http://www.nlm.nih.gov/medlineplus/ency/article/003073.htm
3 ?6 O, r# r, v' I5 M/ W# N- n. X) FCoughing up bloodEmail this page to a friendShare on facebookShare on twitterBookmark & SharePrinter-friendly version
4 ~5 W W# H8 g* k, C* oCoughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract).: ?# g4 @$ T! y; k
' b" F& ]: t8 ~' x J5 nHemoptysis is the medical term for coughing up blood from the respiratory tract.8 q1 z0 y0 D# x2 G: h$ H" @* `5 ~
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Considerations
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* a* l+ S+ ]( c$ T* T5 xCoughing up blood is not the same as bleeding from the mouth, throat, or gastrointestinal tract.+ b+ Y& F$ Z) E; A8 W, F
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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.
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& V0 U0 l! h" O' o' \Causes0 |8 S$ Z0 T: P9 v: I& d# y4 R
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A number of conditions, diseases, and medical tests may make you cough up blood, including:5 ^4 e% i; V4 y, m! w! s/ l4 Z# H
( [ K# W4 t1 m6 G; TBlood clot in the lung
1 n0 W" q% s! Z7 ^Breathing blood into the lungs (pulmonary aspiration)
z6 T6 G7 W$ X" ^! F0 i( v! DBronchoscopy with biopsy( |6 ]% J; i" B0 o& I( g( l" r
Bronchiectasis
' `( ~+ a2 n \# JBronchitis
. x1 a! w/ e4 TCancer% d1 g: I# W4 F: z
Cystic fibrosis
; @: @( ^3 O8 l/ G: f% |Inflammation of the blood vessels in the lung (vasculitis)
/ h; b& s7 d+ X5 @& U, zInjury to the arteries of the lungs
) D9 V5 B: T1 R6 PIrritation of the throat from violent coughing (small amounts of blood)# a. f- [2 w. {+ ], k
Pneumonia or other lung infections- l) ?- F8 Y Q5 l; y1 k& U
Pulmonary edema
" w/ I$ t$ Z- }. v- m5 DSystemic lupus erythematosus
" X; _' H% S3 E( cTuberculosis
- F! H% T% |# B- v! U. xHome Care9 J5 g' P( i0 `+ f# j3 R
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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.( b" D2 c* Y3 `2 R
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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.# o ^( k2 o3 V$ R
( M9 a. d5 v+ N% LWhen to Contact a Medical Professional
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% _" w% w2 x% ?: A/ D* Y3 tGet medical help right away if you cough up blood and have:/ I; O, P/ D$ b5 ]: {& c: }+ x
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A cough that produces more than a few teaspoons of blood
9 K9 z! \. @; I, Q) [& J& v+ K) hBlood in your urine or stools V0 u& ^: i, u2 K8 s- ?
Chest pain
9 V5 \! y! K' ]% {! y& uDizziness
" l6 V- G. I9 J1 ~ T' O9 ]Fever$ w, g0 N" k* P% C& S5 |: p& \
Light-headedness |$ {. ~4 M( _3 J* c
Severe shortness of breath
1 ~2 Z1 u2 n5 U$ h# pWhat to Expect at Your Office Visit% J: P2 ^# ]' h9 n6 ~
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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:0 j8 w Z% Q) W9 e2 x/ N1 s
! P5 {% h2 J* @% ^Type
0 h' g F9 a" v) o& ]3 cAre you coughing up large amounts of blood (massive hemoptysis)?
$ Y5 _ L" t6 z- H2 d b4 ACan you see blood when you cough up something?* T' g( ~3 q) g4 h Y# \
How many times have you coughed up blood?2 I* O- U6 R+ f( O5 L( T
Is there blood-streaked mucus (phlegm)?
) A- d6 N9 `' U$ y, n! d, T+ hTime pattern
) {6 s/ h; h8 y' e% O8 t6 N5 XDid it begin suddenly?! J) G) U9 J9 @ K9 H
Has it increased recently?, m) z2 Z3 L' x* H/ t
For how many weeks has the cough lasted?
2 g2 h2 M2 u' U/ dIs the cough worse at night?6 z8 f. G4 G; V) z( v0 a
What other symptoms do you have?
2 q- @$ k4 w- l6 l( HThe 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 airways$ `/ Q1 M# f" ?3 W
Chest CT scan- I% K; y ^1 }# g; @5 v; H
Chest x-ray
5 P* R. M. |: x- m5 ?* q- NComplete blood count
) F5 D+ Y" p! O" b( o' eLung biopsy
7 w/ \7 s+ c* A, N( X1 W5 g! i; ?Lung scan
* U+ Y$ {2 S: R$ H' u, GPulmonary arteriography
$ ]( X1 h$ @3 e$ r# a& `, Z/ }Sputum culture and smear" p, A9 Z* ?8 s1 K P+ F
Test to see if the blood clots normally, such as PT or PTT |