If X-ray is clear and the person is having a good appetite and no fatigue but the person is spitting up blood with phlegm not always. Sometimes the phelgm is white and sometimes black and sometimes traces of blood in phlegm. No chest pain, no shortness of breath. Is anything to worry? Is there any chance of lungs cancer after clear X-ray.
Welcome to icliniq.com. I have read your issues. Coughing up blood can be a symptom of many diseases like throat or chest infection, tuberculosis,bronchiectasis (a disease where your windpipes are damaged) or lung cancer. A detailed history of complaints and your reports are needed to determine the reason. If you are below 40 years and coughing up blood only for a few days, it is likely a chest infection or tuberculosis (TB). If age is above 40 and a smoker, we need to consider the possibility of cancer. If coughing blood is for months to years, bronchiectasis is the likely cause. If X-ray is normal, TB and cancer become less likely. I would suggest you get a sputum exam for TB, blood tests CBC (complete blood count) and ESR (erythrocyte sedimentation rate). If TB is not detected in sputum and coughing up blood is persistent, computed tomography (CT) scan of the chest may be needed. The probable causes include bronchitis, bronchiectasis, tuberculosis. The investigations to be done are CBC, ESR, sputum AFB (acid-fast bacillus) smear, chest high resolution computed tomography (HRCT) scan.
Was this answer helpful?
Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Please let me know if a complete hemogram has to be done ... Complete hemogram report is already there in the reports you attached (attachment removed to protect patient identity) ... Hello docto Read full
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.