http://www.nlm.nih.gov/medlineplus/ency/article/003073.htm& I. W/ A3 F! r& n. A! q, F( z
Coughing up bloodEmail this page to a friendShare on facebookShare on twitterBookmark & SharePrinter-friendly version
0 O# a& U# g% ?+ @/ CCoughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract).; p2 v u+ Z- K' P' l X6 H/ i0 h
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Hemoptysis is the medical term for coughing up blood from the respiratory tract.. v2 N3 r. b8 ^! f; P0 X* `
7 y# ?1 M, t NConsiderations- y- K* }) ]9 S& d
* e, ~% \7 g2 f# U/ YCoughing up blood is not the same as bleeding from the mouth, throat, or gastrointestinal tract.
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' A5 N" o( V# n( ?9 @: S/ H. K" CBlood 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.3 X3 f$ L% _9 ^. q# y
% P" U# N, Z" m/ XCauses- P1 f0 T# `) j5 D0 Z+ @5 i, w8 l8 I
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A number of conditions, diseases, and medical tests may make you cough up blood, including:
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/ p6 S9 S* u( c# uBlood clot in the lung4 Q* R9 Z# V* z# e, X
Breathing blood into the lungs (pulmonary aspiration)' z0 l+ j$ |* w4 T% ^3 X
Bronchoscopy with biopsy& i0 `( y" A! r Y' g( z9 B# O- \
Bronchiectasis. q$ T) G' w6 t2 P1 Z
Bronchitis, K5 Y( Y9 u% Z* P6 f
Cancer
" \- c/ e/ H3 w& _$ pCystic fibrosis% K1 u9 V) h5 u+ T7 ^& Y
Inflammation of the blood vessels in the lung (vasculitis)2 v9 o2 G! N4 O% V4 ^
Injury to the arteries of the lungs- H; [ l+ Z" l8 u
Irritation of the throat from violent coughing (small amounts of blood)9 x! j. T( z' I d. A8 z
Pneumonia or other lung infections, R% O D/ Y, K9 \6 L0 U
Pulmonary edema, K" p$ l& n. z: ~" |
Systemic lupus erythematosus
# Q' J0 J( Z2 x- M7 ^9 UTuberculosis" A7 P1 w: |; l* i
Home Care9 X! p8 v, _9 x. g
: h3 m" ^9 {1 jCough 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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2 ^3 h; r* i3 R# Q2 o% NIt 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.8 N7 ?7 n7 \$ E6 s
0 U3 L* m. f8 O0 A5 NWhen to Contact a Medical Professional# h3 H* P+ Q5 S: u
0 x$ [7 `$ }; f6 z U+ WGet medical help right away if you cough up blood and have:
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( D3 b2 K! d4 u6 I3 JA cough that produces more than a few teaspoons of blood
/ B8 l9 [9 N( b5 V# j$ l4 x, XBlood in your urine or stools$ Z/ a# H$ \; o( O: u/ a: ^. Z
Chest pain
; _& [: x u5 o/ UDizziness: E. s9 j: }1 X3 _6 r0 A
Fever! l; d" e6 `& O% ]
Light-headedness. y8 l2 C4 L3 E+ I& j3 u. S
Severe shortness of breath
& ?9 |$ l W* O q6 {# wWhat to Expect at Your Office Visit5 C0 G- E. K5 ?5 d4 k
3 O$ T# Z# C9 d+ _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:
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" N) [/ D0 r, P! d) i# {Type
. n# b3 O! x, r% FAre you coughing up large amounts of blood (massive hemoptysis)?
$ R! n v3 c% @Can you see blood when you cough up something?
) j3 @. \" K0 _+ S- h) q; i. HHow many times have you coughed up blood?
' t1 E, w; C. m3 k o+ J( JIs there blood-streaked mucus (phlegm)?" s. g9 I8 M, ]! p* C
Time pattern: c2 e; z- h% o
Did it begin suddenly?
6 a: {3 }. q1 q( J& Q% ^! \, IHas it increased recently?0 C! d. x3 U) c; M
For how many weeks has the cough lasted?+ I, N$ X! E5 l* I1 b
Is the cough worse at night?
, ?7 \& X/ f6 l. Q s5 ?- X- F/ vWhat other symptoms do you have?
5 h2 h1 C& u$ sThe doctor will do a complete physical exam and check your chest and lungs. Tests that may be done include:, x3 ?( O' M; \0 K- f* `# F9 T+ k
+ F9 C7 m3 R7 bBronchoscopy, a test to view the airways. Z, `. j6 H! D4 c: u1 P
Chest CT scan3 j9 U: V& r( ~$ s A1 t' _- T7 }
Chest x-ray
5 v3 u' G: r4 }7 o6 l3 AComplete blood count
* H. q8 I( c" i" r3 ~1 x H8 fLung biopsy8 T5 ~9 l* z4 S% n5 w9 Y" u: C
Lung scan
* @! z+ l1 W, \Pulmonary arteriography
( v6 n5 q/ f1 e( i0 H" @2 I2 QSputum culture and smear6 L# B' J8 H1 ^& I' v
Test to see if the blood clots normally, such as PT or PTT |
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