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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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History Of Smoking, Coughing, Spitting Of Blood, Pain In Pecks. What Could This Be?

I'm 28 run every day and consider my self fit. Smoked for 10 years but have been stopped for 4 months now. The problem I have is every couple of weeks I cough up or even just spit up a little bit of fresh blood. I think it might even be after I drink a lot of alchole( next morning) I do not have a cough during the days between spitting up the blood! I also have light pains in my sides and under my pecks which alternate in sides and comes and goes not sure if that's related
Thank u james
Fri, 28 Jun 2013
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General & Family Physician 's  Response
Hi James,

Smoking for 10 years is a sure shot factor for causing some type of respiratory disease. These are diseases like chronic bronchitis or emphysema. It is possible that you get symptoms of cough with blood because of this. Drinking alcohol can cause a disease called Mallory weiss. This is where you get retching and then you can get tears in your esophagus. I recommend you consult a doctor or a gastroenterologist.

The pain on your sides is most likely just muscle pain due to running daily. You should get a proper warm up before running in order to be able to run without pain. I hope this helps. Do rate me if you found the information helpful.
Dr Vineet
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Allergist and Immunologist Dr. Suman Kumar's  Response
the smoking for long time might have set sinusitis in your sinuses
and the postnasal drip of sinuses can cause bleeding and cough and this can also trigger gerd and the cause of pain under pecks
get xray pns waters view and there might be mucosal oedema leading to off and on cough and blood
get treatment to recover
mean time can start with antiallergic montelucast 10 mg bd
cpm+codeine combination syp 1 tsf night
liquid antacids tds
application of neomycin h ointment in nose bd
and sea water 2 drops at night each nose
mild analgesic for pain
lot of warm water
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History Of Smoking, Coughing, Spitting Of Blood, Pain In Pecks. What Could This Be?

Hi James, Smoking for 10 years is a sure shot factor for causing some type of respiratory disease. These are diseases like chronic bronchitis or emphysema. It is possible that you get symptoms of cough with blood because of this. Drinking alcohol can cause a disease called Mallory weiss. This is where you get retching and then you can get tears in your esophagus. I recommend you consult a doctor or a gastroenterologist. The pain on your sides is most likely just muscle pain due to running daily. You should get a proper warm up before running in order to be able to run without pain. I hope this helps. Do rate me if you found the information helpful. Dr Vineet