Help with hemoptysis

rockingdog

New member
Faust,

I feel for you. Right now, I'm going through something very similar. I am feeling great. I had great PFTs on Friday and today, wham, coughed up blood. It doesn't make sense. I, like Moxie1, was on Pulmozyme for years and had more bleeds on it than off it. I have the same problem when I sleep, which is why I've slept upright on the couch for 18 months.

I'm 45 and I know I will never understand the complexities of this disease. Please keep posted on what the docs say. It's always interesting to see what strategies are out there for overcoming bleeding.

I wonder if oral steroids are ever prescribed for bleeding? Has anyone heard of docs doing that?

Dog
 

rockingdog

New member
Faust,

I feel for you. Right now, I'm going through something very similar. I am feeling great. I had great PFTs on Friday and today, wham, coughed up blood. It doesn't make sense. I, like Moxie1, was on Pulmozyme for years and had more bleeds on it than off it. I have the same problem when I sleep, which is why I've slept upright on the couch for 18 months.

I'm 45 and I know I will never understand the complexities of this disease. Please keep posted on what the docs say. It's always interesting to see what strategies are out there for overcoming bleeding.

I wonder if oral steroids are ever prescribed for bleeding? Has anyone heard of docs doing that?

Dog
 

rockingdog

New member
Faust,

I feel for you. Right now, I'm going through something very similar. I am feeling great. I had great PFTs on Friday and today, wham, coughed up blood. It doesn't make sense. I, like Moxie1, was on Pulmozyme for years and had more bleeds on it than off it. I have the same problem when I sleep, which is why I've slept upright on the couch for 18 months.

I'm 45 and I know I will never understand the complexities of this disease. Please keep posted on what the docs say. It's always interesting to see what strategies are out there for overcoming bleeding.

I wonder if oral steroids are ever prescribed for bleeding? Has anyone heard of docs doing that?

Dog
 

rockingdog

New member
Faust,

I feel for you. Right now, I'm going through something very similar. I am feeling great. I had great PFTs on Friday and today, wham, coughed up blood. It doesn't make sense. I, like Moxie1, was on Pulmozyme for years and had more bleeds on it than off it. I have the same problem when I sleep, which is why I've slept upright on the couch for 18 months.

I'm 45 and I know I will never understand the complexities of this disease. Please keep posted on what the docs say. It's always interesting to see what strategies are out there for overcoming bleeding.

I wonder if oral steroids are ever prescribed for bleeding? Has anyone heard of docs doing that?

Dog
 

rockingdog

New member
Faust,

I feel for you. Right now, I'm going through something very similar. I am feeling great. I had great PFTs on Friday and today, wham, coughed up blood. It doesn't make sense. I, like Moxie1, was on Pulmozyme for years and had more bleeds on it than off it. I have the same problem when I sleep, which is why I've slept upright on the couch for 18 months.

I'm 45 and I know I will never understand the complexities of this disease. Please keep posted on what the docs say. It's always interesting to see what strategies are out there for overcoming bleeding.

I wonder if oral steroids are ever prescribed for bleeding? Has anyone heard of docs doing that?

Dog
 

Faust

New member
Thanks guys. It really does piss me off. Here I am 5'11, 200lbs, very much in shape, high PFT's, and I know if it wasn't for bleeding, I could do some real crazy stuff and get jobs in very crazy fields. But no. Before I went out for detention deputy, and I really tore up the physical abilities course. The cut off time was 6:20 minutes. There were tons of people who were immediately disqualified due to blood pressure/pulse/weight etc. Some very in shape people made it half way and then called it quits. I ran my course with more of the knowledge that it was a marathon, and not a sprint. Sure there were of course the ultra very young, ultra healthy gung ho 20 year olds who hauled ass through the whole thing like they were trying to break a land speed record, and finished with incredible times...But i was just wanting to finish it, and not have my time be so out of whack with everyone elses who finished it. Guess what? With a ceiling of 6:20 minutes, I finished @ 4:20, and the last 30 or so seconds was due to me knowing I had a crapload of time left (I set my stop watch with my instructor who gave the test), and I fast walked the last several hundred yards of the course. I ended up getting a "Good job, very good time" from my instructor. And when I was done, I was VERY far from exhausted. I could have easily done it 2 or 3 more times.


This hemoptysis ***** is complete BS though. Here I am, I could be working as a fireman, for a wellknown firehouse physical abilities wise, but I can't because bursts of physical exertion, can mean i'm coughing up pure blood in front of someone I don't want to.

