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

Answered by
Dr. Mit Dharsandiya
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 10, 2018

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.



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I went through your case carefully. I need some more information so that I can help you. Do you feel dryness in the eyes also? Some foreign body sensation in eyes? Do you need to drink some liquid with food to swallow it?

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.



Welcome back to

Do you have skin rashes? Any joint pains? I think you should get following investigation done that will help to diagnose your problem.

The Probable causes:

Sjogren's syndrome.

Investigations to be done:

CBC (complete blood count), ESR (erythrocyte sedimentation rate), ANA (anti-nuclear antibody by IFA-immunofluorescent assay).

Treatment plan:

After reports.

Preventive measures:

After reports.

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.



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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.

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