http://www.nlm.nih.gov/medlineplus/ency/article/003073.htm+ L; X( z- T7 c1 v2 p' L6 d) [7 [& }
Coughing up bloodEmail this page to a friendShare on facebookShare on twitterBookmark & SharePrinter-friendly version# F& f2 z& ^6 d$ w+ @6 i$ H* M! K! I
Coughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract).
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# J" z x/ e5 c" [+ s* h. y& JHemoptysis is the medical term for coughing up blood from the respiratory tract." r8 ]1 H4 `) g/ N0 s7 j
b$ j u* i( j5 vConsiderations$ R: j% X0 p0 ~& W% o
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Coughing up blood is not the same as bleeding from the mouth, throat, or gastrointestinal tract.
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9 h: m, N, W$ ]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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Causes& ~9 }2 _2 _. Q% _. q
8 c {# g0 l7 ~5 W0 h9 j HA number of conditions, diseases, and medical tests may make you cough up blood, including:
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* \2 \% e' {& O/ g$ ^Blood clot in the lung9 r0 f; l! b3 C; q- L1 \
Breathing blood into the lungs (pulmonary aspiration). @* l8 _: Z( z/ D, ]; l
Bronchoscopy with biopsy
4 \ _$ ?' z T3 `3 O* U+ E2 hBronchiectasis
; H9 d3 r: H* s! QBronchitis
# F z" j6 Y* c# X1 YCancer
0 S0 G5 I+ p* i2 j$ o7 lCystic fibrosis
0 x" e" B7 j/ d: c; Q6 ~# ]2 CInflammation of the blood vessels in the lung (vasculitis)3 N$ m- v/ S# Q8 e& P
Injury to the arteries of the lungs
* ~2 l9 U m9 D2 {% E, H5 mIrritation of the throat from violent coughing (small amounts of blood)
; S: ^0 F2 l6 Y' t5 CPneumonia or other lung infections
/ Y: v5 f; q* t5 O: aPulmonary edema
5 \# ?% L2 f$ x/ r2 A& O1 vSystemic lupus erythematosus
; ]6 q- c6 \. o- g9 f# u8 nTuberculosis% k Y2 g4 ?% g* U( g. |, _" X/ s
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. ^! J" ~$ C, q: b0 J9 I# T6 V. H
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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.2 Z: @$ d$ c" a2 k+ i* m7 b
, F1 M- S8 G7 Q0 R1 y9 MWhen to Contact a Medical Professional7 \' p* t5 P( }+ R0 z* Z- W
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Get medical help right away if you cough up blood and have:
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A cough that produces more than a few teaspoons of blood
! o" J" h% O: J1 j" g$ RBlood in your urine or stools- w0 a7 a2 S1 c: s6 D$ r1 {
Chest pain
; D& S$ l$ j3 J* Q# p% sDizziness
$ V8 X. o: ^3 i# A" aFever
% _( P/ c1 q3 L( @% h' z0 u/ d- U7 ~Light-headedness
5 O& _; o9 k* j& b& |; x* _8 F6 HSevere shortness of breath% }, U. n* v: p5 M' W
What to Expect at Your Office Visit1 O9 O( h! u5 A K1 \8 N
8 y: d# V: _. nIn 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- ~( ?% y* g% V4 o5 f q) Q5 J
Are you coughing up large amounts of blood (massive hemoptysis)?
! w9 E H5 X* [; J5 ^Can you see blood when you cough up something?
5 m4 Z% A+ Z" F% Q4 K4 XHow many times have you coughed up blood?
5 S1 M* Z0 a, h. K9 e9 r: tIs there blood-streaked mucus (phlegm)?( B, Y2 F1 F2 i$ o
Time pattern1 r" ^! G j8 f
Did it begin suddenly?
2 T l6 H# U/ d1 s# S. f8 DHas it increased recently?9 h( }- ?7 a0 J3 l/ [0 c
For how many weeks has the cough lasted?: `' P' Y4 j q9 @, S
Is the cough worse at night?" i8 i; S) c1 |# r
What other symptoms do you have?, V/ D4 M D1 E; J( C$ k 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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Bronchoscopy, a test to view the airways
4 j/ ^0 e( y7 E; f/ wChest CT scan: h+ B6 o2 `/ i z" s: @- \' {
Chest x-ray
# m4 E3 w3 n1 A( ]! P$ ~9 k' P8 n, OComplete blood count
3 _. Z2 i2 B/ L) X* K' O% pLung biopsy
1 @7 V" P2 u( G3 v2 X9 Z1 w: {Lung scan
. q5 k/ f9 J" O+ dPulmonary arteriography
1 L; Y2 _+ X' _& T5 mSputum culture and smear8 ?$ T' v" n% L5 z# G
Test to see if the blood clots normally, such as PT or PTT |