http://www.nlm.nih.gov/medlineplus/ency/article/003073.htm2 s2 L1 q& Z- F, M+ s! y
Coughing up bloodEmail this page to a friendShare on facebookShare on twitterBookmark & SharePrinter-friendly version0 n4 [! E Y T) x
Coughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract).+ O8 E! P1 C1 g2 r7 ?2 |& `
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Hemoptysis is the medical term for coughing up blood from the respiratory tract.
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7 X6 @. [8 i5 L) Z* i: X; MConsiderations
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8 a2 G9 c: L2 p& b: W; QCoughing up blood is not the same as bleeding from the mouth, throat, or gastrointestinal tract.
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/ W9 j1 q! K3 H( i4 ~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
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5 h" V5 o# T( ]" bA number of conditions, diseases, and medical tests may make you cough up blood, including:
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Blood clot in the lung, A7 w# ?$ l, Q; O8 S7 G4 U/ H9 m! z
Breathing blood into the lungs (pulmonary aspiration)1 e8 Y( M5 Q( f! _) Q
Bronchoscopy with biopsy6 G5 z3 u, u, w4 v3 }. Y2 _) Y
Bronchiectasis
9 q x. Q3 K* ]: x2 b$ SBronchitis
0 \1 a; J. U: I- p) `Cancer7 F K3 S- O O
Cystic fibrosis
) m2 _) v2 c7 a5 \! A4 J3 m1 IInflammation of the blood vessels in the lung (vasculitis)8 e& k4 ]8 e* e8 ?& ?( Q0 {
Injury to the arteries of the lungs Q3 I& |; e7 T
Irritation of the throat from violent coughing (small amounts of blood)2 k& e; q" d6 S/ e
Pneumonia or other lung infections5 z: K$ o& g0 y) l
Pulmonary edema
$ H8 `5 B; |- s) @8 ~7 c8 c1 MSystemic lupus erythematosus4 t: h9 x) @9 R# I' h& N o
Tuberculosis
/ ]! K' ~7 L7 o9 e0 |Home Care
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. g7 e, T: n# _. \ gCough 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 Y4 |' J5 a( i, y& A
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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.
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When to Contact a Medical Professional
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% P3 f1 X8 S$ U! h1 Q' yGet 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 blood8 b q1 R* ]! n7 g$ E
Blood in your urine or stools
3 |& B7 h) m9 F+ x& M: j) |Chest pain7 P4 W* C9 @; e7 T m
Dizziness' M' M2 P( P* a# W g+ e
Fever
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: s/ J6 L; P) B; ]: {' ySevere shortness of breath( m3 u9 @$ j" P6 V5 [; k
What to Expect at Your Office Visit
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D1 {+ L4 n: l3 ]3 XIn 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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Are you coughing up large amounts of blood (massive hemoptysis)?
3 ^& Q/ c9 q) h1 A9 aCan you see blood when you cough up something?
2 f+ h, z. g9 m$ G5 HHow many times have you coughed up blood?
5 z- ]! Y! u3 j1 ]$ A2 W# B8 e7 Z# dIs there blood-streaked mucus (phlegm)?( h: f* Q/ }1 G# s% R" `
Time pattern
9 J/ d! z9 R# I7 y2 \; wDid it begin suddenly?
4 G) @* f) Z5 ]2 f' V% H& aHas it increased recently?
; u' I7 \7 v8 d$ X7 sFor how many weeks has the cough lasted?
' f# ]6 r& j) O6 qIs the cough worse at night?
0 }: _9 d! o: ]5 [0 A* [What other symptoms do you have?2 j- z# u/ C0 R! @8 e0 [
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) ?6 s! p/ A7 Z5 v
Chest CT scan
, D4 A2 ~+ H5 F/ [ z) g R1 OChest x-ray: a# h7 x. N0 M9 C$ ~
Complete blood count6 z# {0 d- g; c& E p, l3 \
Lung biopsy
, z/ [# [9 c% |+ eLung scan
7 i3 d3 W3 f }Pulmonary arteriography% f# Y4 g' f) b2 G6 R
Sputum culture and smear
. Y. d8 w5 H& m9 ]Test to see if the blood clots normally, such as PT or PTT |