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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Coughing Of Blood In Phlegm?

I m a 60 year old male,6 1 ,178 pds,no previous serious illnesses. End of januari I began coughing up a little blood in my phelm. Had an X-ray and an antibiotic cure(augmentin) which didn t work. Since mid-februari I ve been thru various tests in hospital- X-rays, CT scan, broncosopy with lavage,angioscopy, PET scan, sputum test, blood tests. All without result, i.e. diagnosis. I m told it could be anything- infection to cancer; the only thing I m sure of is that it isn t TB. I been advised by my lung doctor to have a lobectomy(upper right lobe) because of the danger of possible excessive bleeding in the future. This danger of bleeding is the reason given for not performing a biopsy. Is it normal to proceed to operation whilst there is still no definite diagnosis of the problem? Tanking you in advance, Campbell Macintyre
Thu, 30 May 2019
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General Surgeon 's  Response
Hi,

Noted your detailed history of coughing blood in phlegm for which you have undergone so many tests of X-ray, CT scan, bronchoscopy, angioscopy PE scan, sputum test and blood tests, all of which are normal as per your information.
What worries me is the surgical excision of a part of the lung, this means they have found the source of bleeding and surgery should be done as needed.
All the tests that you have mentioned are sufficient and I do not think that there are any tests remaining.
Yes, it is true that biopsy is dangerous as it can cause a lot of bleeding and can be disastrous.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant,
ENT & General Surgeon
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What Causes Coughing Of Blood In Phlegm?

Hi, Noted your detailed history of coughing blood in phlegm for which you have undergone so many tests of X-ray, CT scan, bronchoscopy, angioscopy PE scan, sputum test and blood tests, all of which are normal as per your information. What worries me is the surgical excision of a part of the lung, this means they have found the source of bleeding and surgery should be done as needed. All the tests that you have mentioned are sufficient and I do not think that there are any tests remaining. Yes, it is true that biopsy is dangerous as it can cause a lot of bleeding and can be disastrous. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, ENT & General Surgeon