Slight hemoptysis - wonder what others do

Posted by wsbme74 @wsbme74, 3 days ago

Hi. I have asthma and mild Bronchiectasis, diagnosed with the latter last year. I have had small spots of blood when clearly fighting an infection on a couple of occasions. However, the last couple of days, I have had a couple of bright red blood spots (not large, but always alarming!) in my clear mucus. I don't have a cough or fever. Noticing a little chest tightness but not a lot. I usually neb with levalbutirol followed by either 3% or 7% saline (usually a mix to get to about 5% as best tolerated) in the morning plus aerobika and breathing exercises and then aerobika and postural drainage in the evening. I sometimes neb in the evening as well - if I am fighting something or have been around potential germs, which I did twice this weekend.

I have held off using the saline over the last 24-hours as don't wish to aggravate the situation. But, of course, I also don't want to make things worse by not doing airway clearance! My pulmonologist isn't the most-versed in Bronchiectasis nor readily-available. But in Maine, they are all in short supply!

Just wondering what others do or have been instructed to do with any signs of hemoptysis when it's a small amount. Thanks!

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

The .9% saline might be as effective as the 5% combined you use and less irritating to your lungs.
Also, if you take NAC, please be aware that this may trigger bronchial bleeding.
Best wishes for great health!

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Thank you so much! I think it makes sense to move to .9% for now. That's also really good to know about NAC. I had actually tried to take it in powder form at I believe 600mg dissolved in a drink and it definitely started to trigger coughing and lung "twitchiness" for me so I had to stop.
I really appreciate your insight!

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Good to know it’s possible the NAC causes the twitching in lungs

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Not to worry about a small amount of blood in mucus. My pulmonologist says it is like a scab coming off when you cough up some blood,

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