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Blood while retching in the morning
I have been spitting phlegm with blood when I wake up after brushing, I feel like pukish and when I go and retch I have seen blood in my spit and phlegm. I have been coughing since sometime and had been to delhi as well. I am a smoker but now I have stopped smoking and drinking. It happens only in the morning when I have to that pukish feeling, I am very scared I can't tell my parents what to do now please help
Answers (35)
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Avoid fried and spicy food
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Hello,
I am Dr. Romain Rajan, General Physician, and your case has been allotted to me.
I understand that seeing blood in phlegm can be very frightening, especially when it happens suddenly. Please try not to panic. Based on what you have described, this does not sound like an emergency, and in many cases the cause is treatable and benign.
What could be the reason
Since the blood appears only in the morning, after brushing and retching, and you have a history of smoking, coughing, and recent exposure to pollution (Delhi), the common causes include:
⢠Irritation or small surface injury in the throat due to forceful coughing or retching
⢠Bleeding from gums or oral cavity aggravated by brushing
⢠Inflamed throat or bronchitis, very common in smokers and after pollution exposure
⢠Acid reflux (GERD) causing morning nausea and throat irritation
⢠Old, stagnant phlegm mixed with a small amount of blood collected overnight
True lung-related bleeding usually occurs throughout the day and is often associated with large amounts of blood, which you have not described.
What you should do now
⢠Avoid forceful retching and aggressive brushing
⢠Use a soft toothbrush
⢠Drink warm water on waking up
⢠Continue complete abstinence from smoking and alcohol
⢠Avoid spicy, oily, and late-night meals
⢠Observe whether the blood is just streaks or in larger quantity
When to consult a doctor immediately
⢠If the amount of blood increases
⢠If blood appears multiple times during the day
⢠If you develop fever, weight loss, night sweats
⢠If you have chest pain, breathlessness, or worsening cough
⢠If this problem continues beyond 3â5 days
A doctor may advise basic blood tests, a chest X-ray, or ENT/chest evaluation if required.
About informing your parents
I understand your hesitation, but early medical evaluation is always better and prevents unnecessary complications. From your description, this does not point toward a serious condition, but it does require proper assessment.
You have taken a very positive step by stopping smoking and drinking.
For a one-to-one consultation, you may reach out to me on 85271646 seven seven.
Feel free to share any reports or further symptoms. I am here to guide you.
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First you make sure get a x ray and the. We could talk
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Could be chronic bronchitis or upper airway bleeding due to gum or throat irritation
Next Steps
consult your nearest physician,ent examination,chest x-ray and other blood tests are required
Health Tips
✓avoid repeated retching ,use a soft tooth brush
✓drink warm water on waking up to keep the throat and mouth moisturizer
✓avoid smoking and late night dinner
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Further investigation is needed
Next Steps
please visit nearest medical College or multiple specialist hospital
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Do the following
1. Chest x ray
2. Blood tests- CBP, HbA1C and ESR
3. Sputum for culture sensitivity and TB (ZN stain) + TB culture
4. See a Chest Specialist
All the best.
J G S R clinic
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As you described the symptoms having blood while retching can be probably due to mallory weis tear , but however the current scenario of Delhi and your history of chronic cough , it's better to get evaluated once
Do consult me on practo for a detailed plan of action, from their we can take it forward
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It could be due to forceful retching or pulmonary issues.As you were a long time smoker , you need to do chest x-ray initially
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Get ur xray done and test for TB
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Consult a nearby physician for chest examination, proceed with chest xray, CBC and sputum examination
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Have chest X ray
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Hello,
First step is getting a chest X ray done.
Secondly a detailed consultation will be needed to decide on further course of action.
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Hello, Im Dr Aryan.
Firstly please dont panic. What you have suggested from history could be either hemotypsis which has multiple causes and a detailed history with examination is required for this. I would like to evaluate you in detail feel free to contact me
Next Steps
I would suggest firstly, to get a dental examination done and a chest xray done.
Health Tips
I would suggest you to do a chest Xray PA view as soon as possible
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Consult online
Take warm water
Start antibiotics
Contact will guide you
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Get chest xray ,cbc, bt.ct done and consult
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If you are getting blood in sputum after continuous coughing, it may be due to repeated forceful coughing.
Now we need to find out why you are having cough.
It can be due to allergy or even Tuberculosis
Please contact me, I will explain everything properly
Next Steps
XRAY CHEST PA view
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Need proper history and symptoms. Please connect me throgh practo or wattsap nine zero seven two two zero seven zero nine three
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First get a chest xray done
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C-xray needed
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Get a chest x ray done. Kindly consult with me on 94 two six eight six 78 nine six.
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Hello , Kindly consider having a Tele-Consultation with me on PRACTO App since adequate patient history is required for proper treatment and further follow up . Thank You
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Dr. Gaurij Hood
General Physician
18 yrs exp
Valsad
Pls connect for further discussion and solution.Don't worry.
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Dr. Boya Koushik Kumar
Internal Medicine
5 yrs exp
Kurnool
Get cbc chest xray done for further evaluation
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Dr. Fathima Simiya K
General Physician
1 yrs exp
Malappuram
Blood in phlegm only in the morning with retching is often due to throat irritation, acidity, or forceful coughing, especially with smoking history. Small streaks can happen and are usually not serious.
Next Steps
Still, get checked by a doctor for safety.
Avoid smoking, alcohol, and spicy food.
If bleeding increases or happens throughout the day, seek care urgently.
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Chest xray (pa view) and consult further
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Dr. Zeenath Kumar
General Physician
3 yrs exp
Bangalore
Better get to done chest xray as soon as possible and get consultation
Next Steps
Stop smoking
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Dr. Laxmi Koppishetty
General Practitioner
8 yrs exp
Rajahmundry
Do a chest xray , see a doctor
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Pls have physical examination with nearby pulmonologist and have a follow up
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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Dr. Marini Vanitha
General Physician
12 yrs exp
Kakinada
Need chest xray.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Due to congestion
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