Symptom 8: Hemoptysis
Hemoptysis, or coughing up blood, in bronchiectasis is a serious and alarming symptom. It occurs due to the rupture of blood vessels in the damaged airways. Hemoptysis can range from small streaks of blood mixed with mucus to large amounts of blood, and it requires immediate medical attention.
The causes of hemoptysis in bronchiectasis include severe infection, inflammation, and erosion of the airway walls. In some cases, it may be triggered by a particularly violent coughing spell, which causes fragile blood vessels in the airways to rupture.
The amount of blood and the frequency of hemoptysis episodes are critical in determining its severity. Even small amounts of blood should be taken seriously, as they can be a sign of significant airway damage or an underlying infection.
When hemoptysis occurs, it is crucial to seek immediate medical care. Treatment may involve antibiotics to treat underlying infections, bronchodilators, and in some cases, procedures to control bleeding. The management of hemoptysis depends on its cause and severity but is always treated as a medical emergency.
Regular monitoring of lung function and symptoms is vital for individuals with bronchiectasis to prevent or promptly address hemoptysis. Understanding the triggers and having a plan in place for immediate action can significantly impact the management of this symptom and prevent serious complications. (8)