"MedicalWebPage", "FAQPage"

Get more insightful and

helpful tips to

treat Diabetes for FREE

Want an ad free reading experience?

Download PharmEasy App

Banner Image

Register to Avail the Offer

Send OTP

By continuing, you agree with our Privacy Policy and Terms and Conditions

Success Banner Image
Advertisement
Advertisement

What Does It Mean When You Cough Up Blood: Decoding the Alarming Signs

By Dr. Nayana Shetty +2 more

Key Highlights: 

  • Coughing up blood can be caused by various factors, from mild respiratory infections to more severe conditions such as cancer 
  • Identifying the source and frequency of blood in your cough is essential for understanding the potential causes 
  • Common reasons include nosebleeds, respiratory tract infections, asthma, and chronic obstructive pulmonary disease (COPD) 
  • Rare causes may involve lung cancer, tuberculosis (TB), and blood vessel problems 
  • Treatment and prevention depend on the cause, timely diagnosis, and proper healthcare and lifestyle changes  

Introduction 

The sight of blood after a cough can leave you worried. This does not always mean something serious is going on, but it could also be a sign of something sinister. Thus, we must not take it lightly and try to figure out the cause. To figure out what’s happening, we need to look into the signs and act promptly if we see blood during a cough. 

This article will talk about what to watch out for when this happens. Let’s delve into possible triggers and when you ought to ring your doctor or step into a hospital. We’ll also shine a light on the diagnostic procedures available. We’ll go over action plans and how a life overhaul may help those dealing with this issue. 

what does it mean when you cough up blood

What to Look for When You Cough Up Blood 

Noticing blood when you cough? You should observe where it’s coming from. Also, how often does it happen? What amount are you dealing with? All these clues might help spot the hidden cause. 

1. Identifying the source 

Identifying where the blood is coming from is crucial in finding out the cause. Here are a few ways in which we can find out where the blood is coming from: 

2. Blood in Mucus/Phlegm  

Blood seen amid mucus means that it may have come from the lungs or airways. This mix might seem frothy since it combines with air and mucus. It may range from bright red to a rusty tone. Clumps or lines of blood might be present in this mucus. 

3. Blood Streaks in  Saliva 

When you see blood streaks in clear spit, it means something else. This type of blood could be from the mouth or throat areas. It could signal irritation, hurt, or inflammation in these regions. 

4. Assessing the frequency and amount  

Pay attention to how frequently and how much blood appears when you cough. This will provide insight into the severity of the issue. 

5. Occasional Traces of Blood 

A tiny bit of blood in your spit or mucus could mean a minor issue. A slight infection or throat irritation may be the cause. There’s usually no cause for alarm in such cases. 

6. Persistent or Large Amount of Blood 

When you cough up lots of blood or keep finding it in your cough, seek medical help. Heaps of blood point toward a more pressing issue that demands urgent care. 

Did you know?

  • Chronic cough may be caused by upper airway cough syndrome, gastroesophageal reflux disease, non-asthmatic eosinophilic bronchitis, chronic bronchitis, and post-infectious cough, among other factors. source: ncbi
  • The most common causes of acute cough in adults are acute viral upper respiratory infection and acute bronchitis. source: ncbi
  • Coughing is a reflex that helps protect the airway and lungs against irritants. source: lung.org
  • Coughing can propel air and particles out of the lungs and throat at speeds close to 50 miles per hour. source: lung.org
  • Occasional coughing is normal as it helps clear the throat and airway of germs, mucus, and dust. source: lung.org

Potential Causes of Coughing Up Blood 

There could be many explanations for coughing up blood. Grouping these triggers as common or not-so-common can help plan your next move. It might also help to decide when to reach out to a doctor.

Here are some common reasons for this symptom: 

1. Nosebleeds 

A nosebleed may sometimes lead to blood getting mixed with mucus. When coughed up, it appears as blood. Luckily, most times, nosebleeds aren’t severe. They often ease off on their own without needing a doctor’s help. 

