http://www.nlm.nih.gov/medlineplus/ency/article/003073.htm
% Q1 u# M: m( f& BCoughing up bloodEmail this page to a friendShare on facebookShare on twitterBookmark & SharePrinter-friendly version3 G8 p8 q& R2 r, B3 z
Coughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract).% ?: Y5 ~' v$ `9 T! N6 P H6 G
9 s/ |" F6 _" y- RHemoptysis is the medical term for coughing up blood from the respiratory tract.
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1 c) a Y; S) j8 g3 k$ @Considerations
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Coughing up blood is not the same as bleeding from the mouth, throat, or gastrointestinal tract.
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. v, w& n |- [7 LBlood 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.' ^, n" n8 h6 K1 r& Q
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Causes
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- E0 H: ~# }: f, J9 eA number of conditions, diseases, and medical tests may make you cough up blood, including:
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Blood clot in the lung! Q/ q1 k' s' _' ]
Breathing blood into the lungs (pulmonary aspiration)$ _7 p" ^9 r3 e" L/ I: X7 e
Bronchoscopy with biopsy
3 F) a6 C, _; iBronchiectasis: `% @8 k! {" Z/ s4 I
Bronchitis
9 y/ Q9 p1 K& J- v, Z% g8 J9 }& {Cancer
3 o( }" V% {' q+ oCystic fibrosis; D- u# M" V2 G& S* k% a
Inflammation of the blood vessels in the lung (vasculitis), L! T- n* Z+ D# f+ {8 E! k! a* A
Injury to the arteries of the lungs
8 f* g' _( W; g1 K. L" k( jIrritation of the throat from violent coughing (small amounts of blood)
+ t$ ]% V# }6 {6 ~Pneumonia or other lung infections5 \8 v! V) M) y% [
Pulmonary edema' _, H+ z; W m9 M
Systemic lupus erythematosus; D6 m6 C! e4 s( r
Tuberculosis k0 l0 r0 O6 U% G# m, u5 Y
Home 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.
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7 {9 H! |0 c% PIt 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.; n' ]" i% ]& P0 R( |
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When to Contact a Medical Professional
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0 E. I2 q4 {: `2 g+ [1 o gGet medical help right away if you cough up blood and have:' X( w2 Y% i7 b5 \- T; e7 s
7 c* H, ~. e/ I( \A cough that produces more than a few teaspoons of blood0 q& p. W0 Z+ U% O1 z; M- d% Z
Blood in your urine or stools
; a0 K) n; A6 F; e+ M4 C$ mChest pain
# P$ F( E/ ^! L0 U) w7 a% l6 VDizziness- Q, ?+ d) b7 I ^1 k% H2 G0 v' U5 u% C
Fever
2 C& ~: u0 a$ Y% ?; p5 _Light-headedness
5 l7 A* M0 X b8 NSevere shortness of breath
' R+ @8 L5 J& ~. x! ZWhat 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:
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Type
" \7 J0 V% \2 U8 u" u6 qAre you coughing up large amounts of blood (massive hemoptysis)?
1 B+ F ^8 Q A5 l+ A. cCan you see blood when you cough up something?7 ^$ M8 p2 _. _* R; s+ d
How many times have you coughed up blood?0 n9 L) q& \% T" q0 t/ }
Is there blood-streaked mucus (phlegm)?# ~; p; x8 T2 T5 X( Y+ k# i4 {
Time pattern1 d* y- m' T2 j. ]
Did it begin suddenly?
; t2 w, W$ m; |: {9 G# |Has it increased recently?. d! B# t& O1 |7 Q' j7 s; Z& w
For how many weeks has the cough lasted?! s: O# q- X, i
Is the cough worse at night?* d+ ^ ~# H% ~* Y0 X3 G
What other symptoms do you have?6 O8 y, b0 }% ~9 a/ Q: V
The doctor will do a complete physical exam and check your chest and lungs. Tests that may be done include:
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B, N- [6 @7 PBronchoscopy, a test to view the airways
K( K+ w- S0 u0 S1 OChest CT scan J5 O; s9 Q; N. }! Q- V' A2 b: W% Y7 X
Chest x-ray9 S$ l9 @9 b+ u8 Q- u6 b% @
Complete blood count! |1 @3 y- h, r. e
Lung biopsy% w, x4 r6 e/ Q* b& {! @/ b+ {% B( Z, n
Lung scan
; y J9 d& t/ T5 L3 Q( u( UPulmonary arteriography
& D+ u2 r7 g8 ~" C, }$ ^Sputum culture and smear X/ n% L4 E' X" U8 E; M9 a
Test to see if the blood clots normally, such as PT or PTT |
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