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What Causes Dry Blood Clots In Phlegm?

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Posted on Mon, 12 Jan 2015
Question: Today i have second real dry blood clot in phlegm (mucus). It was the size of a pea.
I have a sinusites and had CT scan of neck for 2 years ago.This is happened to me before some days also.I can say this is 2nd time.
I have TB AND haveing cure LAST 5 months.
doctor
Answered by Dr. Drkaushal85 (1 hour later)
Brief Answer:
Get done chest x ray and sputum culture for AFB.

Detailed Answer:
Hello XXXXXXX thanks for your question on HCM.

I want to ask few questions first.
1. Are you on Anti Tubercular Drugs? If yes than on which drugs
2. Have you undergone chest x ray in recent times (less than 1 month)?
3. Have you undergone sputum culture for AFB in past?
4. May I know your weight?

Blood in cough (haemoptysis) in your case can be due to
1. Friction bleeding
2. Reactivation TB
3. Drug resistant TB
So kindly reply me with above answers, so that I can guide you better.
I will be happy to help you further.
Wish you good health.
Thanks.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Drkaushal85 (55 minutes later)
1. Are you on Anti Tubercular Drugs? If yes than on which drugs
Answer: No. I am taking R-Cinex 600,300 and BECOSULES.
2. Have you undergone chest x ray in recent times (less than 1 month)?
Answer: No.
3. Have you undergone sputum culture for AFB in past?
Answer: No
4. May I know your weight?
Answer:102
doctor
Answered by Dr. Drkaushal85 (14 minutes later)
Brief Answer:
Get done chest x ray and sputum culture for AFB.

Detailed Answer:
Hello XXXXXXX thanks for the information.

In my opinion you should first get done chest x ray. And compare it with previous x rays. Look for any worsening.
If it is worsening than you may have drug resistant TB. So get done sputum culture for AFB and sensitivity too.

If x ray is improving and fibrosis is seen than no need to worry much. The blood may be due to friction from coughing. Still I advise you to get done sputum smear examination for AFB. And if this is negative, then no need to worry much.

If chest x ray is not much conclusive than better to get done CT THORAX as CT gives much better information than chest x ray.

Bronchoscopy and XXXXXXX (Broncho Alveolar Lavage) analysis for TB is also more specific than sputum examination.
So better to consult pulmonologist and discuss all these.

Hope I have solved your query.
If you are not having further queries, please close the conversation and rate the answer. Wish you good health.
Thanks.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15003 Questions

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What Causes Dry Blood Clots In Phlegm?

Brief Answer: Get done chest x ray and sputum culture for AFB. Detailed Answer: Hello XXXXXXX thanks for your question on HCM. I want to ask few questions first. 1. Are you on Anti Tubercular Drugs? If yes than on which drugs 2. Have you undergone chest x ray in recent times (less than 1 month)? 3. Have you undergone sputum culture for AFB in past? 4. May I know your weight? Blood in cough (haemoptysis) in your case can be due to 1. Friction bleeding 2. Reactivation TB 3. Drug resistant TB So kindly reply me with above answers, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.