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Causes for blood in sputum - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Since last friday I have observed Blood in Sputum, I already visited to Dr, as per dr suggestion i already tested blood, Sputum for AFB, and chest X-Ray and every report is OK. Still blood seen in sputum so please suggest what to do?
User :   hi
Doctor :   Hi
Doctor :   May I know your age?
User :   34 yrs
Doctor :   Since when are you having the cough?
User :   there was no cough
User :   ocassionally i coughed
Doctor :   Ok
Doctor :   Do you have find difficulty to breathe?
User :   no
User :   no pain in chest too, no breathing prob
Doctor :   Do you smoke or consume alcohol?
User :   yes i smoke and alchol very ocassionally
Doctor :   Ok
Doctor :   Do you have any other medical illness such as diabetes, hypertension, heart disease?
User :   no
Doctor :   Are you on regular pills such as aspirin, anticoagulants?
User :   no
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Cough with blood in sputum can occur due to infection, bleeding disorder(bleeding time and clotting time disturbances), tumours and sometimes
Doctor :   the blood that you seen in the sputum are not from the lungs, however from the stomach which gets mixed with the sputum as you cough.
Doctor :   the later conditions are seen in conditions such as gastritis, heartburns.
Doctor :   It is difficult to predict which among these conditions are the cause.
Doctor :   Only a physical examination and evaluation can confirm the diagnosis.
Doctor :   If you have other associated symptoms such as chronic cough (which you deny), loss of appetite and unexplained loss of weighty, you will need a repeat AFB smear, chest CT scan and bronchoscopic examination
Doctor :   to rule out serious concerns.
Doctor :   Hope it is clear to you
User :   In Blood report only Esonophill cell is 8 % (Ref Range 0-5)
User :   whether any serious concern can be there?
Doctor :   Eosinophillia - high eosinophill counts occur due to loffler syndrome which in turn are due to parasitic infection.
Doctor :   Other cause that can cause elevated eosinophil counts are allergic condition.
Doctor :   Your current symptom and the raised eosinophil count may not be linked.
User :   Is fresh blood can be come from Stomach?
Doctor :   Yes, in the presence of gastritis, gastric ulcer, oesophageal varices, bleeding can occur from the stomach.
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
User :   I went to DR. and he told me that i have an Infection, and accordingly he prescribed claval 625mg, linctus cough syrup and one stop bleeding medicine.
Doctor :   Ok
User :   after taking medicine the amount of blood in sputum has been reduced but still coming
User :   is there any serious concern related to this?
Doctor :   Profuse bleeding needs evaluation.
Doctor :   Yes infection can cause such bleeding,
Doctor :   however without physical examination and with the scan and bronchoscopy reports, its hard to predict the cause.
User :   pleese suggest wht to do now?
Doctor :   hence I suggesgt you to consult a pulmonologist who will guide you through these test
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