I have heard several angles from other CF patients saying how they feel it is pulmozyme. I have also heard some of those same people say that when they stopped pulmozyme, their lung function went way down, even though their bleeds stopped. Where is the comfy trade off? Should I stop pulmozyme to avoid possible (again, POSSIBLE) related bleeds, and then have my overall lung function go down due to increased thickness in my sputum clinging in my lungs? I know I hate where i am now. I know that even if I had CF, but no bleeds, the military would take me in (as long as I lied about CF) and let me enlist due to my physical state. My god I can do 80+ push ups in a row, good amount of sit ups, and pretty much fight at the drop of a hat if needed. But bleeding issues are stopping me from being exactly what I want to be in the end, which is a certified LEO, and a dad. I'm not willing to 100% call it quits and be on 100% disability just yet. Due to my supplements and care regimen, i'm more than able to hang around for quite a long time. But i'm not fully able to apply my education and experience where I want to apply it due to some weird gremlin who keeps throwing his wrenches in the cogs of my life.


If they (care workers) were able to find the culprit, and told me they could remove the culprit, even if it meant something as crazy as removing a large part of my lung, i'd say yes please. because the worst thing to happen to you, is something that erodes you, messes you up, screws up your entire life, and you have zero idea who/what/why is doing it. That is all I want, an identification as to what is kicking my ass. Give me that and i'll be happy.
 

Faust

New member
Thanks guys. It really does piss me off. Here I am 5'11, 200lbs, very much in shape, high PFT's, and I know if it wasn't for bleeding, I could do some real crazy stuff and get jobs in very crazy fields. But no. Before I went out for detention deputy, and I really tore up the physical abilities course. The cut off time was 6:20 minutes. There were tons of people who were immediately disqualified due to blood pressure/pulse/weight etc. Some very in shape people made it half way and then called it quits. I ran my course with more of the knowledge that it was a marathon, and not a sprint. Sure there were of course the ultra very young, ultra healthy gung ho 20 year olds who hauled ass through the whole thing like they were trying to break a land speed record, and finished with incredible times...But i was just wanting to finish it, and not have my time be so out of whack with everyone elses who finished it. Guess what? With a ceiling of 6:20 minutes, I finished @ 4:20, and the last 30 or so seconds was due to me knowing I had a crapload of time left (I set my stop watch with my instructor who gave the test), and I fast walked the last several hundred yards of the course. I ended up getting a "Good job, very good time" from my instructor. And when I was done, I was VERY far from exhausted. I could have easily done it 2 or 3 more times.


This hemoptysis ***** is complete BS though. Here I am, I could be working as a fireman, for a wellknown firehouse physical abilities wise, but I can't because bursts of physical exertion, can mean i'm coughing up pure blood in front of someone I don't want to.

I have heard several angles from other CF patients saying how they feel it is pulmozyme. I have also heard some of those same people say that when they stopped pulmozyme, their lung function went way down, even though their bleeds stopped. Where is the comfy trade off? Should I stop pulmozyme to avoid possible (again, POSSIBLE) related bleeds, and then have my overall lung function go down due to increased thickness in my sputum clinging in my lungs? I know I hate where i am now. I know that even if I had CF, but no bleeds, the military would take me in (as long as I lied about CF) and let me enlist due to my physical state. My god I can do 80+ push ups in a row, good amount of sit ups, and pretty much fight at the drop of a hat if needed. But bleeding issues are stopping me from being exactly what I want to be in the end, which is a certified LEO, and a dad. I'm not willing to 100% call it quits and be on 100% disability just yet. Due to my supplements and care regimen, i'm more than able to hang around for quite a long time. But i'm not fully able to apply my education and experience where I want to apply it due to some weird gremlin who keeps throwing his wrenches in the cogs of my life.


If they (care workers) were able to find the culprit, and told me they could remove the culprit, even if it meant something as crazy as removing a large part of my lung, i'd say yes please. because the worst thing to happen to you, is something that erodes you, messes you up, screws up your entire life, and you have zero idea who/what/why is doing it. That is all I want, an identification as to what is kicking my ass. Give me that and i'll be happy.
 

