Hemoptysis should never be treated symptomatically. The patient must be properly investigated.

If Bleeding in small Wuantities,

Inj. Pencilin 10lacs IM x ATD x 12 hourly x 5 or any higher antibiotic like pefloxacin or cephalexin.

Phensedyl 1 tsp tds x 7 (codein cough suppressant

Tab. CALMPOSE 5mg tds 7, S.O.S. Inj (to relieve anxiety, Transquilisers)

Hemostatic drugs: till bleeding stops

Tab. C.V.P. 1 tds (rutin, Calcium, C)

Tab. Celin 500mg bd(Vit C)

Inj. Calcium gluconate 10cc I.C + Inj. Dicynene 10cc I.C

Bed rest in semin reclining position. If side of lesion to minimize aspiration into normal side.

Refer the patient for :- Hb, WBC, ESR, Sputum for AFB, X-ray chest and if a hilar lesion is seen – Bronchoscopy.

If Hemoptysis is in large quantities,

Give Inj. Norphin 1 amp IM stat.

Inj. Calcium gluconate 10cc + Dicyene 1 amp I.V.

Reassure the patient and take the patient urgently to a hospital where blood transfusion can be given.

In India, Hemoptysis is due to pulmonary Tuberculosis unless proved otherwise.

Hemoptysis is always precipitated by a secondary infection. So always give a strong antibiotic.

In elderly patients, or if X-ray shows shadow close to Hilum or if there is no response to anti TB drugs rule out carcinoma of bronchus.

Inj. Pencilin

Inj. Pefloxacin

Inj.cephalexin.

Syp. Phensedyl

Tab. Celin