FAQ - hemoptysis
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Hemoptysis.?


hey, i was wondering if anyone knew the diseases associated with hemoptysis (coughing blood from the lungs)/
is it/ are the linked diseases cureable?? (i know this is a HUGE range/spectrum of problems) but for Any ones you might know of.
/ any other information you might know.
i dont nessecarly need symptoms, but they would be nice..

thankyou so so much.
BLessed be.
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There are many underlying disorders that can cause hemoptysis (coughing up blood), ranging from heart problems to trauma to infections to lung disease. Worldwide, tuberculosis is the most common cause of hemoptysis. In industrialized countries, the most common causes are bronchitis, bronchiectasis, and bronchogenic carcinoma. In patients with AIDS, the most common cause of hemoptysis is pneumonia. In about 15% to 30% of cases, the underlying problem is never found—undiagnosed hemoptysis is commonly referred to as idiopathic hemoptysis.
Other causes include pulmonary infarction or embolism, various heart problems, vascular disorders, pulmonary AVM , and trauma.

Tuberculosis and other mycobacterial infections
A mycobacterium is a type of bacteria that causes a variety of infections, including tuberculosis. A mycobacterial infection can destroy pulmonary tissue, usually by forming cavities in the airway walls.
The hemoptysis that results is usually mild to moderate and may be associated with other symptoms, including unexplained weight loss, cough, purulent sputum (thick, opaque, yellowish white discharge), and a history of mycobacterial exposure. A chest x-ray usually shows signs of infection, including a visible cavity, and the mycobacterium should be microscopically visible in the patient's sputum.

Bronchitis
Bronchitis is an inflammation and swelling of the bronchi that can be acute or chronic. It is a very common cause of hemoptysis that results from recurrent coughing that irritates and eventually breaks down the mucosal lining of the airways.
The hemoptysis is usually mild and often associated with a purulent sputum (thick, opaque, yellowish-white discharge), low-grade fever and occasionally, wheezing. Usually the sputum is examined under the microscope to look for the pathogenic culprit. A chest x-ray is usually normal. The patient is usually prescribed cough suppressants and antibiotics.

Bronchiectasis
Bronchiectasis is a chronic dilation and consequent infection of the bronchioles and bronchi that results from obstruction in the bronchi. The dilation results from damage to the surrounding supportive tissue and is usually a result of infection or fibrosis (the abnormal formation of scar tissue).
Cystic fibrosis is an example of a disease that leads to bronchiectasis. In addition to hemoptysis, patients with bronchiectasis often have a severe cough and chronic purulent sputum (thick, opaque, yellowish white discharge).

Lung Cancer
Bronchogenic carcinoma is cancer that originates in the lining of the bronchi. About 90% of lung cancers are bronchogenic. The other 10% begin in the bronchioles, alveoli, or trachea. Bronchogenic carcinoma is a less common cause of hemoptysis than bronchitis or bronchiectasis, but is an important one.
Most cases of bronchogenic carcinoma occur in smokers. If the disease is advanced, patients may experience unaccountable weight loss and various other common symptoms of lung cancer.
A chest x-ray can reveal the location of the neoplasm (tumor), and cancerous cells can often be detected in microscopic examination of the patient's sputum. The diagnosis sometimes cannot be confirmed until the tissue is biopsied.

Pneumonia
Pneumonia is a lung infection caused by a number of different microorganisms. When a healthy person inhales one of these microbes, the immune system responds and prevents the microbe from reproducing and causing infection. But, in people with weakened immune systems (e.g., patients with AIDS), the microbes settle in the lungs, where they grow and multiply.
As the lung tissue tries to protect itself, the lungs fill with liquid and pus. In addition to hemoptysis, other symptoms include a high fever, cough, and chest pain.

Pulmonary infarction or embolism
A pulmonary embolism is the sudden closure of a pulmonary artery due to a blood clot or presence of foreign material. Pulmonary infarction is the death of lung tissue due to the lack of oxygen resulting from a single embolism or several recurrent embolisms. Pulmonary embolism can be massive, resulting in death or severe shock; or it can be relatively mild.
Infarction is a relatively uncommon cause of hemoptysis. Associated symptoms include chest pain (pleuritic chest pain in particular, meaning the pain is felt as the patient breathes in and out), cough, low-grade fever, tachypnea (rapid breathing), tachycardia (rapid heartbeat), and dyspnea (shortness of breath, even without exertion).
The chest x-ray of a patient with a pulmonary infarction or embolism is usually normal, but there may be a couple of distinguishing features.

Heart problems
Mitral stenosis (a narrowing of the mitral valve that leads into the left ventricle) can lead to very mild hemoptysis—pink, frothy sputum with mild traces of blood. Other symptoms associated with left ventricular failure include orthopnea (difficulty breathing when lying down), paroxysmal nocturnal dyspnea (PND; a shortness of breath that appears suddenly at night, usually waking a person from sleep), and shortness of breath while exercising.

