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Doctor insights on: Bright Red Blood In Phlegm

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What could cause a small amount of bright red blood in phlegm? No fever or chills

What could cause a small amount of bright red blood in phlegm? No fever or chills

BRB in phlegm: Blood could come from anywhere along the respiratory tract from the nose down to the smallest airway. Depending upon your general health, the best option might be to monitor for recurrence. Discuss with your doc at next visit. ...Read more

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Dr. Steven Seres
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Dr. Angelina Postoev
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Phlegm (Definition)

Phlegm is the thick, sticky mucus secreted by the surface of the respiratory tract during a cold or other respiratory infection. The respiratory tract includes the nose and sinuses, throat, voice box, bronchi, and lungs. Phlegm is mucus that may contain bacteria, viruses, respiratory surface cells, and inflammatory cells. Normal mucus is not phlegm, but a protective layer secreted ...Read more


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When bringing up phlegm there is sometimes bright red blood in it, especially in the mornings. Chest xray shows no reasons for this. ?

When bringing up phlegm there is sometimes bright red blood in it, especially in the mornings. Chest xray shows no reasons for this. ?

Hemoptysis: Hi, a forceful cough can rupture small blood vessels and cause hemoptysis (blood in sputum), so the most common cause is a Bronchitis (therefore X-ray would be normal), other causes Bronchiectasis (a chronic dilatation of small airways leading to infection), Pneumonia, Tuberculosis and cancer. If your X-ray is normal then Allergy, Bronchitis, bleeding from ur gum could be the reasons. ...Read more

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Dr. Steven Seres
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Suffering with hartburn tonight, I'm on lansoprozl as and when, I just however coughed up some bright red blood mixed with phlem. Should I worry?

Suffering with hartburn tonight, I'm on lansoprozl as and when,  I just however coughed up some bright red blood mixed with phlem. Should I worry?

Blood: probably due to local irritation from the stomach or esophagus. Refrain from any ibuprofen, aspirin or vit e ( blood thinners) but you should be seen by a GI as soon as possible for an endoscopy. If the blood continues you need to go to the ER ...Read more

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Thick dark blood in phlegm, no cough. Occasionally fresh red strip blood in phlegm, since Nov'13. Recently started to feel difficult in breathing ?

Thick dark blood in phlegm, no cough. Occasionally fresh red strip blood in phlegm, since Nov'13. Recently started to feel difficult in breathing ?

Cancer? See doc: I don't understand how you produce phlegm without coughing. Is this post-nasal drip which you spit out? In any case, that's a worrisome symptom, and cancer is on the list of possibilities. You should see a physician promptly. ...Read more

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Dr. Steven Seres
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My two boys have RSV and now i seem congested and my phlegm i spit up is clear with blood tinged red could this be related?

Maybe,maybe not: Adults get RSV rather often but seldom have any lower airway problems like small babies.Their immune system has built up some resistance to the germ over time and an infection limited to the nose & throat are common. This may certainly make you have increased secretions but should not make them blood tinged. ...Read more

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Had dental surgery to remove upper canine tooth. surgery itself is healing well 6 days after still have thick/red blood with phlem in my throat. ?

Had dental surgery to remove upper canine tooth. surgery itself is healing well  6 days after still have thick/red blood with phlem in my throat. ?

Et it checked out: It would be very unusual for bleeding from and extraction site 6 days out. It is possible that the surgical site may have been larger or wider and the blood is coming from elsewhere. Best to get it checked out by the surgeon. ...Read more

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I've had a very sore throat for the past 3 days and have been spitting up phlem, but half the time there's blood or red/brown flakes. Is that serious?

I've had a very sore throat for the past 3 days and have been spitting up phlem, but half the time there's blood or red/brown flakes. Is that serious?

Epistaxis: Have it checked anyway to make sure. By your symptoms you have upper respiratory infection or inflammation. The mucous dries up the superficial vessels from the kisselbach's plexus to the back of the throat, they pop and get mixed with the secretions especially in the morning. It still could be from the lungs although less likely. It is best to see your doctor for evaluation. ...Read more

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Dr. Steven Seres
Board Certified, Internal Medicine
15 years in practice
373K people helped
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