Faust

New member
Thanks guys. It really does piss me off. Here I am 5'11, 200lbs, very much in shape, high PFT's, and I know if it wasn't for bleeding, I could do some real crazy stuff and get jobs in very crazy fields. But no. Before I went out for detention deputy, and I really tore up the physical abilities course. The cut off time was 6:20 minutes. There were tons of people who were immediately disqualified due to blood pressure/pulse/weight etc. Some very in shape people made it half way and then called it quits. I ran my course with more of the knowledge that it was a marathon, and not a sprint. Sure there were of course the ultra very young, ultra healthy gung ho 20 year olds who hauled ass through the whole thing like they were trying to break a land speed record, and finished with incredible times...But i was just wanting to finish it, and not have my time be so out of whack with everyone elses who finished it. Guess what? With a ceiling of 6:20 minutes, I finished @ 4:20, and the last 30 or so seconds was due to me knowing I had a crapload of time left (I set my stop watch with my instructor who gave the test), and I fast walked the last several hundred yards of the course. I ended up getting a "Good job, very good time" from my instructor. And when I was done, I was VERY far from exhausted. I could have easily done it 2 or 3 more times.


This hemoptysis ***** is complete BS though. Here I am, I could be working as a fireman, for a wellknown firehouse physical abilities wise, but I can't because bursts of physical exertion, can mean i'm coughing up pure blood in front of someone I don't want to.

I have heard several angles from other CF patients saying how they feel it is pulmozyme. I have also heard some of those same people say that when they stopped pulmozyme, their lung function went way down, even though their bleeds stopped. Where is the comfy trade off? Should I stop pulmozyme to avoid possible (again, POSSIBLE) related bleeds, and then have my overall lung function go down due to increased thickness in my sputum clinging in my lungs? I know I hate where i am now. I know that even if I had CF, but no bleeds, the military would take me in (as long as I lied about CF) and let me enlist due to my physical state. My god I can do 80+ push ups in a row, good amount of sit ups, and pretty much fight at the drop of a hat if needed. But bleeding issues are stopping me from being exactly what I want to be in the end, which is a certified LEO, and a dad. I'm not willing to 100% call it quits and be on 100% disability just yet. Due to my supplements and care regimen, i'm more than able to hang around for quite a long time. But i'm not fully able to apply my education and experience where I want to apply it due to some weird gremlin who keeps throwing his wrenches in the cogs of my life.


If they (care workers) were able to find the culprit, and told me they could remove the culprit, even if it meant something as crazy as removing a large part of my lung, i'd say yes please. because the worst thing to happen to you, is something that erodes you, messes you up, screws up your entire life, and you have zero idea who/what/why is doing it. That is all I want, an identification as to what is kicking my ass. Give me that and i'll be happy.
 

Faust

New member
Thanks guys. It really does piss me off. Here I am 5'11, 200lbs, very much in shape, high PFT's, and I know if it wasn't for bleeding, I could do some real crazy stuff and get jobs in very crazy fields. But no. Before I went out for detention deputy, and I really tore up the physical abilities course. The cut off time was 6:20 minutes. There were tons of people who were immediately disqualified due to blood pressure/pulse/weight etc. Some very in shape people made it half way and then called it quits. I ran my course with more of the knowledge that it was a marathon, and not a sprint. Sure there were of course the ultra very young, ultra healthy gung ho 20 year olds who hauled ass through the whole thing like they were trying to break a land speed record, and finished with incredible times...But i was just wanting to finish it, and not have my time be so out of whack with everyone elses who finished it. Guess what? With a ceiling of 6:20 minutes, I finished @ 4:20, and the last 30 or so seconds was due to me knowing I had a crapload of time left (I set my stop watch with my instructor who gave the test), and I fast walked the last several hundred yards of the course. I ended up getting a "Good job, very good time" from my instructor. And when I was done, I was VERY far from exhausted. I could have easily done it 2 or 3 more times.


This hemoptysis ***** is complete BS though. Here I am, I could be working as a fireman, for a wellknown firehouse physical abilities wise, but I can't because bursts of physical exertion, can mean i'm coughing up pure blood in front of someone I don't want to.

