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Can Spitting Up Blood Be Harmless?

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Posted on Tue, 12 Jun 2018
Question: I just brought up bloody phlegm. What should I do no cough but a twinge in chest.
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Answered by Dr. Saddiq Ulabidin (1 hour later)
Brief Answer:
You need to have chest X-ray and if needed a CT chest as well

Detailed Answer:
Hi! Welcome to Healthcaremagic. Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all it's sad to know what you had been going through lately.

Based on the history you have shared, it needs to be evaluated by a pulmonologist and may need Xray chest and sputum cultures as well as gram staining and acid fast staining as well. Meanwhile a baseline workup for coagulopathy with blood counts for platelets and INR needs to be done. A throat examination for local cause of bleeding should also be done.

If symptoms persist or worsen a CT chest with contrast may also be needed. Bronchoscopy at this stage may not be needed. Antibiotics like azithromycin or Moxyfloxacin may be needed alongwith expectorant cough syrups.

Wishing you a speedy recovery. Hope this has answered your query. If you have any more questions please feel free to ask. Regards
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 3941 Questions

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Can Spitting Up Blood Be Harmless?

Brief Answer: You need to have chest X-ray and if needed a CT chest as well Detailed Answer: Hi! Welcome to Healthcaremagic. Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all it's sad to know what you had been going through lately. Based on the history you have shared, it needs to be evaluated by a pulmonologist and may need Xray chest and sputum cultures as well as gram staining and acid fast staining as well. Meanwhile a baseline workup for coagulopathy with blood counts for platelets and INR needs to be done. A throat examination for local cause of bleeding should also be done. If symptoms persist or worsen a CT chest with contrast may also be needed. Bronchoscopy at this stage may not be needed. Antibiotics like azithromycin or Moxyfloxacin may be needed alongwith expectorant cough syrups. Wishing you a speedy recovery. Hope this has answered your query. If you have any more questions please feel free to ask. Regards