _6 q) s& j
Cancer
4 i& \' P6 A @/ q9 \8 |- cCystic fibrosis
/ \; G$ O. k$ Z$ f& i8 bInflammation of the blood vessels in the lung (vasculitis)
2 `' `% j% L z5 V# U% l: j! ]Injury to the arteries of the lungs, h* S. y. @+ y
Irritation of the throat from violent coughing (small amounts of blood)
9 B F! k$ m3 j& t3 k' s; T; RPneumonia or other lung infections6 R* |. }3 X: Q4 ~2 o, @
Pulmonary edema
8 K2 K" o* b' E# j. U& wSystemic lupus erythematosus1 D/ h2 |* N& [- ~$ L$ L& `
Tuberculosis5 H; n' @9 }/ H% G3 P' \& P
Home Care5 I/ F b' Z+ U$ R6 r1 v4 E( u/ ?4 N
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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.
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6 h( W) D2 F3 e0 H0 ?2 sIt 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# Y1 d. O9 k% ~' z6 Q( \3 o
1 P: G3 h% ^2 g2 GGet medical help right away if you cough up blood and have:7 K: M+ @$ l0 d. S: _6 u
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A cough that produces more than a few teaspoons of blood
& z& D$ b+ S5 M0 z' ~& EBlood in your urine or stools
" I( i8 A1 S U. [- J, tChest pain
+ d- v, @' b' z: C% XDizziness6 r& _4 k P9 O# z+ x5 O! [
Fever) v4 X( h) h0 x) l
Light-headedness' b* u* v$ y$ ?
Severe shortness of breath
. ~7 a- _) ~1 R2 |What to Expect at Your Office Visit/ v4 z$ M6 n5 c
; C/ \0 h7 f b$ iIn 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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1 X& @. v) W# j/ kType
# O3 G, ~) n" C% E6 lAre you coughing up large amounts of blood (massive hemoptysis)?
5 o* B2 o8 ^6 d1 X2 H' LCan you see blood when you cough up something?/ W7 a' s$ ]) R
How many times have you coughed up blood?7 O! l* Y$ s# J* q3 ]
Is there blood-streaked mucus (phlegm)?
# M& m/ o; `4 {9 m# p& qTime pattern: }% x7 h' }+ ?4 U0 \8 |7 [$ s/ X
Did it begin suddenly?
& K5 G8 t' c) s3 b% i, XHas it increased recently?8 u2 c. y; d2 ~
For how many weeks has the cough lasted?
0 _2 L' S% R0 @( e, OIs the cough worse at night?, }- u/ O# Y( Y; K
What other symptoms do you have?8 u: |8 A& {" s3 G0 x) g* |" H; T/ i
The doctor will do a complete physical exam and check your chest and lungs. Tests that may be done include:
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Bronchoscopy, a test to view the airways
! }1 S+ i, ^/ v% s' z- \Chest CT scan5 T( O# x" Y6 ]
Chest x-ray* M" [ ~6 m' E0 z
Complete blood count3 }: c. b( h, w- B3 R
Lung biopsy
( ]6 Q3 `% e& }% b6 `: _Lung scan
* R [% u6 b& t' E( J; gPulmonary arteriography3 x1 v$ p. r, H
Sputum culture and smear7 W% ]) H6 K* H) E8 }+ {% K
Test to see if the blood clots normally, such as PT or PTT |
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