I have heard several angles from other CF patients saying how they feel it is pulmozyme. I have also heard some of those same people say that when they stopped pulmozyme, their lung function went way down, even though their bleeds stopped. Where is the comfy trade off? Should I stop pulmozyme to avoid possible (again, POSSIBLE) related bleeds, and then have my overall lung function go down due to increased thickness in my sputum clinging in my lungs? I know I hate where i am now. I know that even if I had CF, but no bleeds, the military would take me in (as long as I lied about CF) and let me enlist due to my physical state. My god I can do 80+ push ups in a row, good amount of sit ups, and pretty much fight at the drop of a hat if needed. But bleeding issues are stopping me from being exactly what I want to be in the end, which is a certified LEO, and a dad. I'm not willing to 100% call it quits and be on 100% disability just yet. Due to my supplements and care regimen, i'm more than able to hang around for quite a long time. But i'm not fully able to apply my education and experience where I want to apply it due to some weird gremlin who keeps throwing his wrenches in the cogs of my life.


If they (care workers) were able to find the culprit, and told me they could remove the culprit, even if it meant something as crazy as removing a large part of my lung, i'd say yes please. because the worst thing to happen to you, is something that erodes you, messes you up, screws up your entire life, and you have zero idea who/what/why is doing it. That is all I want, an identification as to what is kicking my ass. Give me that and i'll be happy.
 

Faust

New member
Thanks guys. It really does piss me off. Here I am 5'11, 200lbs, very much in shape, high PFT's, and I know if it wasn't for bleeding, I could do some real crazy stuff and get jobs in very crazy fields. But no. Before I went out for detention deputy, and I really tore up the physical abilities course. The cut off time was 6:20 minutes. There were tons of people who were immediately disqualified due to blood pressure/pulse/weight etc. Some very in shape people made it half way and then called it quits. I ran my course with more of the knowledge that it was a marathon, and not a sprint. Sure there were of course the ultra very young, ultra healthy gung ho 20 year olds who hauled ass through the whole thing like they were trying to break a land speed record, and finished with incredible times...But i was just wanting to finish it, and not have my time be so out of whack with everyone elses who finished it. Guess what? With a ceiling of 6:20 minutes, I finished @ 4:20, and the last 30 or so seconds was due to me knowing I had a crapload of time left (I set my stop watch with my instructor who gave the test), and I fast walked the last several hundred yards of the course. I ended up getting a "Good job, very good time" from my instructor. And when I was done, I was VERY far from exhausted. I could have easily done it 2 or 3 more times.


This hemoptysis ***** is complete BS though. Here I am, I could be working as a fireman, for a wellknown firehouse physical abilities wise, but I can't because bursts of physical exertion, can mean i'm coughing up pure blood in front of someone I don't want to.

I have heard several angles from other CF patients saying how they feel it is pulmozyme. I have also heard some of those same people say that when they stopped pulmozyme, their lung function went way down, even though their bleeds stopped. Where is the comfy trade off? Should I stop pulmozyme to avoid possible (again, POSSIBLE) related bleeds, and then have my overall lung function go down due to increased thickness in my sputum clinging in my lungs? I know I hate where i am now. I know that even if I had CF, but no bleeds, the military would take me in (as long as I lied about CF) and let me enlist due to my physical state. My god I can do 80+ push ups in a row, good amount of sit ups, and pretty much fight at the drop of a hat if needed. But bleeding issues are stopping me from being exactly what I want to be in the end, which is a certified LEO, and a dad. I'm not willing to 100% call it quits and be on 100% disability just yet. Due to my supplements and care regimen, i'm more than able to hang around for quite a long time. But i'm not fully able to apply my education and experience where I want to apply it due to some weird gremlin who keeps throwing his wrenches in the cogs of my life.


If they (care workers) were able to find the culprit, and told me they could remove the culprit, even if it meant something as crazy as removing a large part of my lung, i'd say yes please. because the worst thing to happen to you, is something that erodes you, messes you up, screws up your entire life, and you have zero idea who/what/why is doing it. That is all I want, an identification as to what is kicking my ass. Give me that and i'll be happy.
 
I'm so glad to see this topic & hope that everyone who has had the (awful) experience of dealing with chronic hemoptysis will respond because it is definitely something my husband and I have been dealing with.

Faust: Is your blood fresh & frothy & large enough to fill a small cup (not just a spoonful)? If so, that means it is coming straight from the arteries and is much more serious as opposed to just smaller amounts of blood streaking your sputum.

