http://www.nlm.nih.gov/medlineplus/ency/article/003073.htm
! G$ Z2 I3 f* m' P7 `Coughing up bloodEmail this page to a friendShare on facebookShare on twitterBookmark & SharePrinter-friendly version
: w7 h" b U- t6 \( }2 @# V0 oCoughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract)." i% s9 z9 A8 q7 [4 }) o
* |: j4 B3 a) s$ M& B3 B1 @. g3 x5 JHemoptysis is the medical term for coughing up blood from the respiratory tract.
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6 G K6 E# T8 c( i9 s/ W' RConsiderations
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$ i3 o. J' j* g$ W+ X8 s8 l, vCoughing up blood is not the same as bleeding from the mouth, throat, or gastrointestinal tract.# {2 I- b7 y" w2 k; Q% o( \
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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.+ B6 q4 \: x' ^* `. b9 Z3 U
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Causes) Y+ Z4 r# O# h c0 |# w7 B( B2 T& |1 b
8 X2 \, B% W3 Q" x4 b! U! R; p$ `A number of conditions, diseases, and medical tests may make you cough up blood, including:
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0 ?* |' e& D+ u2 fBlood clot in the lung
9 i1 v9 a1 Q0 ?8 kBreathing blood into the lungs (pulmonary aspiration)$ E3 n! _3 V. u, m
Bronchoscopy with biopsy7 `3 G' B' w0 \7 s! M1 q# S( R
Bronchiectasis2 j7 Z4 I6 u. e
Bronchitis
: @" }2 T2 I n5 w; P- c2 PCancer" i0 d8 G* H v2 h$ G
Cystic fibrosis6 c/ l; N/ X1 i% m
Inflammation of the blood vessels in the lung (vasculitis)( q5 i1 h. y9 I3 C
Injury to the arteries of the lungs6 _! z) {" o) _0 t% ^5 `. e$ }3 f, S
Irritation of the throat from violent coughing (small amounts of blood)
; K; \1 z, Y/ g( P) QPneumonia or other lung infections
- r0 a" y) q" p' KPulmonary edema
5 m8 E a' t* f2 J) H1 w; OSystemic lupus erythematosus+ [: h ^ B3 h$ i
Tuberculosis5 O: N' v+ V u" j
Home Care( |3 @1 c( S! a7 A6 {# c9 ^3 z
# m: s8 N& q" X! eCough 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., J P/ u* G6 ? i9 n6 [
1 u0 _+ F3 e0 wIt 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.# d: t6 s( F0 @2 |9 u
$ C- s& \& q6 ]$ V: `, a% \' EWhen to Contact a Medical Professional
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Get medical help right away if you cough up blood and have:
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5 B# F4 _) h0 p, zA cough that produces more than a few teaspoons of blood
0 |2 S0 |# B) |& o x7 P; @3 jBlood in your urine or stools- v: T, |% o3 `% [7 J
Chest pain# C" A" h V% g, e1 u- L# V4 P, [/ w
Dizziness+ s) k4 ?3 o @
Fever% z( v# R- h0 W+ p8 c- j
Light-headedness! }- k0 `6 s# F: N7 P! I
Severe shortness of breath
" P6 `1 j% Y1 T2 [8 D) i O; BWhat to Expect at Your Office Visit
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/ }" g; o) [4 H& ?4 {! ~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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Type0 ]# T5 _, G$ ?5 s& Z
Are you coughing up large amounts of blood (massive hemoptysis)?* M# \7 `+ G" C" c) A# ` i
Can you see blood when you cough up something?
2 T, `' l7 n7 N7 n9 y F" l( OHow many times have you coughed up blood? e2 C6 f. ?8 H; |
Is there blood-streaked mucus (phlegm)?
6 p% g. Z' d" s3 |/ j; NTime pattern' T) o& w% o; q6 E/ G4 ]
Did it begin suddenly?) @1 m% P& `5 @$ v1 h. G
Has it increased recently?3 c' I; e) l8 M4 V1 T
For how many weeks has the cough lasted?
( g7 n5 L- O) ~; ]: t1 P( X' TIs the cough worse at night?
, h @4 a" B2 V8 t. m1 L* Q$ `2 DWhat other symptoms do you have?. m* D9 r! d, L$ E( ]7 T
The doctor will do a complete physical exam and check your chest and lungs. Tests that may be done include:
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9 b! d0 R2 w4 i5 ]. X! xBronchoscopy, a test to view the airways
' B0 }" J. O/ |: e0 oChest CT scan3 w9 O5 ^) S! J6 t" g G6 d
Chest x-ray" B( Z$ U. u; d- d3 h1 s
Complete blood count! f. @4 D- d% `
Lung biopsy
2 s6 }* Z }: I! Z; z1 NLung scan! N- ]" X9 y) o4 U3 E+ Y) Z
Pulmonary arteriography
7 r1 }$ W+ X/ fSputum culture and smear
* ^3 W! @1 w& Q* H+ R8 QTest to see if the blood clots normally, such as PT or PTT |
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