I have had about 16 hemoptysis episodes over the course of the last year. I doubt skipping a dose of Amikacin (which I have never been prescribed) has anything to do with it. In my case, I only use the Aerobika for airway clearance because the saline and/or albuterol with the device cause me to have hemoptysis and required me to stop the use of those with the device. I suggest you see if the Amikacin is a contributing factor and note any relationship in the future. There may not be a correlation but, given my problems with the saline/albuterol, may be. Additionally, and oddly, I can have a hemoptysis episode solely using the Aerobika.

For some people, like me, hemoptysis is just a part of having bronchiectasis/MAC, mostly the bronchiectasis. I was pretty frightened with my first episode and went to the ER at the suggestion of my insurance company (it was late at night). The next 4 episodes -- I went to the ER due to my concern about the amount. My episodes aren't just a bit of red in sputum. They are large clots that scare a person beyond description and cover from 5-10 minutes, sporadically over that time. I now take pictures of the hemoptysis amounts to show my pulmonary/ID doctors so they can evaluate how bad it is and whether or not my treatment for bronchiectasis/MAC should be re-evaluated.

I have decided not to go to the ER again unless what I'm coughing up is over a tablespoon+ of pure blood, which could indicate a pulmonary embolism. My episodes have not stopped, although I have gone a month now without one, which isn't that unusual. Sometimes I'll go 3-4 months without an episode and then, all of a sudden, I'll have 2-3 in one month and sometimes back to back (in two days).

I hope this helps. I remember feeling the way you do but I'm still here, alive and kicking in spite of the hemoptysis. Wishing you well on this journey of ours!