Q. Does spitting phlegm with blood is an alarming one?

Answered by
Dr. Jose Ignacio Artero
and medically reviewed by iCliniq medical review team.
Published on Oct 26, 2018

Hi doctor,

My partner had phlegm with blood just now without coughing. He does not have chest pain and a fast heartbeat. Before a day, he also had a headache and hot temperature. Yesterday, he poked his nose with his finger at night. This morning, he had phlegm coming with a portion of blood. Does it require medical attention? Does spitting phlegm with blood is an alarming one? Please suggest.

Dr. Jose Ignacio Artero

Family Physician General Practitioner


Welcome to icliniq.com.

A possible diagnosis can be lung cancer. For it, your partner must be a smoker for 15 to 20 years or over 50 years so that he can spit blood continuously. If your partner does not have these conditions, then you must be calm. Respiratory tract infection can also be a cause for having phlegm with blood. A headache and fever will also support the diagnosis.

Poking the nose with a finger can also be a cause for having phlegm with blood because blood can pass from the back of the nose to the pharynx. On considering the age, it is necessary to rule out malignant pathology. If the bleeding is not continuous, then there is no need to get tensed.

In addition to bleeding, if your partner has a fever, headache, and cough, then respiratory tract infection will be a probable diagnosis. You can consult a family doctor for evaluation and treatment. If there is a continuation of bleeding and if your partner is a smoker, then it is necessary to do a chest X-ray.

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