Can Prednisone Cause Coughing Up Blood?

While prednisone itself doesn’t directly cause coughing up blood (hemoptysis), it can indirectly contribute to conditions that do. Prednisone suppresses the immune system, potentially worsening underlying respiratory infections or reactivating latent infections like tuberculosis. These infections can lead to lung damage and bleeding.

Underlying Lung Conditions

Prednisone can exacerbate pre-existing lung conditions such as asthma or chronic obstructive pulmonary disease (COPD). Increased inflammation from these conditions, possibly worsened by prednisone, may result in coughing up blood. If you have a history of these conditions and experience hemoptysis while taking prednisone, seek immediate medical attention.

Other Contributing Factors

Prednisone’s effect on blood vessels can also play a role. It can cause thinning of blood vessels, increasing the risk of bleeding, though this is relatively rare. Additionally, prednisone can mask symptoms of other illnesses, delaying diagnosis and treatment of a condition causing hemoptysis.

What to Do

Coughing up blood is a serious symptom and requires immediate medical evaluation. Do not self-treat. Inform your doctor about your prednisone use and the hemoptysis. They will conduct a thorough examination to determine the cause and recommend appropriate treatment. This may involve tests such as chest X-rays, CT scans, or bronchoscopy to identify the source of the bleeding.

Disclaimer

This information is for educational purposes only and should not be considered medical advice. Always consult your physician or other qualified healthcare professional for any questions you may have regarding a medical condition.