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Gastroenterology (Expert Forum)
bloody stool and coughing blood
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
bloody stool and coughing blood
by dilemma, Mar 16, 2003 12:00AM
My significant other refuses to see a doctor. For the past month he has started coughing up blood in the morning and passes blood with his stools. I am the only person who knows about this and his remedy is just to party all summer than leave. He is 40 years old and in pretty good shape. I guess my question is what could all this be?
Doctor's Answer
by Kevin Pho, MD, Mar 16, 2003 12:00AM
, Mar 16, 2003 12:00AM
Hello - thanks for asking your question.
Please understand my limitations over the internet as I have neither met nor examined you. This information is for patient education only. Please see your personal physician for further evaluation.
First of all, your significant other needs to be evaulated by a physician urgently. Coughing up a large amount of blood (more than 100mL in a 24hr period) is a medical emergency.
Regardless, any coughing up of blood (hemoptysis) is a serious symptom. There are many causes of this. This includes airways disease (such as bronchitis, cancer, airway trauma), pulmonary disease (tuberculosis, pneumonia), immune disorders, pulmonary thromboembolism, heart conditions (valve disease), or blood disorders.
A physician examination including blood tests, urine tests, and a chest x-ray is essential. Your physician may refer to a pulmonologist for a possible fiberoptic bronchoscopy for further evaluation.
Passing blood in the stool is also of concern. The most common cause is hemorrhoids. Other causes include cancer, polyps, diverticulosis, gastroenteritis, or inflammatory bowel disease. Again, examination by a physician and possible procedure with a colonoscopy or flexible sigmoidoscopy is strongly suggested.
Followup with your personal physician is essential and strongly suggested.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Please understand my limitations over the internet as I have neither met nor examined you. This information is for patient education only. Please see your personal physician for further evaluation.
First of all, your significant other needs to be evaulated by a physician urgently. Coughing up a large amount of blood (more than 100mL in a 24hr period) is a medical emergency.
Regardless, any coughing up of blood (hemoptysis) is a serious symptom. There are many causes of this. This includes airways disease (such as bronchitis, cancer, airway trauma), pulmonary disease (tuberculosis, pneumonia), immune disorders, pulmonary thromboembolism, heart conditions (valve disease), or blood disorders.
A physician examination including blood tests, urine tests, and a chest x-ray is essential. Your physician may refer to a pulmonologist for a possible fiberoptic bronchoscopy for further evaluation.
Passing blood in the stool is also of concern. The most common cause is hemorrhoids. Other causes include cancer, polyps, diverticulosis, gastroenteritis, or inflammatory bowel disease. Again, examination by a physician and possible procedure with a colonoscopy or flexible sigmoidoscopy is strongly suggested.
Followup with your personal physician is essential and strongly suggested.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