2. Respiratory tract infections 

Light to moderate chest infections could trigger blood in the mucus. Such infections could inflame or irritate the windpipe. That could lead to little traces of blood when you cough. 

3. Asthma 

Asthma may be another cause. This chronic breathing problem may lead to blood-streaked mucus. An asthma attack can agitate the airway. This could increase mucus production. That could have traces of blood. 

4. Chronic Obstructive Pulmonary Disease (COPD) 

COPD refers to long-term lung issues. This includes breathing illnesses like emphysema and chronic bronchitis. COPD may cause blood in a person’s cough, especially if the condition has worsened with time. 

5. Rare Causes 

Less frequently seen but more dangerous causes include: 

  • Cancer:  Lung cancer may show up as blood in mucus. This serious issue calls for prompt medical action. Other cancers, like in the neck area, could also cause blood during a cough. 
  • Tuberculosis: An infection called tuberculosis (TB) may also cause blood during coughs. It’s less seen nowadays in richer countries. However, TB contributes to a huge number of these cases globally. 
  • Blood Vessel Problems: Rare blood vessel issues may also be responsible. This might mean blood clots in the lungs or problems within the bronchial arteries. These situations demand quick medical action due to their potential risk. 

Hemoptysis can be a sign of many different diseases. Its cause remains unknown in about half of all cases. The evaluation should include conventional chest X-rays in two planes, contrast-enhanced multislice computerized tomography, and bronchoscopy.

Dr. Ashish Bajaj, M.B.B.S., M.D. in Clinical Pharmacology and Toxicology

When to Call a Doctor or Go to a Hospital 

To ensure you get the best care, you need to know the emergency warning signs. You need to know when to reach out to a healthcare professional. Certain signs yell “URGENT!” Let’s see what they are: 

1. Significant Blood Loss 

When you cough up lots of blood, call for help without delay. Large amounts of blood means the condition is urgent and calls for rapid treatment. 

2. Chest pain or shortness of breath 

If along with substantial blood loss you find it hard to breathe, it might be a crisis. Also, chest pain is a serious sign. Do reach out for emergency support in these cases. 

3. Worsening bleeding 

If over time you see more blood in your cough, it’s time to contact a healthcare worker straight away. 

Even if warning signs are not seen and blood in the cough has shown up only sometimes it would be wise to still contact your doctor who will be able to find the root cause and discuss a treatment plan if needed. 

Here’s a quick reminder: 

  1. Emergency signs: Losing lots of blood, chest pain or shortness of breath, and worsening bleeding. 
  2. In any case, with or without warning signs it would be wiser to seek medical advice. 

The most common reason for coughing up blood is a chest infection. Where a specific cause is found, the most common causes include: pneumonia – a swelling (inflammation) of the tissue in one or both of your lungs usually caused by an infection with a germ (bacterium or virus).

Dr. M.G. Kartheeka, MBBS, MD(Pediatrics)

Diagnosis and Tests for Coughing Up Blood 

A detailed medical history, physical inspection, and possible diagnostic tests might be carried out. This might happen when you consult healthcare professionals. They do this to spot the exact cause of the bleeding. 

Medical history and physical examination 

What’s the first thing a healthcare professional does? They discuss your symptoms with you. They take into account all health factors and similar medical issues. This gives them vital clues about the blood source. They then perform a health check. They want to figure out how severe your issue is. Based on this, they’ll decide if more testing is needed. 

Healthcare providers might use a mix of tests. These help uncover why you’re coughing up blood: 

  • Chest X-ray: An X-ray allows the healthcare worker to see what’s happening in your chest area. They can see detailed pictures of the lungs, airways, and blood vessels. If any harm or change is noted, they might find the cause behind the bloody cough. 
  • Bronchoscopy: During bronchoscopy, a doctor passes a thin, flexible tube into your nose or mouth. This tube goes towards the airway to get a closer look at the lungs. It lets them see any bleeding or inflammation in the lungs. 
  • CT scan: CT scans use X-rays to form detailed pictures of the chest. This gives a better view of the lung, airway, and surrounding areas compared to a regular chest X-ray. 
  • Blood Tests: Blood tests might be requested. They check your complete blood count. They also test the clotting ability of your blood. Any infection or inflammation markers that could be adding to the bloody cough are also checked. 
  • Sputum Culture: In a sputum culture, a mucus sample from your lungs is collected. Then they analyze it for bacteria, fungi, or other germs that could be the root cause. 