Brief history of my husband: (he was dx at birth) he had a big bleed in his teenage years which resulted in his first embolization. Years passed by and despite an overall decline in his PFTs, he worked out/weight lifting very constantly.
April 06: major bleed resulting in 2 embolizations
Aug 06: another major bleed resulting in 3 embolizations
July 07: (just a couple of weeks ago) another major bleed resulting in 2 embolizations

We asked his CF dr at our last visit what was the maximum # of embolizations he had ever seen/heard of before they simply couldn't stop the bleeding & the person died, and the doctor said 27 separate embolizations was the highest he had seen documented. Of course, we have personally known several Cfs who only had a couple of embolizations and still died because they simply couldn't stop the bleeding.

After numerous discussions with my husband we have been trying to determine the causes behind each of his big bleeds (of course, like many of you, he also has tons of streaking and small spots of blood in his regular sputum in all the months in between the big bleeds). We have come to a main conclusion: it is when he increases his interthoracic blood pressure that the bleeds occur. He was an avid weight lifter before all this happened and he has had to give it all up. He has tried even smmmmmmmmall amounts of weights just to try and keep his strength up and that was most likely what put us in the situation we had 2 weeks ago. Also, he has found a definite link (for him) between the more 'abrasive' treatments like HTS, inhaled Colistin, Pulmozyme and causing him to bleed.

The reason you are feeling the blood when you lay down is because it may have been leaking throughout the day(s) but when you are put in the supine position it starts to pool in certain parts of your lung (particularly on the right side). So, as you are doing those high intensity activities like weight lifting where your systolic blood pressure is raised so high, the arteries spring 'leaks' - your lung functions are awesomely high right now and you are probably at a point where you can prevent this from taking you down - but unfortunately it may mean sacrificing a piece of your life that you love - large weight lifting/working out. At least that is what we have found. Unfortunately, my husband's lung disease has progressed to where his PFTs are in the low 50s/low 40s, so he isn't really able to bounce back like he once could.

Our suggestions:
- get checked for any fungal infections (like Aspergillosus has been linked to increase bleeds)
- get checked for TB (just in case you have somehow contracted it - that would be a very easy test just to rule it out)
- hold off on your breathing treatments
- stop weight lifting; do cardio only (things that won't significantly raise your interthoracic pressure)
- if you stop bleeding over several weeks time, then slowly add one treatment back to see if those are irritating

Best of luck to all you guys -
Liz
 
I'm so glad to see this topic & hope that everyone who has had the (awful) experience of dealing with chronic hemoptysis will respond because it is definitely something my husband and I have been dealing with.

Faust: Is your blood fresh & frothy & large enough to fill a small cup (not just a spoonful)? If so, that means it is coming straight from the arteries and is much more serious as opposed to just smaller amounts of blood streaking your sputum.

Brief history of my husband: (he was dx at birth) he had a big bleed in his teenage years which resulted in his first embolization. Years passed by and despite an overall decline in his PFTs, he worked out/weight lifting very constantly.
April 06: major bleed resulting in 2 embolizations
Aug 06: another major bleed resulting in 3 embolizations
July 07: (just a couple of weeks ago) another major bleed resulting in 2 embolizations

We asked his CF dr at our last visit what was the maximum # of embolizations he had ever seen/heard of before they simply couldn't stop the bleeding & the person died, and the doctor said 27 separate embolizations was the highest he had seen documented. Of course, we have personally known several Cfs who only had a couple of embolizations and still died because they simply couldn't stop the bleeding.

After numerous discussions with my husband we have been trying to determine the causes behind each of his big bleeds (of course, like many of you, he also has tons of streaking and small spots of blood in his regular sputum in all the months in between the big bleeds). We have come to a main conclusion: it is when he increases his interthoracic blood pressure that the bleeds occur. He was an avid weight lifter before all this happened and he has had to give it all up. He has tried even smmmmmmmmall amounts of weights just to try and keep his strength up and that was most likely what put us in the situation we had 2 weeks ago. Also, he has found a definite link (for him) between the more 'abrasive' treatments like HTS, inhaled Colistin, Pulmozyme and causing him to bleed.

The reason you are feeling the blood when you lay down is because it may have been leaking throughout the day(s) but when you are put in the supine position it starts to pool in certain parts of your lung (particularly on the right side). So, as you are doing those high intensity activities like weight lifting where your systolic blood pressure is raised so high, the arteries spring 'leaks' - your lung functions are awesomely high right now and you are probably at a point where you can prevent this from taking you down - but unfortunately it may mean sacrificing a piece of your life that you love - large weight lifting/working out. At least that is what we have found. Unfortunately, my husband's lung disease has progressed to where his PFTs are in the low 50s/low 40s, so he isn't really able to bounce back like he once could.

