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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Complications With Hole In Heart And Bleeding Nose

Female
Age: 30
On a normal day coughs out blood and has a bleeding nose.
Blood test are clear
Chest X-ray shows small scarring on the lung
Clear for TB
Her child has a 'hole in the heart'
Otherwise fine and healthy
This is not much info, but can someone please give their advice as to what seems like the problem in this scenario?? your answers will greatly appreciated. Thank you so much
Fri, 5 May 2017
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Pulmonologist,  's  Response
Hello
Thanks fo posting at HCM.
So the main complaints are are bleeding from the nose and blood in cough. TB is a known cause of blood in cough. Since you have excluded TB, We must look for other causes. Also we have to ascertain whether the bleed is only from the nose or is it coming from inside (lungs). I would advice a HRCT of the lungs to evaluate causes of blood coughing. Some bacterial infections can also cause blood in cough. Please do a HRCT chest and revert back.
Wishing you good health
Regards.
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Suggest Complications With Hole In Heart And Bleeding Nose

Hello Thanks fo posting at HCM. So the main complaints are are bleeding from the nose and blood in cough. TB is a known cause of blood in cough. Since you have excluded TB, We must look for other causes. Also we have to ascertain whether the bleed is only from the nose or is it coming from inside (lungs). I would advice a HRCT of the lungs to evaluate causes of blood coughing. Some bacterial infections can also cause blood in cough. Please do a HRCT chest and revert back. Wishing you good health Regards.