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Is morning hemoptysis evaluation needed for blood in phlegm?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a sinus problem and very frequently, I have sneezing and coughing problem with phlegm. Recently, I suffered from a cold and since then I am getting a blood stain in the morning while sneezing and while clearing the throat in the morning.

One month back, I got a chest X-ray and it was perfectly normal. Can you please specify what should I do? What could be the problem? Should I go for throat and nose endoscopy as the doctor suggested?

Thankyou

Answered by Dr. Archana. G.

Hello,

Welcome to icliniq.com.

Was the blood while coughing bright red or altered maroon color? If it was bright red, then it could be from upper respiratory tract only. It can be due to just trauma. So, do not worry about it at all if it repeats also.

Suppose you are getting maroon-colored blood then you should be cautious. Get endoscopy done that time.

Thankyou

Answered byDr. Archana. G.

Medically reviewed byiCliniq medical review team

Published At June 17, 2018
Reviewed AtFebruary 3, 2026

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