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I am having blood in sputum in the mornings, dry throat and mouth. Can this be cancer?

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

Patient's Query

Hello doctor,

For about a year I have been coughing up mucus with a small fleck or flecks of blood in it. It happens only in the morning and not every day. I have noticed that my throat and mouth are very dry on the days that it happens. I also have little flecks of blood in my snot when I blow my nose first thing in the morning. I have had a chest X-ray that was normal. I recently quit smoking (a few days ago).

Should I be concerned that it may be cancer?

I am 32. I have also seen an ENT that said everything was normal.

Please help.

Thank you.

Answered by Dr. Mit Dharsandiya

Education:

M.D. General Medicine

Professional Bio:

Dr. Mit Dharsandiya is a highly skilled and established physician in the field of General Medicine, Internal Medicine. He is an expert in tackling any complicated medical cases and can provide an expert opinion.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I went through your case carefully. I need some more information so that I can help you.

  1. Do you feel dryness in the eyes also?
  2. Some foreign body sensation in eyes?
  3. Do you need to drink some liquid with food to swallow it?

Please answer these questions.

Let me know if I can assist you further.

Thank you.

Patient's Query

Thank you doctor,

Yes, I do often have dry eyes. My eye doctor says I have ocular rosacea, no foreign body sensation in my eyes though and yes, I do often need a drink while I eat to help swallow. The swallowing issue is what I went to the ENT for where they performed a pharyngogram swallow study and an esophogram which were also normal.

Kindly suggest.

Thank you.

Answered by Dr. Mit Dharsandiya

Education:

M.D. General Medicine

Professional Bio:

Dr. Mit Dharsandiya is a highly skilled and established physician in the field of General Medicine, Internal Medicine. He is an expert in tackling any complicated medical cases and can provide an expert opinion.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

I read and understand your concern.

  1. Do you have skin rashes?
  2. Any joint pains?

I think you should get the following investigation done, which will help to diagnose your problem.

CBC (complete blood count).

ESR (erythrocyte sedimentation rate).

ANA (anti-nuclear antibody by IFA-immunofluorescent assay).

Patient's Query

Thank you doctor,

Sometimes I get both. Not very often and I can usually figure out a cause like I get a rash after I cut the grass or weed the flower beds and joint pain if I lay on my side for too long and sit in one position for a long time. I have a desk job, I get caught up in work and forget to move around sometimes.

Kindly help.

Thank you.

Answered by Dr. Mit Dharsandiya

Education:

M.D. General Medicine

Professional Bio:

Dr. Mit Dharsandiya is a highly skilled and established physician in the field of General Medicine, Internal Medicine. He is an expert in tackling any complicated medical cases and can provide an expert opinion.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

I think that is not significantly related to your current illness. You should get the investigations done as I suggested and follow up with reports.

I hope this is clear, and if you have any questions, do not hesitate to ask.

Do follow up whenever needed.

Let me know if I can assist you further.

Thank you.

Answered by
Medically reviewed by iCliniq medical review team
Published At September 3, 2018
Reviewed At April 25, 2026

Education:

M.D. General Medicine

Professional Bio:

Dr. Mit Dharsandiya is a highly skilled and established physician in the field of General Medicine, Internal Medicine. He is an expert in tackling any complicated medical cases and can provide an expert opinion.

This doctor is not available for online consultations on the platform anymore.

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

Dr. Mit Dharsandiya

Education:

M.D. General Medicine

Professional Bio:

Dr. Mit Dharsandiya is a highly skilled and established physician in the field of General Medicine, Internal Medicine. He is an expert in tackling any complicated medical cases and can provide an expert opinion.

This doctor is not available for online consultations on the platform anymore.

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