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Hemoptysis (Coughing Blood)

Coughing up bloody sputum may indicate a serious lung or bronchial disease.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Göğüs Hastalıkları department. Book Appointment →

What is Hemoptysis (Coughing Blood)?

Hemoptysis is the expulsion of blood or bloody sputum originating from the lower respiratory tract (trachea, bronchi, lung) by coughing. While streaks of blood are seen in the sputum in mild hemoptysis, more than 100 ml of blood per hour may come in massive hemoptysis.

Bronchitis and bronchiectasis are among the most common causes. Tuberculosis, lung cancer, pulmonary embolism, cardiac causes (mitral stenosis), and clotting disorders are other important etiological factors.

Massive hemoptysis can be life-threatening by obstructing the airway; it may require urgent endoscopic or angiographic intervention. The underlying cause should be investigated in every hemoptysis case.

Symptoms

Red or dark bloody sputum with cough
Tightness or heaviness in the chest
Shortness of breath
Low fever (if of infectious origin)
Weight loss (in suspicion of lung cancer or tuberculosis)
Sudden large amount of blood (massive hemoptysis — emergency)

Risk Factors

Smoking
Chronic lung diseases (bronchiectasis, COPD)
History of tuberculosis or fungal infection
Use of anticoagulant or antiplatelet drugs
Lung cancer risk factors

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Definitely seek pulmonology consultation at first hemoptysis attack
  • Go to the emergency room if a large amount of blood is coming or breathing becomes difficult
  • If weight loss or fever is accompanying
  • For bronchoscopy and CT angiography evaluation

Treatment Methods

01
Treatment of underlying cause in mild hemoptysis
02
Airway safety and intensive care monitoring in massive hemoptysis
03
Bronchial artery embolization (interventional radiology)
04
Bronchoscopic tampon or laser application
05
Surgical resection (in cases where the source is localized)

Which Department to Visit?

You can visit our Göğüs Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Göğüs Hastalıkları Department

Let us help you

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.