http://www.nlm.nih.gov/medlineplus/ency/article/003073.htm7 l2 a/ R( [- s% G" E7 y- J( w
Coughing up bloodEmail this page to a friendShare on facebookShare on twitterBookmark & SharePrinter-friendly version
% D, g K& O1 e6 k7 V5 @Coughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract).
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3 z0 y! B2 R$ X8 FHemoptysis is the medical term for coughing up blood from the respiratory tract.
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5 u8 z3 x' Q3 i ]7 y6 Y) W, mConsiderations6 h9 [; S0 e4 @* B1 h& B& U; t
& R6 _9 \, k4 X4 [* ZCoughing up blood is not the same as bleeding from the mouth, throat, or gastrointestinal tract.# r+ s& e+ n' E5 L
. x+ a* S6 I7 n# NBlood 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! Z& z% y5 ]2 f# G# E/ }
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A number of conditions, diseases, and medical tests may make you cough up blood, including:
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Blood clot in the lung
Q k8 ]) r2 i9 eBreathing blood into the lungs (pulmonary aspiration); S% _, `1 |& Z' @
Bronchoscopy with biopsy3 _8 v' X: K2 A1 J2 L
Bronchiectasis
; H" M0 q" g& d1 lBronchitis
( Y) G: Y( t. U3 [( `Cancer: O8 N Q# r9 ]
Cystic fibrosis0 P8 \) U8 q; d) w* Q
Inflammation of the blood vessels in the lung (vasculitis)
! V5 x- o2 i* E" X& ~$ B* c! cInjury to the arteries of the lungs
3 T3 N7 h7 W8 M. {: b) `Irritation of the throat from violent coughing (small amounts of blood)
" D$ U" y1 B5 f7 i$ dPneumonia or other lung infections
! O0 p) q! i$ R$ S7 k% kPulmonary edema% |, U5 C n, l0 C
Systemic lupus erythematosus
; B2 S. M2 z/ R+ ?Tuberculosis
" @4 v2 O" L8 q6 F/ cHome 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.4 Q+ O( V3 W3 X% v3 \
$ Z3 F$ N3 s3 J: n% F5 z9 E0 ?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.1 N% e, O. f4 ?% C
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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:% p/ W/ y- }; V. k: |( f6 s
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A cough that produces more than a few teaspoons of blood# U% x3 q( V- V8 P5 l9 m8 e" i
Blood in your urine or stools9 g' V8 M4 V1 S, H* \5 F
Chest pain
- K& C8 h0 A6 O+ N- _# H0 jDizziness
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Light-headedness5 H$ r( z0 x: }4 {
Severe shortness of breath* m$ [* {" _2 l4 b
What to Expect at Your Office Visit' P0 A& G+ }7 \3 a h+ x3 y+ T
: W& \0 i; Q5 |3 N$ e( {6 F7 mIn 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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& I" v3 j) F# j5 C9 C2 E3 VType
2 {6 Q, o, i# Y8 t2 [Are you coughing up large amounts of blood (massive hemoptysis)?
! g3 k8 K' V6 g ]: {) i/ x: fCan you see blood when you cough up something?
8 f/ Z, P" L$ Z! a vHow many times have you coughed up blood?
, I5 n, k& f" a% o( I3 ]Is there blood-streaked mucus (phlegm)?
J9 r2 _4 v) `! H0 M' ETime pattern" K9 }; n: ?8 J/ Q% O( I: t$ t
Did it begin suddenly?
2 w `& C% v0 u% x6 @Has it increased recently?: Z& X5 Q9 X* M" `/ x
For how many weeks has the cough lasted?- e) f4 @) h/ z# E. h/ h- h
Is the cough worse at night?1 q3 G) V2 X% I; m9 m" D$ I
What other symptoms do you have?2 u$ A& h4 h2 A5 x& ~; A2 c
The doctor will do a complete physical exam and check your chest and lungs. Tests that may be done include:
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# @" B0 g: ?4 o. a& W9 j: m; o. nBronchoscopy, a test to view the airways
& \! }4 e9 I$ T( Y1 @5 A, C9 GChest CT scan
- s8 i X" [1 l9 H6 KChest x-ray# `# Y: j: S: \9 r
Complete blood count3 U8 y. N, k2 |9 d; f
Lung biopsy1 o% [0 v4 ~- u M) J/ }" t$ [( P
Lung scan5 A6 J. x. h4 e( Y+ v; q2 P d
Pulmonary arteriography- S" R" g. s4 h) o- O7 k: e, E
Sputum culture and smear
: a$ f$ P$ D, h9 u# ~Test to see if the blood clots normally, such as PT or PTT |
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