The Symptoms of Hemorrhage Of The Lungs or Haemoptysis

Blood frothy and coughed up in mouthfuls; blood mingled with phlegm or mucus; blood bright red and fluid, no clots.

The following comparative table of symptoms shows very clearly the difference between hemorrhage from the lungs and bleeding from the stomach, conditions which are often confounded:-



Difficult breathing.


Pain or heat in the chest.

Tenderness at pit of stomach.

Blood frothy.

Blood not frothy.

Blood of bright red color.

Blood of dark color.

Blood mingled with phlegm.

Blood mixed with food.

No clots.

Clots always present.

Blood coughed up in mouthfuls.

Blood vomited freely.

Symptoms relating to the chest.

Symptoms relating to the stomach.

The chief causes of hemorrhage from the lungs are congestion of the lungs, or disease which weakens the walls of the small blood-vessels. Undoubtedly the latter cause is the most common one. Pulmonary hemorrhage occurs most frequently in persons suffering with consumption, either in its incipient or its advanced stages. Bleeding at the lungs must not, however, be taken as positive evidence of the existence of tubercular disease, since many cases are observed in which even a severe hemorrhage from the lungs is not followed by any other symptoms of disease of the lungs, the patient enjoying perfect health for many years. There is good evidence for believing that hemorrhage from the lungs is a cause of consumption, the retained blood giving rise to inflammation, which is followed by breaking down of the lung. Hemorrhage of the lungs occurs with considerable frequency in persons of a scrofulous or tuberculous tendency who seem to be in perfect health; in these cases it is justly regarded as a very ominous indication, and one which demands prompt and vigorous attention.

The bleeding generally occurs from the rupture of a capillary vessel in the mucous membrane of the bronchial tubes, but occasionally in the deeper tissues of the lungs. Death from hemorrhage occurs much more rarely than is generally supposed, even in cases of severe tubercular disease. In fact, some eminent physicians maintain that consumptive patients who have occasional hemorrhages succumb to the disease less rapidly than those who do not suffer with hemorrhage at all. Many consumptives express themselves as feeling relieved after a slight hemorrhage, probably owing to the temporary relief of congestion. In cases in which there is very profuse hemorrhage which cannot be controlled by treatment, the bleeding is usually caused by the rupture of a vessel of large size. The expectoration of small quantities of blood, in the form of small streaks or specks in mucus or phlegm, is a symptom of little or no importance. In these cases the source of the slight bleeding is generally in the throat. In some cases, clots of blood collect in the throat at night from slight hemorrhage from the nose.