Our suggestions:
- get checked for any fungal infections (like Aspergillosus has been linked to increase bleeds)
- get checked for TB (just in case you have somehow contracted it - that would be a very easy test just to rule it out)
- hold off on your breathing treatments
- stop weight lifting; do cardio only (things that won't significantly raise your interthoracic pressure)
- if you stop bleeding over several weeks time, then slowly add one treatment back to see if those are irritating

Best of luck to all you guys -
Liz
 
I'm so glad to see this topic & hope that everyone who has had the (awful) experience of dealing with chronic hemoptysis will respond because it is definitely something my husband and I have been dealing with.

Faust: Is your blood fresh & frothy & large enough to fill a small cup (not just a spoonful)? If so, that means it is coming straight from the arteries and is much more serious as opposed to just smaller amounts of blood streaking your sputum.

Brief history of my husband: (he was dx at birth) he had a big bleed in his teenage years which resulted in his first embolization. Years passed by and despite an overall decline in his PFTs, he worked out/weight lifting very constantly.
April 06: major bleed resulting in 2 embolizations
Aug 06: another major bleed resulting in 3 embolizations
July 07: (just a couple of weeks ago) another major bleed resulting in 2 embolizations

We asked his CF dr at our last visit what was the maximum # of embolizations he had ever seen/heard of before they simply couldn't stop the bleeding & the person died, and the doctor said 27 separate embolizations was the highest he had seen documented. Of course, we have personally known several Cfs who only had a couple of embolizations and still died because they simply couldn't stop the bleeding.

After numerous discussions with my husband we have been trying to determine the causes behind each of his big bleeds (of course, like many of you, he also has tons of streaking and small spots of blood in his regular sputum in all the months in between the big bleeds). We have come to a main conclusion: it is when he increases his interthoracic blood pressure that the bleeds occur. He was an avid weight lifter before all this happened and he has had to give it all up. He has tried even smmmmmmmmall amounts of weights just to try and keep his strength up and that was most likely what put us in the situation we had 2 weeks ago. Also, he has found a definite link (for him) between the more 'abrasive' treatments like HTS, inhaled Colistin, Pulmozyme and causing him to bleed.

The reason you are feeling the blood when you lay down is because it may have been leaking throughout the day(s) but when you are put in the supine position it starts to pool in certain parts of your lung (particularly on the right side). So, as you are doing those high intensity activities like weight lifting where your systolic blood pressure is raised so high, the arteries spring 'leaks' - your lung functions are awesomely high right now and you are probably at a point where you can prevent this from taking you down - but unfortunately it may mean sacrificing a piece of your life that you love - large weight lifting/working out. At least that is what we have found. Unfortunately, my husband's lung disease has progressed to where his PFTs are in the low 50s/low 40s, so he isn't really able to bounce back like he once could.

Our suggestions:
- get checked for any fungal infections (like Aspergillosus has been linked to increase bleeds)
- get checked for TB (just in case you have somehow contracted it - that would be a very easy test just to rule it out)
- hold off on your breathing treatments
- stop weight lifting; do cardio only (things that won't significantly raise your interthoracic pressure)
- if you stop bleeding over several weeks time, then slowly add one treatment back to see if those are irritating

Best of luck to all you guys -
Liz
 
I'm so glad to see this topic & hope that everyone who has had the (awful) experience of dealing with chronic hemoptysis will respond because it is definitely something my husband and I have been dealing with.

Faust: Is your blood fresh & frothy & large enough to fill a small cup (not just a spoonful)? If so, that means it is coming straight from the arteries and is much more serious as opposed to just smaller amounts of blood streaking your sputum.

Brief history of my husband: (he was dx at birth) he had a big bleed in his teenage years which resulted in his first embolization. Years passed by and despite an overall decline in his PFTs, he worked out/weight lifting very constantly.
April 06: major bleed resulting in 2 embolizations
Aug 06: another major bleed resulting in 3 embolizations
July 07: (just a couple of weeks ago) another major bleed resulting in 2 embolizations

We asked his CF dr at our last visit what was the maximum # of embolizations he had ever seen/heard of before they simply couldn't stop the bleeding & the person died, and the doctor said 27 separate embolizations was the highest he had seen documented. Of course, we have personally known several Cfs who only had a couple of embolizations and still died because they simply couldn't stop the bleeding.