Also Read: Decoding The Causes Of Bumps On The Back Of The Throat

Treatment Options for Coughing Up Blood 

After the healthcare professional spots the root cause of the bloody cough, possible treatment methods are reviewed. They pick a solution that’s best suited for the specific issue and its severity. To best treat a blood-filled cough, the core issue must be targeted. 

1. Medications 

For certain infections, like a germ-based one, doctors might suggest antibiotics. This wipes out the infection and may ease symptoms like the bloody cough. 

2. Breathing treatments 

Those with breathing conditions like asthma or COPD can find relief through breathing therapies. This may help open up the airway, reduce inflammation which could be causing a bloody cough. 

3. Surgery 

In some cases, surgery is needed to correct the core problem. Those with lung cancer or major blood vessel damage might need surgical intervention. Surgery might be needed to remove growths or fix damaged structures. 

4. Managing symptoms 

Treating the core issue is critical. At the same time, managing related signs offers relief. It can also improve your overall well-being. 

5. Home remedies 

Home treatments like hydrating well and using a humidifier may help soothe the cough and may also tame annoying airway symptoms that may be leading to a bloody cough. 

6. Supportive care 

Blood in the cough might be soothed through care at home. This includes getting enough rest and eating right. You should avoid things that hurt the respiratory system (like smoke). 

Hemoptysis may occur as the initial manifestation of active tuberculosis, during the course of treatment, or even after the disease has been apparently cured. In patients with inactive pulmonary tuberculosis, only conservative (no anti-tuberculous drugs) management is necessary to control the bleeding.

Dr. Ashish Bajaj, M.B.B.S., M.D. in Clinical Pharmacology and Toxicology

Prevention and Lifestyle Changes 

In several cases, a healthier lifestyle is the best option. This helps dodge health issues that cause bloody coughs. 

1: Maintaining good respiratory health 

To keep your respiratory health in top shape, take these steps: 

2. Avoid smoking 

Avoid smoking. Smoking causes breathing problems, which more likely may lead to bloody coughs. 

3. Reduce exposure to air pollution 

Reduce your contact with dirty air. Use masks. Stay away from busy roads when pollution is high. Keep your home’s air conditioning filters clean. 

4. Maintain a healthy diet and exercise 

A balanced diet and regular exercise may boost your immune system. It supports your lung health too. This cuts down the risk of lung infections and other issues that produce bloody coughs. 

5. Early detection and management of underlying conditions 

Quickly spotting and managing any underlying breathing issues makes a huge difference. It can improve your long-term health. It can also prevent grave complications like blood in the cough. 

Try to check in with your healthcare provider regularly. This holds especially if you are more prone to lung cancer or other breathing issues. Stick to the suggested screenings if you have similar risk factors or family history. 

Outlook and Prognosis 

How well one copes with a bloody cough does depends mostly on many things. They include how serious the core problem is, how much blood is being coughed up, how often it happens, and how quickly they were diagnosed and treated. 

1. Factors affecting prognosis 

Several things affect what lies ahead for someone coughing up blood: 

2. Severity of the underlying condition 

The result varies based on the cause. Serious conditions like lung cancer or a blood clot in the lung lead to grim results. Mild infections or asthma tend to give better results. 

3. Amount and frequency of blood coughed up 

How much blood and how often it’s coughed up shows how serious the core problem is. This too affects the outcome. 

4. Timelines of diagnosis and treatment 

Quick diagnosis and prompt, right treatment greatly uplift outcomes. This holds true for most health issues. This includes those dealing with bloody coughs. 

5. General prognosis 

A bloody cough can be scary, but knowing what to expect helps people deal with it. Recognizing and handling the root cause early leads to better outcomes. It also improves quality of life in the long run. 

