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Last night my husband coughed up 2 clots.

He has been unwell for least 3-4 weeks, recovered from the flu. But cough persists.



Dear Desiree,

Coughs caused by the common cold, or flu, usually clear up after a few days.

He should have a X ray CT scan.

Coughing up blood, although alarming, is not always indicative of a serious illness, blood-tinged mucus is commonly a result of a rupture in a small blood vessel due to the force of coughing or a bronchial infection.

However, there are other, more serious issues which can result in bloody mucus being expelled from the body.

The following medical conditions are some of the possible causes of Coughing up blood, (also known as hemoptysis):

Bronchitis Pneumonia
Respiratory infection
Chest infection
Lung disorders
Lung infection
Lung fibrosis
Ruptured lung blood vessel - such as from coughing too hard.
Lung cancer
Airway tumor
Fungal lung infection
Bronchiectasis fungi
Allergic bronchopulmonary aspergillosis (ABPA)
Parasitic lung infection
Necrotic pneumonia
Anaerobic pneumonia
Lung abscess
Staphylococcal respiratory infection - may cause rusty or blood colored sputum.
Serratia marcescens lung infection
Respiratory trauma
Lung injury
Lung foreign body
Pulmonary artery catheter
Lung trauma

It is very important to note how long your husband cough up blood. He should also keep track of the following:

-How much blood is mixed with the mucus

-Symptoms such as lightheadedness, dizziness, or thirst, which might indicate a severe amount of blood loss.

-Other symptoms such as fever, chest pain, shortness of breath, and blood in the urine.

-The doctor will do a complete physical exam and check his chest and lungs.

Tests that may be done include:

Chest x-ray
Chest CT scan
Complete blood count
Coagulation studies such as PT or PTT
Lung biopsy
Lung scan
Pulmonary arteriography
Sputum culture and smear

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