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Coughing With Blood, Had Cold, Loose Motion, Fever, Chest Pain. Is This Serious?

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Posted on Fri, 6 Jul 2012
Question: I noticed my first few coughs came up with blood today. But this problem I noticed Friday midnight when I got up suddenly due to cough. Blood is coming like rust and but it is not atleast a spoon.
I observed this problem first time one and half month back when got cold and cough but that time 2 to 3 coughs I observed blood later there were no issues. Suddenly 2 weeks back I was effected with loose motion and that came down with medication then following fever with cold and 102 temperature. Fever was there for 2 days then it came down. Now this week observed Coughing up with blood and now there is a pain in chest due to over coughing. Please let me know is this a serious issue. Any suggestion for medication?
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Answered by Dr. Gyanshankar Mishra (2 hours later)
Hi Mr. XXXXXXX

Thanks for posting your query on XXXXXXX

After going through your query, I would like to comment the following:

1. Cough with rusty sputum /blood on and off demands medical attention. Also you have associated fever and chest pain.

2. You need to get your self evaluated with a chest xray and blood counts.

3. I would suggest you to visit a Pulmonologist for detailed evaluation.

4. Meanwhile you may start the following for urgent control of hemoptysis (blood in sputum):

Hemostatic eg: Tb. Ethamsylate (Etosys) 500 mg thrice a day for 3 days
Cough suppressant eg:Sy. linctus codein 2 tsf thrice a day for 3 days

Antibiotic like Tb augmentin duo (amoxicillin + clavulinic acid) 625 mg thrice a day for 7 - 10 days.

Please consult a chest specialist / pulmonologist before initiation of these medicine since you need to get yourself physically examined by a clinician in view of your symptoms.

5. Your symptoms seem to be due to an infective cause.

I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.

Regards

Dr. Gyanshankar Mishra
MBBS MD DNB
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Gyanshankar Mishra

Pulmonologist

Practicing since :2003

Answered : 600 Questions

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Coughing With Blood, Had Cold, Loose Motion, Fever, Chest Pain. Is This Serious?

Hi Mr. XXXXXXX

Thanks for posting your query on XXXXXXX

After going through your query, I would like to comment the following:

1. Cough with rusty sputum /blood on and off demands medical attention. Also you have associated fever and chest pain.

2. You need to get your self evaluated with a chest xray and blood counts.

3. I would suggest you to visit a Pulmonologist for detailed evaluation.

4. Meanwhile you may start the following for urgent control of hemoptysis (blood in sputum):

Hemostatic eg: Tb. Ethamsylate (Etosys) 500 mg thrice a day for 3 days
Cough suppressant eg:Sy. linctus codein 2 tsf thrice a day for 3 days

Antibiotic like Tb augmentin duo (amoxicillin + clavulinic acid) 625 mg thrice a day for 7 - 10 days.

Please consult a chest specialist / pulmonologist before initiation of these medicine since you need to get yourself physically examined by a clinician in view of your symptoms.

5. Your symptoms seem to be due to an infective cause.

I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.

Regards

Dr. Gyanshankar Mishra
MBBS MD DNB