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Warning-sign checks

Pulmonary aspergilloma: 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

    These changes usually need timely review but are not always emergencies.

    Seek emergency medical help if you cough up more than a small amount of blood, the bleeding continues, or you have trouble breathing.

    Also get emergency help for faintness, confusion, severe weakness, blue or grey lips, or chest pain with significant bleeding.

    Do not drive yourself if you are bleeding heavily or feel faint.

    While waiting for emergency help, sit upright and, if you know which lung is bleeding, lie with that side down if you can do so safely.

    This may help protect the other lung.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • 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 is bleeding heavily and it will not stop with firm pressure
    • 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

    Arrange a prompt medical assessment if you cough up blood for the first time, even if it is only a small amount.

    Blood in mucus has several possible causes and should not be assumed to come from a known aspergilloma.

    Contact your usual healthcare service promptly if:

    • Blood-streaked mucus becomes more frequent
    • Your cough or breathlessness is getting worse
    • You develop fever, night sweats, or unexplained weight loss
    • You have new chest pain or a clear fall in exercise ability
    • Treatment causes new symptoms or possible side effects

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