Hey, so about a month ago, I noticed I was coughing up blood even though I didn't have a cough or cold, and it went on for a week before stopping. But just a couple of days ago, it started happening again. I had a chest X-ray, and the report said the bronchovascular mark is prominent in the lungs field. I also got a CBC done, and while most things seemed normal, my ESR was high at 38, and my hemoglobin was low at 11.5. I've also been having sharp pains in my chest, back, neck, and sometimes in my abdomen. Do you think this could be something serious?

Dr Dhankecha Dineshbhai

General Practitioner

• MBBS
• 6+ Yrs

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Based on your symptoms and test results, it is important to address the underlying cause of the blood in your sputum and the chest pain. The prominent bronchovascular mark on your chest x-ray may indicate inflammation or infection in the lungs. To help reduce inflammation and manage any potential infection, I recommend taking a course of antibiotics such as Azithromycin 500mg once daily for 5 days. In addition, the high ESR and low hemoglobin levels suggest possible inflammation in the body and mild anemia. To address this, you can take Ferrous Sulfate 325mg twice daily to help increase your hemoglobin levels and improve your overall health. It is important to follow up with your healthcare provider for further evaluation and management of your symptoms to ensure appropriate treatment and monitoring.

Answered 04/07/2025