The situation in which there is occasional blood in the sputum in recent days is called blood-streaked sputum. Many diseases are clinically related to it, and some are caused by the dry climate. There are many possible situations in which blood may appear in sputum. We need to figure out our condition as soon as possible and guard against the existence of various diseases, which requires us to understand the main reasons. Let’s take a look at the main reasons for blood in sputum. Causes 1. It may be due to the dry climate, which is related to the season. 2. Chronic pharyngitis may also cause blood in the sputum, especially during an attack. 3. Acute and chronic infections of the trachea and bronchi. 4. Rare diseases such as tumors, tuberculosis, bronchiectasis, etc. cannot be ruled out. Bronchiectasis is a disorder in which the muscle and elastic components of the proximal medium-sized bronchial walls are destroyed, resulting in abnormal, irreversible dilation and deformation of the lumen. 5. Other possible diseases include: hypertrophic pharyngitis, actinomycosis, hydatidiform mole, Kartagener syndrome, pulmonary trichomoniasis, etc. Clinical manifestations In addition to blood-streaked sputum, the following are manifestations of the primary disease: 1. Hypertrophic pharyngitis Dryness and itching in the throat, foreign body sensation in the throat, dry cough, sore throat, etc. 2. Actinomycosis Subcutaneous nodules, edema, abscesses, difficulty opening the mouth, headache, sputum, etc. 3. Pulmonary geotrichum Cough, sputum, fatigue, chest tightness, itching, headache, abdominal pain, etc. Differential Diagnosis Blood in sputum should be differentiated from the following symptoms: 1. Bloody sputum Bloody sputum means sputum containing blood streaks and blood clots. Bright red blood in sputum is often seen in tuberculosis or bronchiectasis, and sometimes this phenomenon can also occur when there is inflammation in the pharynx. 2. Rotten peach-like bloody sputum Rotten peach-like bloody sputum is a common clinical manifestation of pulmonary paragonimiasis. Pulmonary paragonimiasis, also known as lung fluke disease, is an acute or chronic endemic parasitic disease caused by Paragonimiasis. The parasites mainly parasitize in the lungs, with cough and peach-colored sputum as the main manifestations. They can also parasitize in various tissues and organs, such as the brain, spinal cord, gastrointestinal tract, abdominal cavity and subcutaneous tissue, causing corresponding symptoms. 3. Coughing up blood and sputum Most respiratory diseases are accompanied by symptoms of cough and sputum. Sputum can be grayish white mucus or yellow-green purulent sputum. Sometimes the coughed up sputum contains bright red blood, which is called hemoptysis. In medicine, bleeding from the trachea, bronchi or lung tissue below the larynx that is coughed out of the body is called hemoptysis. |
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