What should I do if I have bronchiectasis with coughing up blood?

Sep 13, 2022 Source: Cainiu Health

Dr. Ren Yi

Introduction

When patients with bronchiectasis experience hemoptysis, they may appropriately take hemostatic medications such as adrenochrome (Anluoxue), vitamin K3, and etamsylate. Meanwhile, oral administration of drugs with dampness-resolving and expectorant effects, such as carbocisteine, roxithromycin, and ambroxol, is required. However, if hemoptysis is severe, timely bronchial artery embolization may be necessary.

Some people who do not receive timely treatment for chronic cough may develop symptoms of bronchitis, and in severe cases may even experience bronchiectasis with hemoptysis (coughing up blood), significantly affecting their daily lives. What should be done when bronchiectasis causes hemoptysis?

What to Do When Bronchiectasis Causes Hemoptysis

When patients with bronchiectasis experience hemoptysis, they may appropriately take hemostatic medications such as Anluoxue (carbazochrome), vitamin K3, or ethamsylate. At the same time, oral medications that help remove dampness and phlegm—such as carbocisteine, roxithromycin, and ambroxol—may also be used. However, if the hemoptysis is particularly severe, prompt bronchial artery embolization may be required.

Quit smoking and drinking. Harmful substances produced by cigarette smoke can directly irritate the airways upon inhalation, leading to respiratory inflammation and spasms, worsening ventilation impairment. Alcohol can cause peripheral vascular dilation, increased heart rate, higher oxygen consumption, and increased burden on lung function; therefore, patients with bronchial asthma should resolutely quit smoking and drinking.

Precautions for hemoptysis in patients with bronchiectasis include: promptly clearing blood clots from the airway to maintain airway patency; positioning the patient in a lateral or prone position during hemoptysis; stimulating the back of the throat to help the patient cough out clots if necessary; avoiding sedatives that may suppress the cough reflex; and staying calm to reduce the patient's fear. Additionally, patients with massive hemoptysis should temporarily fast, while those with mild hemoptysis should be given warm liquid diets.

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