Conclusion 

Understanding the worrisome signs linked to a bloody cough helps people seek help on time. Observing the source, frequency, and quantity of blood in the cough is also key. This makes it easier to decide when to reach out to a doctor. Patients can then explore their options and possible treatment solutions. 

Also, early detection and suitable management of underlying issues play a huge part. So do preventative lifestyle changes. Everything combined can boost respiratory health and lower the odds of bloody coughs. Always try to get help when you should. Only then can you maintain your health effectively. 

Frequently Asked Questions (FAQs) 

What does blood in your spit indicate? 

Blood appearing in your spit could be from several things. It ranges from small chest infections to grave conditions like cancer. Studying the source, frequency, and quantity of blood may help choose a course of action. 

Should I worry about a little blood in my spit? 

A small amount of blood in the spit is not always cause for worry. It may be because of minor infections or breathing issues. But if you spot ongoing blood presence or a sudden increase, seek help quickly. 

Is it normal to see blood in phlegm with a certain condition? 

Seeing blood in phlegm can occur with a range of issues. These include small infections to serious illnesses like cancer. Though it’s not “normal,” some illnesses may lead to bloody phlegm. Always talk to a healthcare expert to find out what’s going on and to get the right treatment. 

How do I know if my lungs are bleeding? 

When your lungs are bleeding, you may cough up bubbly (frothy), pink, or rust-colored blood. You might have chest pain, face breathlessness, and feel drained. Seeing these signs means you should get a health check soon.

References: 

  1. National Center for Biotechnology Information (NCBI). The Diagnosis and Treatment of Hemoptysis [Internet]. [cited 2023 Aug 19]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5478790 
  2. National Health Service (NHS). Coughing up blood (blood in phlegm) [Internet]. [cited 2023 Aug 19]. Available from: https://www.nhs.uk/conditions/coughing-up-blood 
  3. ScienceDirect. Continuing education program: focus… [Internet]. [cited 2023 Aug 19]. Available from: https://www.sciencedirect.com/science/article/pii/S2211568415002144 
  4. National Center for Biotechnology Information (NCBI). Epistaxis: A Common Problem [Internet]. [cited 2023 Aug 19]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3096213 
  5. Centers for Disease Control and Prevention (CDC). Learn How To Control Asthma [Internet]. [cited 2023 Aug 19]. Available from: https://www.cdc.gov/asthma/faqs.htm 
  6. Centers for Disease Control and Prevention (CDC). What Are the Symptoms of Lung Cancer? [Internet]. [cited 2023 Aug 19]. Available from: https://www.cdc.gov/cancer/lung/basic_info/symptoms.htm 
  7. National Center for Biotechnology Information (NCBI). Tuberculosis [Internet]. [cited 2023 Aug 19]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441916 
  8. National Center for Biotechnology Information (NCBI). Approach to Hemoptysis in the Modern Era [Internet]. [cited 2023 Aug 19]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5752991 
  9. National Center for Biotechnology Information (NCBI). Pulmonary Hemorrhage [Internet]. [cited 2023 Aug 19]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538278 
  10. National Health Service (NHS). Health A to Z [Internet]. [cited 2023 Aug 19]. Available from: https://www.nhs.uk/conditions 
  11. ScienceDirect. Continuing education program: focus… [Internet]. [cited 2023 Aug 19]. Available from: https://www.sciencedirect.com/science/article/pii/S2211568415002144?via%3Dihub 
  12. National Center for Biotechnology Information (NCBI). Bronchial Artery Embolization for the Treatment of Acute Hemoptysis [Internet]. [cited 2023 Aug 19]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/29224659 
  13. National Center for Biotechnology Information (NCBI). Bronchial artery embolization in hemoptysis: a systematic review [Internet]. [cited 2023 Aug 19]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5508955 
  14. National Center for Biotechnology Information (NCBI). A systematic approach to the management of massive hemoptysis [Internet]. [cited 2023 Aug 19]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5696556 

 

You may also like

Subscribe
Notify of
guest
0 Comments
Inline Feedbacks
View all comments