What Causes Coughing Up Of Blood And Chest Numbness?

Posted on Fri, 28 Mar 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 28 Mar 2014 Answered on

Sat, 19 Apr 2014 Last reviewed on

Question : ii have been coughing up blood,upper chest numbness and cold feeling,chest hurts getting up from a reclined position,tandem with pressure also shoulder strap an arm pain off an on constant right hip or pelvic bone pain, yellowing of eyes an sulfur smell,neon lime green urine,hungry but once food is in my mouth i lose my appitiete or have a hard time getting it dwn. sometimes what else i cough up is hard an bone colored an my voice is starting to get course or harsh

Answered by Dr. Arnab Maji (30 minutes later)

Brief Answer: Pneumonia, tuberculosis and bronchogenic carcinoma Detailed Answer: Hello, Thanks for your querry. I admire your concern. You have hemoptysis (coughing up of blood) with so many systemic symptoms along with hoarseness of voice. A bunch of diseases can cause these problems like bronchogenic cancer, pneumonia, tuberculosis and secondary metastasis along with superimposed infections. I will be happy if you kindly answer my following querries: 1. Is there any past history of TB or tubercular drug intake? 2. Is there history of any prior lung infections? 3. Are you a smoker? You need to go for the following investigations straightway - a. Sputum for acid-fast bacilli b. Sputum for M (malignant cell c. Chest X-ray d. If chest X-ray is unrevealing then an HRCT (high resolution computed tomography) scan of thorax e. Sputum for Gram stain and pyogenic culture f. Hemoglobin, total count, differential count, ESR g. Echocardiography and ECG h. Bronchoscopic examination if above mentioned investigation remains non-contributory. Consult a pulmonologist (chest specialist) immediately and get yourself examined properly. If you have further queries you can write back to me. Thank you. Regards Dr Arnab Maji

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj