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Negative sputum results without treatment

MAC & Bronchiectasis | Last Active: Dec 12, 2019 | Replies (103)

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@baz10

Hello shooei@shooei
Yes, I have coughed up blood. It doesn't seem as though I cough it up, but I can hear a gurgling sound and know that the blood will be coming, and it is sooo scary. I was diagnosed with pneumonia both times that I went to the ER and a CT was done, and the last time, almost 3 years ago, the radiologist said the symptoms were pneumonia and possibly MAC. That was the first time that I had heard of MAC and no one explained what it was, so I went on-line and looked. The allergy/asthma doc that I see, didn't agree that it was MAC, yet when I had the yearly CT in his office, the radiologist report was "consistent with MAC". Having COPD, bronchiectasis, and asthma, I nebulize with Brovana twice daily followed by one puff of Alvesco inhaler. It has been almost 3 years since last having any blood come up, but we live on the edge that it might. The blood appears very liquid and would sometimes be a couple of tablespoons. It first happened about 20 years ago, and at that time was diagnosed as pneumonia. Has happened twice since then. IF I seem to get a chest congestion, I start on 250 mg of an antibiotic for 5 days. It is a child's dose, but I have problems with most antibiotics and have had C-diff in the past due to them. Hope this helps you a bit.

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Replies to "Hello shooei@shooei Yes, I have coughed up blood. It doesn't seem as though I cough it..."

@baz10 Thanks for responding. I'm investigating whether coughing up blood may actually be a good thing in MAC. In my reading of MAC articles, I found one called "Retrospective study of the predictors of mortality and radiographic deterioration in 782 patients with nodular/brochiectatic MAC lung disease" by Gochi et al. ( https://www.ncbi.nlm.nih.gov/pubmed/26246077 ) Very few people die of MAC-related issues. The women with bloody sputum fared the best. I'm trying to find out why.