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What Should I Do About A Really Bad Chesty Cough In The Mornings And Slight Blood In Mucus?

Posted on Thu, 3 Feb 2022

Question: hi i have a really bad chesty cough in the mornings , i cough up yellow phlegh this morning there was a streak of blood it looked like but then blow nose blood

Answered by Dr. Drkaushal85 (1 hour later)

Brief Answer:
Get done chest x ray and PFT.

Detailed Answer:

Hi,

You are having hemoptysis (blood in sputum).
It is commonly seen with lung infection and bronchitis.
And your symptoms are commonly seen with these two.
So consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test).
Chest x ray is needed for the diagnosis of lung infection.
PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only.
Please let me know
1. Do you smoke?
2. Since how many days you are having these symptoms?
Please reply me answers of above asked questions, 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. Kampana

Follow up: Dr. Drkaushal85 (48 minutes later)

Does this mean I’ve got lung cancer I’m really scared , my phlegm tastes like bogies when I cough

Answered by Dr. Drkaushal85 (4 minutes later)

Brief Answer:
Do you smoke?

Detailed Answer:

Hi,

No, this does not mean that you have lung cancer.
Most common cause for hemoptysis is bronchitis and lung infection.
What about my questions?
Do you smoke?
Since how many days you are having this hemoptysis?
Please reply me answers of above asked questions, 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. Kampana

Follow up: Dr. Drkaushal85 (5 hours later)

Yes I do smoke about 10-15 a day

Answered by Dr. Drkaushal85 (1 hour later)

Brief Answer:
Get done chest x ray as soon as possible.

Detailed Answer:

Hi,

Since you are active smoker, possibility of all, bronchitis, lung infection and lung cancer is there.
So get done chest x ray and PFT as soon as possible.
Please let me know
1. Since how many days you have these symptoms?
2. Since how long you smoke?
3. Do you have any other symptoms like fever, weight loss, breathing difficulty etc?
Please reply me answers of above asked questions, 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. Raju A.T

Follow up: Dr. Drkaushal85 (49 minutes later)

No other symptoms, and I smoked for about 25 years
It’s only happened the once and straight after I blew my nose and there was blood in the snot as well
I would say there was just a streak of blood and I’ve had the cough and cold for about 5/6 days

Answered by Dr. Drkaushal85 (8 hours later)

Brief Answer:
A possibility of acute rhinitis related bleeding is more likely.

Detailed Answer:

Hi,

By your history and description, a possibility of acute rhinitis is more likely.
This can lead to friction bleeding from nose.
Some of the blood may trickle down the throat via post nasal drip.
This can cause blood in sputum.

But better to get done chest X-ray and PFT to rule out other causes of hemoptysis.
Also, please quit smoking as soon as possible.

Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.

Above answer was peer-reviewed by : Dr. Arnab Banerjee