What should I do if I have tracheitis and cough up blood?

Written by Wang Chun Mei
Pulmonology
Updated on April 19, 2025
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Tracheitis is a very common disease in respiratory medicine. Tracheitis, especially if it is acute, is usually due to infections or non-infections. It could also be due to some physical and chemical factors, leading to clinical symptoms such as coughing, sputum production, shortness of breath, and wheezing. When patients experience severe coughing, some may have bleeding due to the rupture of capillaries on the surface of their blood vessels. Therefore, during a tracheitis attack, some patients may cough up blood to varying degrees. Regarding how to handle this, it primarily depends on the amount of blood coughed up caused by the tracheitis. If the amount is small, generally, timely anti-infection and cough-suppressing expectorant treatments are given. Symptomatic treatment can effectively control the inflammation, and minor amounts of blood in the cough can also be alleviated. If there is a considerable amount of blood in the cough during tracheitis, it is necessary to use some hemostatic drugs for symptomatic treatment to stop the bleeding.

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Written by Yuan Qing
Pulmonology
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How should tracheitis be treated to get better?

Bronchitis is primarily due to a decline in a person's immune resistance, followed by bronchial infection by external microorganisms, causing local inflammation in the bronchi and the formation of a large amount of secretion. The main symptoms exhibited by patients are coughing and expectoration. The treatment of bronchitis should first be handled as an infectious disease, providing appropriate anti-infection treatment, such as antibacterial and antiviral therapy. Additionally, if the patient presents symptoms of coughing and expectoration, some expectorants and symptomatic cough suppressants should be administered. If the patient exhibits symptoms of wheezing and breathlessness, treatments such as nebulization, spasm relief, and asthma relief should be given. Generally, the treatment duration for bronchitis is about a week, and the symptoms can generally be completely controlled. (Medications should be used under the guidance of a doctor.)

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Written by Han Shun Li
Pulmonology
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What should I do if I have tracheitis with chest tightness and shortness of breath?

Common symptoms of bronchitis include coughing and phlegm production, and some people may also experience chest tightness and shortness of breath. What should be done if chest tightness and shortness of breath occur? First, medication should be used according to the cause of the condition, such as using sensitive antibiotics if it's caused by a bacterial infection. If it is due to allergic factors, antiallergic drugs or corticosteroids can be chosen. In addition, symptomatic treatment can be considered, such as using bronchodilators to alleviate symptoms of chest tightness. Furthermore, if there is phlegm, expectorant medications can be used to ease symptoms and reduce respiratory tract resistance, which also helps relieve chest tightness.

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Written by Li Jian Wu
Pulmonology
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Can tracheitis cause a fever?

Tracheitis, in its acute inflammatory phase, can cause symptoms such as fever, although not all cases of tracheitis will lead to a fever. Fever is merely a manifestation of inflammation within the body, and respiratory infections are prone to this symptom. It is necessary to conduct timely examinations, in conjunction with clinical symptoms and supplementary tests, to implement appropriate treatments and interventions. If the body temperature exceeds 38.5 degrees Celsius, it is possible to administer antipyretic medication for symptomatic treatment, such as ibuprofen or acetaminophen. For acute tracheitis, choosing antibiotics to control the infection is also advised. (The use of medications should be under the guidance of a doctor.)

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Written by Wang Chun Mei
Pulmonology
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What are the symptoms of tracheitis?

Bronchitis is a very common disease in respiratory medicine and can be categorized into acute bronchitis and chronic bronchitis based on the duration of the disease. Generally, regardless of the type, the symptoms presented by patients are primarily discomfort in the respiratory tract, such as fever, fatigue, cough, expectoration, breathlessness, chest tightness, and wheezing in cases of acute bronchitis. For patients with chronic bronchitis during acute episodes, there generally is no fever, but the primary symptoms are persistent cough and expectoration, along with wheezing, breathlessness, and chest tightness. Additionally, symptoms may vary between the elderly and the young when they contract bronchitis, thus clinical symptoms are predominantly as described above.

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Written by An Yong Peng
Pulmonology
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Massage which area for tracheitis?

The treatment of tracheitis through massage does not have definite therapeutic effects. Tracheitis, commonly referred to as chronic bronchitis, is often associated with factors such as long-term smoking. For this disease, quitting smoking is the primary recommendation, as it can help slow the progression of the disease. This includes avoiding secondhand smoke as well. Additionally, patients with tracheitis can experience flare-ups during respiratory infections, so it is also important to keep warm and prevent respiratory infections. The treatment of tracheitis also involves the use of medications to suppress cough and facilitate the removal of mucus. Moreover, tracheitis can progressively lead to conditions such as chronic obstructive pulmonary disease (COPD). When a patient with tracheitis also has COPD, it is necessary to persist with inhaled medications, such as long-acting bronchodilators. (Note: The use of medications should be conducted under the guidance of a professional doctor.)