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Cough with blood stained sputum - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User :   Hi, may I answer you
Doctor :   Hi
Doctor :   How can I help you?
User :   hello!
User :   one moment
User :   wy wife, mette, has a nasty cough
User :   and she is coughing up blood
User :   is this cause for alarm?
Doctor :   May I know her age?
Doctor :   Since when is she coughing blood?
User :   she is 30 years old
User :   since yesterday
Doctor :   Since when is she suffering from cough?
Doctor :   Does she produce sputum with the cough?
User :   been coughing since yesterday
Doctor :   Ok
User :   what is sputum?
Doctor :   Is she having fever?
User :   no fever
Doctor :   I mean is she bringing out mucous when she coughs?
User :   slimey, yellow stuff? yes
User :   maybe a little fever, hard to tell, been taking pain killers
Doctor :   Ok
Doctor :   Does she have any other medical illness such as diabetes, liver problems, gastritis?
Doctor :   Is she on any regular medications such as aspirin, anticoagulants?
User :   she has ulcerative colitis - but nothing else. she takes asacol every day
Doctor :   Ok
Doctor :   Does she consume alcohol?
User :   yes, social purposes, but not withing the last week.
Doctor :   Has she had similar symptoms or episodes of recurrent nose bleeding in the past?
User :   no
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   From this far, without a physical examination, its hard to predict what the problem might be, however
Doctor :   based on your history, I can think of the following possibilties.
Doctor :   1. She might be suffering from a infection - lower respiratory infection
Doctor :   2. The bleeding could have been induced due to the pain killers that she is on - secondary to gastritits
Doctor :   3. The symptoms could be related to an viral infection with platelet abnormalities.
Doctor :   These 3 possibilities can explain her symptoms.
User :   ok. do we need to go to an emergency room?
User :   or
User :   can we wait until tomorrow (it is night here)
User :   to see a doctor?
Doctor :   Presence of few specks of blood in the cough, is not an alarming sign, however if she continues to have them she needs further evaluation.
Doctor :   Let me suggest the measures that you can follow
Doctor :   1. Stop the use of pain killers further.
Doctor :   2. You may use plain tylenol(paracetamol) only if she has fever or body aches.
Doctor :   3. If she is on aspirin pills she needs to stop them too.
User :   ok. thanks. she has been taking tylenol only. no aspirin. a student at her schoold has pneumonia - could that be what she has?
Doctor :   If she was exposed to pneumonia, yes that can explain the lower respiratory infection.
Doctor :   And in that case, she needs evaluation by a general physician or a pulmonologist.
Doctor :   Hence my suggestion is to get to a doctor. She may need antibiotics.
User :   ok. but it is ok if we wait app 12 hour to do so?
Doctor :   If she is not breathless/is not running fever, you can fix up an appointment with a doctor.
Doctor :   Watch out for fever and breathing problems and if she has them then you need to get to the ER.
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
User :   ok. maybe she has a little bit of fever. very little. should we only go to ER if this gets worse?
Doctor :   Yes, she needs emergency treatment, if she has high grade fever, breathing issues or recurrent spells of blood stained cough.
Doctor :   Hope it is clear.
Doctor :   Do you have any other query?
User :   all is celar! thank you :)
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   bye
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