After numerous discussions with my husband we have been trying to determine the causes behind each of his big bleeds (of course, like many of you, he also has tons of streaking and small spots of blood in his regular sputum in all the months in between the big bleeds). We have come to a main conclusion: it is when he increases his interthoracic blood pressure that the bleeds occur. He was an avid weight lifter before all this happened and he has had to give it all up. He has tried even smmmmmmmmall amounts of weights just to try and keep his strength up and that was most likely what put us in the situation we had 2 weeks ago. Also, he has found a definite link (for him) between the more 'abrasive' treatments like HTS, inhaled Colistin, Pulmozyme and causing him to bleed.

The reason you are feeling the blood when you lay down is because it may have been leaking throughout the day(s) but when you are put in the supine position it starts to pool in certain parts of your lung (particularly on the right side). So, as you are doing those high intensity activities like weight lifting where your systolic blood pressure is raised so high, the arteries spring 'leaks' - your lung functions are awesomely high right now and you are probably at a point where you can prevent this from taking you down - but unfortunately it may mean sacrificing a piece of your life that you love - large weight lifting/working out. At least that is what we have found. Unfortunately, my husband's lung disease has progressed to where his PFTs are in the low 50s/low 40s, so he isn't really able to bounce back like he once could.

Our suggestions:
- get checked for any fungal infections (like Aspergillosus has been linked to increase bleeds)
- get checked for TB (just in case you have somehow contracted it - that would be a very easy test just to rule it out)
- hold off on your breathing treatments
- stop weight lifting; do cardio only (things that won't significantly raise your interthoracic pressure)
- if you stop bleeding over several weeks time, then slowly add one treatment back to see if those are irritating

Best of luck to all you guys -
Liz
 
I'm so glad to see this topic & hope that everyone who has had the (awful) experience of dealing with chronic hemoptysis will respond because it is definitely something my husband and I have been dealing with.

Faust: Is your blood fresh & frothy & large enough to fill a small cup (not just a spoonful)? If so, that means it is coming straight from the arteries and is much more serious as opposed to just smaller amounts of blood streaking your sputum.

Brief history of my husband: (he was dx at birth) he had a big bleed in his teenage years which resulted in his first embolization. Years passed by and despite an overall decline in his PFTs, he worked out/weight lifting very constantly.
April 06: major bleed resulting in 2 embolizations
Aug 06: another major bleed resulting in 3 embolizations
July 07: (just a couple of weeks ago) another major bleed resulting in 2 embolizations

We asked his CF dr at our last visit what was the maximum # of embolizations he had ever seen/heard of before they simply couldn't stop the bleeding & the person died, and the doctor said 27 separate embolizations was the highest he had seen documented. Of course, we have personally known several Cfs who only had a couple of embolizations and still died because they simply couldn't stop the bleeding.

After numerous discussions with my husband we have been trying to determine the causes behind each of his big bleeds (of course, like many of you, he also has tons of streaking and small spots of blood in his regular sputum in all the months in between the big bleeds). We have come to a main conclusion: it is when he increases his interthoracic blood pressure that the bleeds occur. He was an avid weight lifter before all this happened and he has had to give it all up. He has tried even smmmmmmmmall amounts of weights just to try and keep his strength up and that was most likely what put us in the situation we had 2 weeks ago. Also, he has found a definite link (for him) between the more 'abrasive' treatments like HTS, inhaled Colistin, Pulmozyme and causing him to bleed.

The reason you are feeling the blood when you lay down is because it may have been leaking throughout the day(s) but when you are put in the supine position it starts to pool in certain parts of your lung (particularly on the right side). So, as you are doing those high intensity activities like weight lifting where your systolic blood pressure is raised so high, the arteries spring 'leaks' - your lung functions are awesomely high right now and you are probably at a point where you can prevent this from taking you down - but unfortunately it may mean sacrificing a piece of your life that you love - large weight lifting/working out. At least that is what we have found. Unfortunately, my husband's lung disease has progressed to where his PFTs are in the low 50s/low 40s, so he isn't really able to bounce back like he once could.

Our suggestions:
- get checked for any fungal infections (like Aspergillosus has been linked to increase bleeds)
- get checked for TB (just in case you have somehow contracted it - that would be a very easy test just to rule it out)
- hold off on your breathing treatments
- stop weight lifting; do cardio only (things that won't significantly raise your interthoracic pressure)
- if you stop bleeding over several weeks time, then slowly add one treatment back to see if those are irritating

Best of luck to all you guys -
Liz
 

Allisa35

Member
Sorry you're having such a hard time. I haven't had a chance to read all the replies so I may be repeating something here.

