[28M] Experiencing blood from throat with asthma history

Patient Description

A 28-year-old male reports experiencing blood from the throat without coughing for approximately one week. The bleeding occurs about four times a day when attempting to clear the throat, producing less than a teaspoon of fresh red or pink blood. Other times, clearing the throat results in yellow phlegm without blood. The patient has a history of asthma since childhood and uses Ventolin as needed. He quit smoking seven months ago. The patient recently had a cold three weeks ago, with a slight fever at that time. He also experiences occasional discomfort in the left lung when moving, along with some chest tightness and mild shortness of breath. There is no recent weight loss, loss of appetite, or recent travel. Family history includes a father with asthma. The patient's chronic condition includes hidradenitis suppurativa, and he has allergies to paracetamol and ciprofloxacin.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  1. Post-Nasal Drip or Throat Irritation: After a recent cold, it's possible that post-nasal drip or throat irritation is causing minor bleeding. This can happen when the throat is irritated from frequent clearing or coughing.

    • Treatment typically involves managing the underlying cause, such as using saline nasal sprays or humidifiers to keep the throat moist.
  2. Asthma-Related Irritation: Asthma can sometimes cause throat irritation, especially if you're using inhalers frequently. The irritation might lead to minor bleeding when clearing your throat.

    • Ensuring proper inhaler technique and using a spacer can help reduce throat irritation.
  3. Gastroesophageal Reflux Disease (GERD): Sometimes, acid reflux can cause throat irritation and bleeding, especially if you experience heartburn or a sour taste in your mouth.

    • Treatment involves dietary changes, avoiding trigger foods, and possibly using antacids or medications prescribed by a doctor.
  4. Infection or Inflammation: Although less likely given the time since your cold, lingering infection or inflammation could cause these symptoms.

    • A healthcare provider might recommend throat lozenges or anti-inflammatory medications.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis, here are some steps you can take:

  1. Stay Hydrated: Drink plenty of water to keep your throat moist and help reduce irritation.
  2. Use a Humidifier: Adding moisture to the air can help soothe your throat.
  3. Avoid Irritants: Try to avoid smoking, secondhand smoke, and other irritants that can worsen throat irritation.
  4. Monitor Symptoms: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider.
  5. Proper Inhaler Use: Ensure you're using your asthma inhaler correctly to minimize throat irritation.

What you should look out for

Seek medical attention if you experience any of the following:

  • Increased or persistent bleeding
  • Severe chest pain or difficulty breathing
  • High fever or signs of infection
  • Unexplained weight loss or persistent fatigue

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a thorough evaluation and appropriate treatment.

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1 mo ago


People Also Ask


What could cause blood in the throat without coughing?

Blood in the throat without coughing can be caused by throat irritation from post-nasal drip, asthma-related irritation, or gastroesophageal reflux disease (GERD). It's important to consult a healthcare provider for a proper diagnosis.


Can asthma or its treatment cause throat irritation and bleeding?

Yes, asthma or frequent use of inhalers can cause throat irritation, which might lead to minor bleeding. Ensuring proper inhaler technique and using a spacer can help reduce this irritation.


How can post-nasal drip lead to throat bleeding?

Post-nasal drip can irritate the throat, especially after a cold, leading to minor bleeding when clearing the throat. Managing the underlying cause with saline nasal sprays or humidifiers can help alleviate symptoms.


What are the signs that I should seek medical attention for throat bleeding?

You should seek medical attention if you experience increased or persistent bleeding, severe chest pain, difficulty breathing, high fever, or unexplained weight loss. These could be signs of a more serious condition.


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