What causes blood in mucus discharge?
Patient: My husband has a loose congested cough and has had it for a while it seems to worsen after taking his meds. And now has a min amunt of blood in mucus.  Wondering if xarelto 20mg ,Crestor or any other meds for heart patients could be causing the congestion Doctor: Thanks for your question on HCM. I can understand your husband's situation and problem. Blood in mucus after coughing is known as hemoptysis. And yes, xeralto can cause this,because it is anti coagulant in nature. So you need to stop xeralto till blood stops. And we need to treat the cause simultaneously. Following are the possible causes for hemoptysis in his case. 1. Lung infection like tuberculosis or pneumonia. 2. Bronchitis. 3. Congestive heart failure because he is on cardiac drugs, so possibility of this is high. So get done 1. Chest x ray to rule out lung infection. 2. PFT (Pulmonary Function Test) to rule out bronchitis. 3. Ecg and 2d echo to rule out cardiac failure. So, first diagnose the cause of hemoptysis and then start appropriate treatment. Till that time stop xeralto.