Coagulopathy
A coagulopathy (also known as a hypercoagulable state) is any disease that affects coagulability—the ability to of the blood to clot. In a patient with coagulopathy, clots cannot form after even mild trauma to the mucosal lining of the respiratory airways, leading to mild hemoptysis.
Other signs of coagulopathy include epistaxis (nosebleed), purpura (appearance of lesions, or bruises, on the skin due to broken blood vessels), menorrhagia (excessively long or heavy periods), and hematuria (blood in the urine).

Anticoagulants
Anticoagulants are drugs commonly prescribed to prevent the formation of blood clots. They are often used to treat thromboembolic disorders (blood clot disorders; a thrombus is a clot and an embolism is the sudden closure of an artery due to a clot). Hemoptysis sometimes develops in people who take anticoagulant medication.

Drug use
In addition to anticoagulants, a variety of other drugs including aspirin, cocaine, and penicillamine (a drug used to treat lead poisoning and other disorders) are known to cause hemoptysis.  (+ info)

hemoptysis?


Coughing out blood  (+ info)

subpleural focal ground glass opacities,hemoptysis, subcentimeter mediastinal lymph nodes?


This is from my ct scan report of my lungs. It's all greek to me. Any interpertations?
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small nodes present  (+ info)

what medications are used to treat hemoptysis?


Actually some MD give a breathing treatment called Racemic Epinephrine. Its a vasoconstrictor which means it constricts the vessels which in turn stops the blood. However, if you are coughing up blood I suggest you go see a doctor. you cant get epi over the counter anyway  (+ info)

Primary lung tumors or metastatic lung tumors,which one is more frequent as a cause of hemoptysis?


I would guess that primary lung tumors would be more frequent, as hemoptysis would be a presenting symptom. Metestatic tumors would be monitored closely in the course of primary tumor follow up.
Other reasons for hemoptysis could be esophageal cancer,pulmonary hemorrhage, tuberculosis, etc.

post check- Sorry dr.q , but "thumbs down 2" you too. and here is why...
Hemoptysis, is usually a presenting symptom, and usually it is scary for the patient, but mild. Mild hemoptysis is usually a primary complaint. Massive, and life threatening hemoptysis can be due to tumors growing into other areas such as arteries. That is a totally different matter, and if that is your presenting sympton, and if it is due to a much neglected lung or other tumor,then, oy, what a tumor it must be.

"Hemoptysis due to lung cancer is usually mild, resulting in blood-streaked sputum. Rarely, it is massive. The usual cause of minor hemoptysis is erosion of small, friable mucosal vessels in airways involved by tumor. Massive hemoptysis in patients with lung cancer is typically caused by malignant invasion of central pulmonary vessels by large central tumors. "
So, the answer depends on the org. site of the tumor. hx. of the pt, and what type of hemoptysis the asker is speaking of (mild streaking or massive).  (+ info)

major hemoptysis in lung cancer patient?


can a tumor rupture pulmonary artery and cause death from hemoptysis?
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Yes; this is a fairly common end met with in lung cancer patients when a major artery or vein gets eroded by the tumour leading to uncontrolled and unchecked bleeding manifested as hemoptysis.  (+ info)

hemoptysis chief source ?


pulmonary hemoptysis Vs bronchial hemoptysis

which is more dangerous and why and which one is chief source ?
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Hemoptysis due to bronchial infection is benign but due to bronchial cancer carries poor prognosis .hemoptysis due to paranchymal tissue damage or pulmonary also depends on the cause .if the cause malignant then this is poor if not the prognosis is better  (+ info)

how can you have Pneumonia and Hemoptysis?


Hemoptysis is/means, "spitting up blood" or blood-tinged sputum and when one has pneumonia this is often the case. Infection and coughing causes damage to the mucous membranes in the lungs, small blood vessels rupture which results in some bleeding that will be present in the sputum, (the mucous you cough up.)  (+ info)

What happens when you have had the cough for more than 3 months?


My boyfriend has had the cough since December, and I fear that it could be Tuberculosis. He doesn't have hemoptysis, night sweats, loss of appetite or any symptoms. Can somebody please help me figure it out
He doesn't think he has anything wrong.
He doesn't want to go to the doctor

:*(
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Maybe some lung infections.. or asthma..

Drink enough plain water, have enough rest, stay away from fried, spicy, oily and all those junk foods (eat a healthy balanced diet)..

If he is not having any other symptoms other than coughing, then it is not TB..

Honey in hot water is good for a dry cough..  (+ info)

needle prick used for ivpush for a patient with ptb class3 with massive hemoptysis,will i be infected?


Grengy,

I sympathize here for you, needle sticks are scary and unsetteling. You will be fine. If you were IVP through IV tubing then you are in the clear. Even if the needle had the PT's blood on it it is still extremely difficult to become infected.  (+ info)

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