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Doctor insights on: Coughing Up Dark Blood Phlegm

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Smoker I've been coughing up phlegm tinged with blood at times I had a CT scan it states that their is cystic changes and a parenchymal density lung?

Smoker I've been coughing up phlegm tinged with blood at times I had a CT scan it states that their is cystic changes and a parenchymal density lung?

Parenchymal density: Is a very nonspecific term, unfortunately. It could mean anything from scar to mass to pneumonia to collapse of a small lung segment. Without the images to review, it is difficult to determine. Likewise, there are both acute and chronic causes of cystic changes. The nonspecific report verbiage needs to be interpreted in conjunction with the images themselves and your clinical picture. ...Read more

Dr. Angelina Postoev
920 Doctors shared insights

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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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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IM 25 weeks pregnant and have had a severe cold / cough this week. Bloody nose the past 3 days, mucus is a very dark green. Today my phlegm had blood?

IM 25 weeks pregnant and have had a severe cold / cough this week. Bloody nose the past 3 days, mucus is a very dark green. Today my phlegm had blood?

See a doctor: With these sorts of symptoms, you need answers. I would worry that your platelet count might have dropped as a result of the viral infection - allowing the blood to become thinner, such that you'd have nose bleeding and blood in the sputum. Hopefully you're plugged into an Ob/Gyn practice - I would call them and try to get seen today. If it's after hours and you're not doing well- go to the ER. ...Read more

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Hi, bringing up dark yellow phlegm with bright red blood streaks, no cough, no sore throat, no blocked nose. Should I be concerned?

Hi, bringing up dark yellow phlegm with bright red blood streaks, no cough, no sore throat, no blocked nose. Should I be concerned?

Bronchitis: Blood tinged mucus or sputum is often due to an infection in sinus or lungs. Many of us treat, unless bloody nose from blowing too much. Most of us will treat with antibiotics if it happens for more than 3 days. There are other causes, too, but it's a GREAT idea to get checked soon. In the meantime, avoid otc cough and cold meds, and fragrances and aerosols (which don't help, can make worse) ...Read more

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This morning and had a small cough and some (very little) dark blood came out. I have had sinus headache for a couple days. Could this be serious?

This morning and had a small cough and some (very little) dark blood came out. I have had sinus headache for a couple days. Could this be serious?

Yes: You should probably see a doctor asap, since sinus infections (if that is what you have) can morph into severe complications, but you might first try sinus irrigation (netti-pot), and decongestant. When you go to the doctor have a list prepared of all the things which have happened and trust they will work things out for you. Do not know if this is serious without seeing you. ...Read more

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No hard cough but there is blood in the phlegm, is this serious?

Hemoptysis: Hemoptysis (http://www. Mayoclinic. Com/health/coughing-up-blood/my01064) is common ; usually benign if small volumes in a non-smoker. But it's always a good idea to go see your family doc for an evaluation as there are too many causes to review ; consider w/more information ; examination. ...Read more

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Hello, I was just wondering what is going on. I have had a cough with phlegm for maybe over 4 weeks, occasionally blood-streaked phlegm.

Hello, I was just wondering what is going on. I have had a cough with phlegm for maybe over 4 weeks, occasionally blood-streaked phlegm.

Bronchitis?: This may be bronchitis, but since it has lasted so long you need to be checked to see if you have something more serious, like pneumonia or tuberculosis. See a doctor about this. Good luck! ...Read more

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Hi. I saw 20% of blood to my phlegm in my 1st cough but there's nothing already on my 2nd and 3rd but just phlegm again. What's wrong maybe?

Hi. I saw 20% of blood to my phlegm in my 1st cough but there's nothing already on my 2nd and 3rd but just phlegm again. What's wrong maybe?

Unclear: It is not clear but hemoptysis is not good. Need to see why this is occuring. Might have a serious chest infection or could come from nose. Please seek care and for sure get a chest xray. Need to get dx for sure and may require more than simple treatment. ...Read more

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I get this recurring cough about 3 times a year. Always with phlegm, sometimes with blood (rarely). No other symptoms. I'm 21 and don't smoke.

I get this recurring cough about 3 times a year. Always with phlegm, sometimes with blood (rarely). No other symptoms. I'm 21 and don't smoke.

Don't know cause.: Mix hot water, 1 tsp. Lemon juice & 1 tsp. honey in a mug, then add more lemon juice or honey to taste, if desired. Sip the mixture slowly and inhale the steam from the hot liquid to help reduce congestion in the chest. Or make tea with 2 tsp of Marshmallow root bark per 1cup of hot water (steep in a covered pot for at least 5 minutes). Drink several times a day or as needed to relieve coughing. ...Read more

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What diseases would cause you to cough up blood or have blood in the phlegm?

What diseases would cause you to cough up blood or have blood in the phlegm?

Hemoptysis: It depends on what the medical and social history of the patient is. The differential ranges from infection to cancer especially if the patient is a smoker. Hemoptysis requires a thorough medical evaluation. ...Read more

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Blood in my phlegm, no cough. Its started Nov 17 until now. What can I do? What medicine I take?

Blood in my phlegm, no cough. Its started Nov 17 until now. What can I do? What medicine I take?

Needs investigation: After this long you need to get this evaluated to determine the source and cause of the bleeding. It could be blood from the nose, the sinuses but also the lungs ...Read more

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I sneezed this morning and brought up a lot of phlegm which contained blood. Should I get this checked. I don't have a cough or any other symtoms?

I sneezed this morning and brought up a lot of phlegm which contained blood. Should I get this checked. I don't have a cough or any other symtoms?

Depends: If it was a one time bloody nose then you could observe your symptoms. If you are having persistent nose bleeds and severe pain a full ear, nose throat exam is indicated. See your doctor for more answers. Good luck. ...Read more

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I never usually cough up phlegm with blood but today I coughed up phlegm with blood and it was thick im nervous and is wondering if its bronchitis?

I never usually cough up phlegm with blood but today I coughed up phlegm with blood and it was thick im nervous and is wondering if its bronchitis?

See a doctor: Usually if it happens once there is nothing to worry about, most likely it is secondary to dry cough.
if it keep happening you need evaluation by a lung specialist.
see your PCP ...Read more

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I have had a cough for 5 days, including phlegm. Today I coughed up phlegm with a lot of blood and my breathing is easier. No blood since. Am I okay?

I have had a cough for 5 days, including phlegm. Today I coughed up phlegm with a lot of blood and my breathing is easier. No blood since. Am I okay?

Likely ok: Usually a small amount of blood after several days of cough is caused by some mucosal damage due to infection and/or the physical trauma of a heavy cough. However, I ask all my patients to notify me immediately if blood occurs with cough because it can be a sign of something more sinister in uncommon cases. ...Read more

Dr. Sue Ferranti
3,593 Doctors shared insights

Cough (Definition)

The cough reflex is a protective mechanism that uses muscles in your throat and chest to expel mucous and saliva that may contain pathogens that would otherwise possibly be inhaled via aerosol or to expel pathogens infecting the throat and respiratory system. Cough benefits the host by reducing load and benefits the pathogen which may then spread via aerosol. ...Read more


Dr. Sue Ferranti
619 Doctors shared insights

Productive Cough (Definition)

Cough which ...Read more