http://www.nlm.nih.gov/medlineplus/ency/article/003073.htm. j) v# m, E# n2 r4 d3 E2 Z9 K6 f
Coughing up bloodEmail this page to a friendShare on facebookShare on twitterBookmark & SharePrinter-friendly version4 h9 r0 H( C; ?2 `# u W1 G
Coughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract).4 U4 d# k% P; b0 z/ _1 F5 K
2 y) [0 u3 G( k* O. BHemoptysis is the medical term for coughing up blood from the respiratory tract.8 y4 W6 X; _3 i3 l5 x! {+ ]/ n q2 H& q
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Considerations/ W- j* M# l) d5 C; f1 Y% J
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Coughing up blood is not the same as bleeding from the mouth, throat, or gastrointestinal tract.
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* D6 L6 b: n/ g& T1 xBlood 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
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d1 O2 x, a: H) z. R6 Y3 B# xA number of conditions, diseases, and medical tests may make you cough up blood, including:
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Blood clot in the lung. \5 G, p x1 t+ Q1 N
Breathing blood into the lungs (pulmonary aspiration)
, C0 i: @' E) F6 [Bronchoscopy with biopsy# [# R( g( ~5 b8 [7 G0 H7 q
Bronchiectasis8 a. }' C1 e4 Q6 J: H! U
Bronchitis* x( _9 C5 U# }' d1 k4 X7 C' X
Cancer( N0 y0 N1 N; n
Cystic fibrosis5 b" x" {8 m' `3 E
Inflammation of the blood vessels in the lung (vasculitis)
7 l& T/ Y/ p$ e l) T1 x1 kInjury to the arteries of the lungs
2 _- p( \& `" e" S DIrritation of the throat from violent coughing (small amounts of blood)
9 p( s+ e$ G4 O( YPneumonia or other lung infections3 n; h3 a$ u U9 | M K
Pulmonary edema8 d1 c# z0 n0 B
Systemic lupus erythematosus: F/ }* \% m/ I
Tuberculosis& G/ X7 k0 P8 b7 }' I; [
Home Care5 S0 ?5 |- p5 e- Z+ O4 l0 X4 K8 P& \0 X
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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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# }( I8 d5 e6 u3 z; z% _2 qIt 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.: g' |3 ^, g' Z/ d# Z# Z; R: I6 P
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When to Contact a Medical Professional
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Get medical help right away if you cough up blood and have:( A4 S: }" K7 H9 Q
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A cough that produces more than a few teaspoons of blood
0 U1 ^& E& E& U t9 j" V( gBlood in your urine or stools
/ [7 j( i/ H4 n8 w* Q& T6 l/ @, fChest pain/ ]6 A9 _* q, _% I) V
Dizziness8 @( b) z9 X( C) T6 y& {" l
Fever
; |5 f0 ~) f+ B8 k2 bLight-headedness( m3 R: k6 W! h6 a0 L0 I& P e
Severe shortness of breath
. N- q: Y; i0 M4 z0 UWhat to Expect at Your Office Visit# v n& U" O' j7 c3 _
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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:1 S0 D& K3 V) F7 U
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1 T/ X4 L* a- } MAre you coughing up large amounts of blood (massive hemoptysis)?
. x, D) e- G( _9 \* SCan you see blood when you cough up something?' w+ Z* E" E4 e3 e, V* z- j% L
How many times have you coughed up blood?: Z% L8 h* r4 Z! y; l7 m
Is there blood-streaked mucus (phlegm)?- ^. ~ V, ~* p0 V0 K, V
Time pattern
X# y' d/ k- K, y3 I- n9 N8 `Did it begin suddenly?
4 K4 i- X' Z9 d" ]2 sHas it increased recently?
( C" G! P w4 \# EFor how many weeks has the cough lasted?
9 j1 t, m. t ^ vIs the cough worse at night?; ?7 _& f7 {+ W' U$ e" V2 T
What other symptoms do you have?
. N8 a% a$ E5 L' q9 p* xThe doctor will do a complete physical exam and check your chest and lungs. Tests that may be done include:7 k) x. d. l0 d* u+ T9 b) t% ~" I
2 U( ]; ?2 a. j/ P9 T5 DBronchoscopy, a test to view the airways
- ?% q! o0 y! O1 f/ Y: z G/ zChest CT scan
' X1 c1 y3 O0 V# x/ c3 D9 c$ K6 PChest x-ray2 w M2 q6 b! g: K" l" [. u
Complete blood count1 Z* i+ S! N; t
Lung biopsy) G+ E/ i2 X$ `+ f( ~9 }$ ^
Lung scan# Q$ u" `# x' p7 J
Pulmonary arteriography& P, X# n$ @! s0 {! F* [5 \3 V
Sputum culture and smear
! h7 t7 T4 x- t B8 G8 q6 v: @& [- iTest to see if the blood clots normally, such as PT or PTT |
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