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Hemoptysis

Hemoptysis is the medical term for coughing up blood. There are many causes for this, including minor illnesses like bronchitis. Hemoptysis can also be an early sign of a more serious illness, like a blood clot in the lung (pulmonary embolism), cancer, tuberculosis or pneumonia. 

Front view of man showing lungs and trachea.

Less common causes of hemoptysis can be hard to diagnose in an emergency department or a clinic. More testing will be needed if the symptoms continue.

Home care

·       Stay away from cigarette smoke. Smoke irritates the bronchial passages.

·       Unless you are taking daily aspirin to prevent stroke or heart attack, do not take aspirin or products that contain aspirin. Aspirin affects how readily the blood clots. Medicines that prevent clotting may make hemoptysis worse.

Please note: If you were previously prescribed any blood thinners such as aspirin, speak with your healthcare provider to find out if you should continue taking these medications.  Do not stop taking medications to treat other conditions unless your healthcare provider tells you to.  Always ensure that you tell your healthcare providers about all the medications you take on a regular basis.

·       If you have a lung infection, drinking extra fluid will help loosen secretions in the lungs.

·       Over-the-counter cough medicines that contain dextromethorphan may help reduce coughing. Check with a medical provider before taking dextromethorphan if you have a chronic illness, are pregnant or take daily medications.

·       If you were prescribed an antibiotic, take it exactly as prescribed. Take it even if you are feeling better after only a few days.

Follow-up care

Follow up with your healthcare provider, or as advised.

When to seek medical advice

Call your healthcare provider  if you have a fever of 100.4ºF (38ºC) or higher, or as directed by your healthcare provider.

 

Call 911

Call 911 if any of these occur:

·       Coughing up an increased amount of blood

·       Trouble breathing, wheezing, or pain with breathing

·       Chest pain or chest pressure

·       Fainting or losing consciousness

·       Rapid heartbeat

·       Weakness or dizziness

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