I feel VERY fortunate because I have never had hemoptysis. I have had the occassional streak of blood, but that's it. I have been on Pulmozyme for maybe 15 or so years. I have never encountered a problem with it. I also tried the hypertonic saline (only for about a week though) with no side effects. I have read comments from people on here though that say it made them bleed.

I have been taking L-lysine for years (to help fight off nasty cold sores). I saw a post some time ago from a lady that mentioned that she took lysine for hemoptysis. Maybe that is why I have never had a bleed. Or it could just be a coincidence. It might be something you want to check into.

Maybe you could try rotating your nebs to see if you can determine which one may be the problem. Maybe try Pulmozyme one night and try laying down afterwards to see if it causes a bleed, and so on.

Good luck to you!
 

Allisa35

Member
Sorry you're having such a hard time. I haven't had a chance to read all the replies so I may be repeating something here.

I feel VERY fortunate because I have never had hemoptysis. I have had the occassional streak of blood, but that's it. I have been on Pulmozyme for maybe 15 or so years. I have never encountered a problem with it. I also tried the hypertonic saline (only for about a week though) with no side effects. I have read comments from people on here though that say it made them bleed.

I have been taking L-lysine for years (to help fight off nasty cold sores). I saw a post some time ago from a lady that mentioned that she took lysine for hemoptysis. Maybe that is why I have never had a bleed. Or it could just be a coincidence. It might be something you want to check into.

Maybe you could try rotating your nebs to see if you can determine which one may be the problem. Maybe try Pulmozyme one night and try laying down afterwards to see if it causes a bleed, and so on.

Good luck to you!
 

Allisa35

Member
Sorry you're having such a hard time. I haven't had a chance to read all the replies so I may be repeating something here.

I feel VERY fortunate because I have never had hemoptysis. I have had the occassional streak of blood, but that's it. I have been on Pulmozyme for maybe 15 or so years. I have never encountered a problem with it. I also tried the hypertonic saline (only for about a week though) with no side effects. I have read comments from people on here though that say it made them bleed.

I have been taking L-lysine for years (to help fight off nasty cold sores). I saw a post some time ago from a lady that mentioned that she took lysine for hemoptysis. Maybe that is why I have never had a bleed. Or it could just be a coincidence. It might be something you want to check into.

Maybe you could try rotating your nebs to see if you can determine which one may be the problem. Maybe try Pulmozyme one night and try laying down afterwards to see if it causes a bleed, and so on.

Good luck to you!
 

Allisa35

Member
Sorry you're having such a hard time. I haven't had a chance to read all the replies so I may be repeating something here.

I feel VERY fortunate because I have never had hemoptysis. I have had the occassional streak of blood, but that's it. I have been on Pulmozyme for maybe 15 or so years. I have never encountered a problem with it. I also tried the hypertonic saline (only for about a week though) with no side effects. I have read comments from people on here though that say it made them bleed.

I have been taking L-lysine for years (to help fight off nasty cold sores). I saw a post some time ago from a lady that mentioned that she took lysine for hemoptysis. Maybe that is why I have never had a bleed. Or it could just be a coincidence. It might be something you want to check into.

Maybe you could try rotating your nebs to see if you can determine which one may be the problem. Maybe try Pulmozyme one night and try laying down afterwards to see if it causes a bleed, and so on.

Good luck to you!
 

Allisa35

Member
Sorry you're having such a hard time. I haven't had a chance to read all the replies so I may be repeating something here.

I feel VERY fortunate because I have never had hemoptysis. I have had the occassional streak of blood, but that's it. I have been on Pulmozyme for maybe 15 or so years. I have never encountered a problem with it. I also tried the hypertonic saline (only for about a week though) with no side effects. I have read comments from people on here though that say it made them bleed.

I have been taking L-lysine for years (to help fight off nasty cold sores). I saw a post some time ago from a lady that mentioned that she took lysine for hemoptysis. Maybe that is why I have never had a bleed. Or it could just be a coincidence. It might be something you want to check into.

Maybe you could try rotating your nebs to see if you can determine which one may be the problem. Maybe try Pulmozyme one night and try laying down afterwards to see if it causes a bleed, and so on.

Good luck to you!
 
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