What mimics hemoptysis?

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asked Nov 8, 2024 in Diseases Conditions by klistiniaj (1,160 points)
What mimics hemoptysis?

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answered Nov 14, 2024 by Bantakat (2,100 points)
Conditions which mimics hemoptysis are bleeding from the nose or nasopharynx and pseudohemoptysis.

Pseudohemoptysis is coughing up blood from your upper respiratory tract or upper gastrointestinal tract which can mimic hemoptysis.

Bleeding from the nose or the nasopharynx can also mimic hemoptysis, even if there is no obvious nosebleed.

The drug of choice for hemoptysis is Tranexamic acid which is an antifibrinolytic which can reduce blood loss and provide rapid relief for mild hemoptysis.

Inhaled tranexamic acid can shorten your stay in the hospital.

Other drugs of choice for hemoptysis are cough suppressants, antivirals, steroids, antibiotics and vasoconstrictors like epinephrine or vasopressin which narrows blood vessels.

The amount of hemoptysis that is too much is a few teaspoons of blood.

If you cough up more than a few teaspoons of blood then you should seek medical attention.

If you cough up blood and have chest pain, weight loss, soaking sweats at night, shortness of breath or fever higher than 101 degrees you should seek medical attention.

If hemoptysis is left untreated it can lead to serious complications which include Aspiration, Anemia, lung infections, shock, asphyxia and even death.

Less severe cases of hemoptysis may clear up on their own without complications but you should also seek medical attention anyway as it can get worse.

coughing up blood should not be ignored as it can indicate a serious medical condition.

You should go to the ER for hemoptysis when you cough up 150 mL or more of blood in a 24 hour period or a bleeding rate of 100 mL or more per hour which is considered life threatening.

If the coughing up blood does not stop within a few minutes or continues then you should always seek medical attention.

You should also seek immediate medical attention and emergency treatment if you have hemoptysis along with dizziness, fever, light headedness, chest pain or worsening shortness of breath.

These symptoms can indicate you have an airway obstruction or even respiratory failure.

If you cough up small amounts of blood for more than a week then you should make an appointment with your doctor.

The amount of blood that is considered hemoptysis is 100 milliliters of blood to over 600 milliters of blood or around a pint.

Massive hemoptysis is life threatening hemoptysis and is when you cough up more than 100 to 600 mL of blood in a 24 hour period and can also be defined as coughing up 150 mL to 200 mL of blood at once.

The autoimmune diseases that cause hemoptysis are goodpasture syndrome and granulomatosis with polyangiitis as well as systemic lupus erythematosus.

Goodpasture syndrome is a rare but life threatening autoimmune disorder which causes your body's immune system to attack your lungs and kidneys.

Symptoms of goodpasture syndrome are coughing up blood, difficulty breathing, fatigue and chest pain and when left untreated goodpasture syndrome can lead to kidney failure, lung damage and death.

Granulomatosis with polyangiitis is a disease that can cause coughing up blood, nosebleeds and pus like materia and can worsen quickly.

Bronchiectasis and Idiopathic pulmonary hemosiderosis are also 2 other auto immune diseases that can cause coughing up blood.

The main causes of hemoptysis are infections, lung diseases and other conditions such as lung abscess, pneumonia and acute bronchitis.

If an infection is the cause of hemoptysis then you may also have a cough and a fever.

Common causes of hemoptysis are bronchitis, acute or long term bronchitis, lung cancer, damaged airways, bronchiectasis, cystic fibrosis, pneumonia, tuberculosis and COPD or chronic obstructive pulmonary disease.

Hemoptysis is a serious condition and is when you cough up blood from your lungs.

Some cases of coughing up small amounts of blood are not always serious but if you're coughing up blood you should seek medical attention as it can be a sign of a serious condition.

Massive hemoptysis is most commonly associated with lung cancer, bleeding diathesis, leukemia during chemotherapy and anticoagulation.

Hemoptysis or coughing up blood involves coughing or spitting up blood that is mixed with mucus or spit and can have many causes.

You should seek immediate medical attention if you cough up more than a couple teaspoons of blood or if you also experience other symptoms along with coughing up the blood like shortness of breath, fever, dizziness or chest pain.

Hemoptysis is considered to be life threatening when you cough up around a 1/2 cup of blood in a day or if you bleed at a rate of at least 100 mL per hour.

Hemoptysis can be caused by cancer, cystic fibrosis, bronchitis, bronchiectasis and blood vessel inflammation and many other conditions.

Treatment for hemoptysis can include bronchoscopy, ICU care, angiography and embolization or tranexamic acid.

Minor cases of hemoptysis can often go away on their own but it's still important to seek medical care as soon as possible to determine the cause and get the treatment you need.

The most serious causes of hemoptysis is lung cancer, bleeding diathesis (e.g., leukemia during chemotherapy, anticoagulation), cystic fibrosis, and tuberculosis.

Hemoptysis should be considered serious if not potentially lethal with an associated mortality ranging from zero to as high as 80%1-3 from asphyxiation.

Hemoptysis greater 1000 ml/d in the presence of cancer is associated with a mortality rate of 80%.

The red flags of hemoptysis are frothy sputum, bright red blood, and (if massive) a sensation of choking are characteristic of true hemoptysis.

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