http://www.nlm.nih.gov/medlineplus/ency/article/003073.htm7 ?$ V2 j" z6 O4 `8 ^( R( [. Z
Coughing up bloodEmail this page to a friendShare on facebookShare on twitterBookmark & SharePrinter-friendly version' ]6 k5 d: t* G3 k/ g
Coughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract).
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Hemoptysis is the medical term for coughing up blood from the respiratory tract.
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Considerations
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9 _# r$ n$ B( [# Q8 `. M) iCoughing up blood is not the same as bleeding from the mouth, throat, or gastrointestinal tract.' Q5 Q5 \1 _1 l/ {) f7 W
- ^: `. R) T" FBlood 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 G* k: Z; Z! {; V6 W
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A number of conditions, diseases, and medical tests may make you cough up blood, including:/ v4 @4 ` ]' E1 B* i
( N E; M3 i$ U: w ZBlood clot in the lung
$ @; O7 ^3 `/ BBreathing blood into the lungs (pulmonary aspiration)
) f+ N- y) S! t+ w5 qBronchoscopy with biopsy
1 k; L5 C! Y4 s- \4 _6 ^Bronchiectasis
3 O+ z3 h: b( d2 \1 l- H( R4 SBronchitis
u1 g! j) ~/ y1 K! }, GCancer1 E. S" Z# Y0 D; D. g n
Cystic fibrosis5 ]0 R! ~+ r/ f
Inflammation of the blood vessels in the lung (vasculitis)7 Y8 S H6 e& e4 d0 V0 p( e9 D
Injury to the arteries of the lungs
- y: K. D* X# c) g. FIrritation of the throat from violent coughing (small amounts of blood)
5 q6 c4 S5 M+ xPneumonia or other lung infections
6 i/ ?- `. x+ Y, \. V, ~Pulmonary edema
& U, W. w& X1 ~4 ]- P. `$ h5 ~- {0 {Systemic lupus erythematosus
: X$ p# E, [% |, e! NTuberculosis: L( X, D, H! \/ t8 e! V; q& {% S
Home Care) O. _8 }" Y% |" z
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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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) D) i; k9 p$ w) 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 B# j0 P% g! [When to Contact a Medical Professional
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- b0 r: }. R9 @) d l4 J& eGet 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" e. G: P: H2 v/ |4 ]
Blood in your urine or stools
2 {1 X5 n9 @( ?) F0 J9 XChest pain
* _3 ~. \( B) p5 n8 ^+ O' QDizziness
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Light-headedness
% \4 K, S( K# D5 r7 SSevere shortness of breath
/ q& {; E% ]+ dWhat to Expect at Your Office Visit/ i+ n/ l9 o, I
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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:9 I8 ~) {& [: e' q
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8 e5 j3 Z/ ?/ m% M5 p8 j$ \Are you coughing up large amounts of blood (massive hemoptysis)?
: h) w( U+ y3 Z* q2 I. H2 W5 hCan you see blood when you cough up something?
. o4 [9 a9 a* eHow many times have you coughed up blood?
$ U- y& i( f( p8 J4 h% j" SIs there blood-streaked mucus (phlegm)?
1 Y6 D+ K4 J/ Z3 V4 O2 L7 i/ VTime pattern0 o7 i0 h$ m6 k+ ?
Did it begin suddenly?
7 ^7 i/ U) k, O8 VHas it increased recently?
% j' h9 y, \1 O0 MFor how many weeks has the cough lasted?
3 t8 i3 y* a, F& {7 v# hIs the cough worse at night?+ ]5 L0 R4 E$ B. }! Q/ z
What other symptoms do you have?
; y3 N: k* v( H6 XThe doctor will do a complete physical exam and check your chest and lungs. Tests that may be done include:) K4 k; P5 r* \. [( ^1 c6 A
' P3 |4 t0 `% r7 F, b# O( QBronchoscopy, a test to view the airways
7 A6 w/ V# w9 m: ?/ BChest CT scan# W a- b- P9 T% X: @
Chest x-ray
8 L2 Z6 N7 k y% K& p& R7 y+ VComplete blood count# b' z/ f5 [! I$ R: G! R8 {1 i* c9 K7 \
Lung biopsy6 ]# `/ n5 d1 }' a% i5 k
Lung scan7 [8 v1 T5 f! \% x7 ]
Pulmonary arteriography0 ]8 {$ h) m3 F
Sputum culture and smear& w: a4 V1 Z5 l* H1 k
Test to see if the blood clots normally, such as PT or PTT |
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