http://www.nlm.nih.gov/medlineplus/ency/article/003073.htm
4 d& @( m4 V7 J9 R0 R( Z* JCoughing up bloodEmail this page to a friendShare on facebookShare on twitterBookmark & SharePrinter-friendly version
" K7 @7 e' F% j% N/ F' VCoughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract).
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$ b; W: G4 |0 N+ `; F+ ]Hemoptysis is the medical term for coughing up blood from the respiratory tract. u: T) G4 R& [' [) x
# X6 b1 b8 {/ g5 N/ M2 `8 p OConsiderations. ~7 G$ _. M! Q% j) M& S( N* `
- o2 Z2 d' |! ]: n: r2 ECoughing up blood is not the same as bleeding from the mouth, throat, or gastrointestinal tract.) b- R; _1 ?: r! H
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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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" G1 G: d: b0 C; fCauses$ Q8 u5 O: g1 B# p# U9 O8 m) \
: Y) p+ j- z' k' {9 y( z9 G3 WA number of conditions, diseases, and medical tests may make you cough up blood, including:
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Blood clot in the lung( W5 ~% e* z+ s8 E1 {$ v2 Z
Breathing blood into the lungs (pulmonary aspiration)
6 Q! [) }( q- eBronchoscopy with biopsy
* i. D2 }# I' U* [+ f/ TBronchiectasis: l! v- I. r" b- S3 L
Bronchitis
* P: D5 S8 p% x' lCancer- a* }8 ]& @; O* v( `: i
Cystic fibrosis6 j! U( S& h9 a Z) p- X/ U% ?
Inflammation of the blood vessels in the lung (vasculitis)
1 Y4 f; C5 g( t yInjury to the arteries of the lungs7 r8 B1 `9 l& b; W" W& ^# K! G
Irritation of the throat from violent coughing (small amounts of blood)
. `6 J0 \0 C) a: W. ^6 l" MPneumonia or other lung infections
* N. s4 E e0 _8 P! T" L$ yPulmonary edema) N# B, p" ] O
Systemic lupus erythematosus
0 w/ V% ]( ~2 E* {Tuberculosis
# e; l* ?: t, i* QHome Care
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& P; B- t8 N% ]1 ~: R2 kCough 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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: y# O# g: c' B5 t" H5 m) O% c! Z vIt 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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5 ]5 o, m |1 \4 l, @6 WWhen to Contact a Medical Professional1 y; L! A' a+ f& x0 ^; S) T
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Get medical help right away if you cough up blood and have:# O; I! N3 C6 K( f2 n7 M- x6 ?
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A cough that produces more than a few teaspoons of blood' ~% c. g7 ]+ k, m5 e4 h5 F
Blood in your urine or stools
- ^ H& b4 g- Z9 _/ h, w3 AChest pain
$ V' c8 Q0 x; v0 [Dizziness7 p5 i9 h2 A2 O
Fever
" V5 K6 _; ?% f% g0 zLight-headedness" a" b& d( r$ P- u
Severe shortness of breath& p; N( S/ Y. ?
What 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:; g T# r, p5 M4 a! |" N' ]
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Are you coughing up large amounts of blood (massive hemoptysis)?5 Q# b9 L8 R4 `; l' R4 h& ~) t
Can you see blood when you cough up something?
& ~# [+ h$ R7 L+ JHow many times have you coughed up blood?
( r8 \0 w) M P! ?6 _( E! ?Is there blood-streaked mucus (phlegm)?
- o5 }0 b( ?8 pTime pattern
9 u# F r+ ]! e3 ~Did it begin suddenly?5 ?2 V0 V2 r% S* y3 U# W5 L
Has it increased recently?2 Z, @( o( N8 R6 a
For how many weeks has the cough lasted?
0 h. B; Y1 Q+ X) r9 qIs the cough worse at night?+ d `5 \/ r! U
What other symptoms do you have?
, N; ~: T+ G4 w! m4 X1 nThe doctor will do a complete physical exam and check your chest and lungs. Tests that may be done include:, k% |7 w3 d0 q# J, \
0 P! P/ i; D- LBronchoscopy, a test to view the airways
5 j7 h, x1 d. g6 Z K, [Chest CT scan
: m( R4 x! P& Y: rChest x-ray( t: N y# y0 l9 M
Complete blood count
+ N- T5 O: o. w: e( F4 ~Lung biopsy9 J8 i* |: o0 r' c3 J7 f
Lung scan
6 z5 g# m, y! S/ ^% H6 e6 V% IPulmonary arteriography
0 Q3 T8 [8 V7 T) WSputum culture and smear0 |8 a2 ^4 Z1 y3 V9 g) A( e
Test to see if the blood clots normally, such as PT or PTT |
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