http://www.nlm.nih.gov/medlineplus/ency/article/003073.htm
* r8 p H) |' D- g$ T( YCoughing up bloodEmail this page to a friendShare on facebookShare on twitterBookmark & SharePrinter-friendly version+ b6 v, l) r+ A& t( ]
Coughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract).: v0 y) K4 p# O
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Hemoptysis is the medical term for coughing up blood from the respiratory tract.
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Considerations: C* ?& a* j0 c7 v, x/ T. S
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Coughing up blood is not the same as bleeding from the mouth, throat, or gastrointestinal tract.6 K( ?; L- C1 i
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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.! ]$ {/ i3 f+ J6 I
* N" L! J% m; \ P) D9 Z; F/ nCauses, u6 j) l! K- ~; O7 ~
: m9 [2 K+ @; v; G" q8 ^& uA number of conditions, diseases, and medical tests may make you cough up blood, including:' z6 ^. U6 \! N2 J) }/ y7 J
: \1 i2 S1 w3 N9 M4 x) x1 h U. z+ [7 R. UBlood clot in the lung1 W0 P, s# H2 k+ v
Breathing blood into the lungs (pulmonary aspiration)
6 X( \/ R7 x6 q$ x" d, O& rBronchoscopy with biopsy& s" Y I+ s ]
Bronchiectasis
l; ]% w: V' K; Y/ yBronchitis @- {+ k% o1 z
Cancer+ E' z7 Q# a2 t! H- M' d+ X' n
Cystic fibrosis' e9 F8 {" `! t# o. `
Inflammation of the blood vessels in the lung (vasculitis)
+ I% I* T, T/ D8 gInjury to the arteries of the lungs
/ J: f W( C$ l2 [. L1 u# x: ?7 h. AIrritation of the throat from violent coughing (small amounts of blood)0 G2 M- \+ `; H' \
Pneumonia or other lung infections
2 k$ | Z7 ^2 A- J! S+ ]Pulmonary edema
# }+ e9 p/ k: ~3 F2 ^$ U2 A5 ^: TSystemic lupus erythematosus
0 A; a5 S0 w" q! b1 oTuberculosis
( [7 b! D4 h4 K9 v4 r$ g% u. `Home Care
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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 g6 `% f6 q0 f' l* J
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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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, a8 j1 e' {6 B; GWhen to Contact a Medical Professional( S8 I. v$ f- G7 M; P
( B8 l1 l" N$ m1 y! m- UGet medical help right away if you cough up blood and have:
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* i) y3 b8 b5 W8 z# X7 w" o5 T% {A cough that produces more than a few teaspoons of blood
$ @$ } z/ w7 Z E1 G% xBlood in your urine or stools, c: v& \ a$ S0 o, r
Chest pain
- M2 X, r" @$ ]) H" nDizziness
. J5 j" i9 P \* n# P Y1 Y5 ?Fever
# G9 l8 U1 s; n- a' h8 l1 MLight-headedness
- _ i5 a, Y3 G+ _! F2 ?0 B. O0 hSevere shortness of breath
( u* S" e* w$ }5 S+ H: 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:4 a9 @% C, ~$ y5 ~* K; I0 S
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Are you coughing up large amounts of blood (massive hemoptysis)?
/ J$ N- X l% @8 M! C# hCan you see blood when you cough up something?2 N: K; t" D# h, `
How many times have you coughed up blood?
3 H- W1 o, u S# pIs there blood-streaked mucus (phlegm)?
& Y- B% V2 t0 q. q: sTime pattern
; N; A6 T! w9 p, gDid it begin suddenly?
* P- w, j( c7 gHas it increased recently?
/ X9 T2 M1 a: ?( PFor how many weeks has the cough lasted?3 h; G$ Z$ d/ M. _+ G( L
Is the cough worse at night?+ M: [6 a; O4 x8 z: s) o8 d1 j
What other symptoms do you have?
0 L- N3 t) J: l$ YThe doctor will do a complete physical exam and check your chest and lungs. Tests that may be done include:, q! n" Y5 }; G: l6 Q
& @" y2 S& L( @2 zBronchoscopy, a test to view the airways
+ F% v* Y) |& P$ w: VChest CT scan7 i6 p+ a: }: i2 c* L: I* \
Chest x-ray7 Q$ T' w3 z. }/ B& K/ P
Complete blood count! J/ L6 n0 v- b+ m2 w
Lung biopsy( J$ A; o3 h8 `) G+ X8 V( C& b
Lung scan
% e% l4 @4 x* p; F. E6 e# FPulmonary arteriography
) {! E0 _; I9 a& FSputum culture and smear0 T. T: I- b# k @
Test to see if the blood clots normally, such as PT or PTT |
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