http://www.nlm.nih.gov/medlineplus/ency/article/003073.htm" p, z( g! W& M4 ]' k& p' V
Coughing up bloodEmail this page to a friendShare on facebookShare on twitterBookmark & SharePrinter-friendly version
! |$ N% x; j4 A4 S9 pCoughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract).
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1 S z9 x5 D. g; X% Z. Q" c" e! e RHemoptysis is the medical term for coughing up blood from the respiratory tract.
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$ W$ a& P7 c( O7 I6 yConsiderations' J5 l% e5 f* |- n: r! n. d) ~
' R; x0 y4 i& [# ICoughing up blood is not the same as bleeding from the mouth, throat, or gastrointestinal tract.+ b/ H; n# P) C) j3 Q. J, w6 R
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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.' M0 m3 R2 ?/ _% E5 s3 U
1 `( d8 K& P: s$ n& r! UCauses/ P2 f* |* @8 M* E! @
0 o+ Y/ H, A& b7 j( |A number of conditions, diseases, and medical tests may make you cough up blood, including:6 N" O' y5 `# c4 Y& E
. ?2 V/ {( y4 I! k: Z) `0 ?Blood clot in the lung3 Y; ?9 ]% ^" [, k
Breathing blood into the lungs (pulmonary aspiration)
/ F2 _3 ~! T% {% t+ S7 a8 oBronchoscopy with biopsy" k3 u- P8 H- J% s8 ~" N- v
Bronchiectasis' m7 g4 n' W- B4 ]
Bronchitis
7 V6 C2 z, S; E8 \) e8 PCancer8 r7 n* F$ H; G/ M
Cystic fibrosis' z. q4 R3 c" d! ? _# ]
Inflammation of the blood vessels in the lung (vasculitis)
! }8 o2 z: j" h$ J0 l9 a; r: z. n) n, NInjury to the arteries of the lungs
~ r4 W& `% E0 l, I* s5 e9 \Irritation of the throat from violent coughing (small amounts of blood). {; e% t# V2 m% b1 L+ w _
Pneumonia or other lung infections
& I- Q2 N1 ?3 B4 @! K \Pulmonary edema
* u6 ^) s( K, w+ ASystemic lupus erythematosus
0 U8 \+ U( f) s3 d& ]! ~Tuberculosis
$ B! T+ G8 s j! y9 t9 Q& \Home Care& U }1 x6 {" [$ i+ X/ b
+ t/ [9 d7 ^" K+ F. [5 S% I1 y5 qCough 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.0 [ v1 X( ]) B" M9 A4 I
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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.) `' ^) g4 D/ @1 A+ {
q: Y) G* ]+ i9 E- F- p" G4 NWhen to Contact a Medical Professional% O5 ~2 G E& E7 W9 P
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Get medical help right away if you cough up blood and have:( q" \, h- U, p
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A cough that produces more than a few teaspoons of blood+ e0 B, X% ?& x& \. |9 f( X# z
Blood in your urine or stools
Q7 I& C' w, }& n1 PChest pain* E3 Z: D: v& o
Dizziness
) V- e$ L" m5 ^( e- kFever+ q2 A, f4 }0 F; n% g: } X# F
Light-headedness- X0 U- W2 _: \' f5 a
Severe shortness of breath8 w0 C8 K9 i3 C
What to Expect at Your Office Visit
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8 X5 v) I" ~% R1 FIn 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:: J5 S, H6 n3 o5 }3 w' d
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Type
) d! U; F6 _7 F* DAre you coughing up large amounts of blood (massive hemoptysis)?
5 n1 S$ J6 d3 U9 E# g8 D6 JCan you see blood when you cough up something?
0 E) X& Q% A# c8 h" b) t' o1 P NHow many times have you coughed up blood?
" A9 Q6 c! [4 B# U" h9 nIs there blood-streaked mucus (phlegm)?
; {, d5 X- S7 s6 GTime pattern1 d8 o7 v, X+ u F
Did it begin suddenly?9 Q) R' q! i( |( t
Has it increased recently?
+ ?8 `7 s0 W1 d; Q; kFor how many weeks has the cough lasted?
/ F# Q$ t2 E8 K4 O* }" c: o: S" rIs the cough worse at night?/ ~1 J) l. @1 A
What other symptoms do you have?
( ~) N' A1 A6 U$ l' n) k# j( YThe doctor will do a complete physical exam and check your chest and lungs. Tests that may be done include:
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" d/ g# G d" B+ K3 C r2 oBronchoscopy, a test to view the airways# j1 A$ d+ x; O3 n
Chest CT scan2 M5 O6 P9 r" S
Chest x-ray! K6 t6 i) {9 a" K% E
Complete blood count
) }$ x/ s: Q! A7 A) a5 ULung biopsy
; f. ?& k6 j7 h. MLung scan
! g7 R; A% X, s* h$ aPulmonary arteriography$ r H3 r* V. L e
Sputum culture and smear6 g$ x+ X9 T: m2 X+ t
Test to see if the blood clots normally, such as PT or PTT |
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