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Can spitting up blood be harmless?

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General & Family Physician
Practicing since : 2011
Answered : 1417 Questions
I just brought up bloody phlegm. What should I do no cough but a twinge in chest.
Tue, 12 Jun 2018 in Lung and Chest disorders
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
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