http://www.nlm.nih.gov/medlineplus/ency/article/003073.htm* B6 x; C5 ?1 Z$ _3 R
Coughing up bloodEmail this page to a friendShare on facebookShare on twitterBookmark & SharePrinter-friendly version0 p, W; T& y. W$ i6 j2 V3 B1 l1 C
Coughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract).' H$ y3 K* z/ r6 G8 A4 R, _' E
, l( c. e" I% b' ^Hemoptysis is the medical term for coughing up blood from the respiratory tract.
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Considerations% D& x/ O7 k! p, c" _1 h& z
5 P; Q# @$ r- j3 Q( T; u _ ?1 qCoughing up blood is not the same as bleeding from the mouth, throat, or gastrointestinal tract.6 r0 B, a# O3 B# |" V
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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.; H/ U5 j5 |' M9 I: \* \
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Causes
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A number of conditions, diseases, and medical tests may make you cough up blood, including:* z) `. X+ m+ ]. }
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Blood clot in the lung5 ?3 A' O# z+ [9 }
Breathing blood into the lungs (pulmonary aspiration)
+ U! K' ^: S) R( k. ]3 gBronchoscopy with biopsy" _; e( p1 `8 c. K+ b, v
Bronchiectasis
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Cancer
3 l9 y' j# z+ T/ J$ W$ VCystic fibrosis. g& V4 `$ ^1 E! {' ] m
Inflammation of the blood vessels in the lung (vasculitis)
5 O2 |! O: t% a+ FInjury to the arteries of the lungs
" `3 u! h9 x1 P& OIrritation of the throat from violent coughing (small amounts of blood)8 N0 U+ ]0 n7 {. \) J4 J% Y
Pneumonia or other lung infections3 ~0 `% e4 `. t1 a0 z4 F' |
Pulmonary edema
$ k7 h" C+ K' ^ R. a) }! uSystemic lupus erythematosus
# Y. ~! ]+ Y8 ^& cTuberculosis/ {9 u' |: v* Q$ B0 B: N
Home Care/ K9 o8 t7 {6 Z; Q" 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.2 K) g; D* n& {, @/ t
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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.7 G4 q9 m/ q( s. Q7 f
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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:/ W9 e! ?' _8 |) b" i0 \
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A cough that produces more than a few teaspoons of blood9 X2 a0 G& l$ L! D9 p7 [: V; S
Blood in your urine or stools0 d2 V4 l3 J8 T6 M7 v
Chest pain
a; ?5 P2 O% f. nDizziness
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Light-headedness- d8 b: C. g& p$ ^' M3 j( \
Severe shortness of breath8 n/ e5 ]: [) I, F
What to Expect at Your Office Visit
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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:& ]; q3 H) ]- J/ ~
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3 _5 J ~* ? `$ h! {9 m- W. j# \' y% D- mAre you coughing up large amounts of blood (massive hemoptysis)?+ J5 r% ]$ M3 c4 b
Can you see blood when you cough up something?
( j8 m4 _0 |7 k ` d8 E% U4 |How many times have you coughed up blood?3 b" I. ~2 ]4 U+ o$ k
Is there blood-streaked mucus (phlegm)?& S2 x6 o/ d8 k! E4 s
Time pattern* K9 B3 W8 G# J) Q- N2 {# H$ O
Did it begin suddenly?
, W" u8 n7 b, Y5 |6 Q. H& R. y. ^Has it increased recently?
# X# M0 X" { s! RFor how many weeks has the cough lasted?) s" ]; b6 `: C& M- s5 Y" z, s
Is the cough worse at night?8 C$ h- U# r5 P0 w4 ?
What other symptoms do you have?
. ?$ Z9 |4 w2 H% l: d7 LThe doctor will do a complete physical exam and check your chest and lungs. Tests that may be done include:
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Bronchoscopy, a test to view the airways0 r4 m' l& m4 A, C! \, w/ d
Chest CT scan
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Complete blood count
z) R0 M. n5 r' E; C( u# Q' L& |8 \Lung biopsy" n, ~8 L" P" Q% m0 x. @4 ]9 \
Lung scan5 f: t( H2 n1 G- i
Pulmonary arteriography8 M9 V1 l. Z3 z" {' g, R
Sputum culture and smear
W* g& M0 g1 N* m' m' NTest to see if the blood clots normally, such as PT or PTT |
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