iCliniq Logo
HomeAnswersGeneral Medicineblood tinged sputum

There was blood in the spit. What might be the reason?

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

Patient's Query

Hello doctor,

I spit blood early in the morning after waking up. I consulted a dentist and then a chest specialist, who advised bronchoscopy and sputum tests. The reports were normal. But, nobody could find the cause for the blood in the spit. It is happening for the past two years. Not regularly, but once or twice a week. What might be the reason? Whom should I consult?

Answered by Dr. Anshul Varshney

Hello,

Welcome to icliniq.com.

The most common causes of early morning blood in the sputum are:

  1. Chest infection or tuberculosis.
  2. Cardiac issues like rheumatic heart disease.
  3. Reflux esophagitis.

Now, if your chest has been evaluated and a clearance has been given by your doctor, then my recommendations would be further following investigations:

  1. Complete blood count.
  2. PT/INR (prothrombin time).
  3. BT/CT (bleeding time and clotting time).
  4. Upper GI (gastrointestinal) endoscopy.
  5. Echocardiography.

Get these investigations done and write back to me with the reports.

Patient's Query

Thank you doctor,

I have uploaded all my medical reports for your thorough review. I have also attached photos showing blood sputum. Kindly suggests accordingly. Gastroenterologists did an endoscopy, advised ulcer, and prescribed an Esokem L tablet. Even after one week of medication, I can find blood in my sputum early morning.

Answered by Dr. Anshul Varshney

Hi,

Welcome back to icliniq.com.

I have evaluated your reports and have seen that you have an ulcer in your stomach that could be the reason for the blood. However, I would recommend you wait for ten days with the medicine given to you, and still, if there is no relief, you should go for a contrast-enhanced computed tomography-chest (CECT).

If you have any further queries, please ask me.

Answered byDr. Anshul Varshney

Medically reviewed byiCliniq medical review team

Published At September 20, 2017
Reviewed AtAugust 18, 2023

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Anshul Varshney
Dr. Anshul Varshney

Internal Medicine

Consult this doctor
Listen to related tracks in our music library

Related Questions

I have suffered with tuberculosis(Koch's disease)last year. Now I am getting the same disease back.

Please see my CT scan, and let me know if I have lung cancer.

There was blood in the spit. What might be the reason?

I am at the risk of HIV AIDS. Please help.

Do I need to get a lung biopsy to confirm bronchiectasis?

Am I suffering from tuberculosis? Please clarify from my CT report.

Read answers about:

blood tinged sputumechocardiogrambronchoscopy

Ask your health query to a doctor online

General Medicine

*guaranteed answer within 4 hours

Trustpilot

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.