sofidexFor patientsAre you a clinician? Clinical site

Warning-sign checks

Coughing up blood: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services now if:

    • There is more than a few spots or streaks, or bleeding continues
    • You are struggling to breathe
    • You have chest or upper-back pain, a very fast heartbeat or blue-grey lips
    • You feel faint, confused, very weak or unusually drowsy
    • Blood appears with sudden breathlessness or one-sided leg swelling

    And for anyone, someone who:

    • is struggling to breathe, gasping, choking, or cannot get words out
    • is bleeding heavily and it will not stop with firm pressure
    Other emergency signs, for anyone
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek same-day medical advice if you cough up any blood that appears to come from your chest, even a few spots or streaks.

    This is especially important if it happens again, you have a fever, or you have a lung or heart condition.

    After urgent assessment, arrange follow-up if your cough continues, the blood returns or recommended tests have not been completed.

The article also says

Do not drive yourself if you are seriously unwell.

Bring your medicines or a current medication list, especially if you take anticoagulants or antiplatelet medicines.

Every sign above is quoted from the sofidex article on Coughing up blood. If you are not sure, err upward — it is always reasonable to be checked.