| Abstract |
Aims and Objectives: To study the changing trend in the causes of hemoptysis in India. Materials and Methods: Total of 246 patients complaining of hemoptysis were taken up for this prospective study. The study was approved by the local ethics committee and informed consent from all patients were obtained prior to commencement of the study. All the patients were fully investigated to find out the etiology of hemoptysis. Besides routine investigations, bronchoscopy was also done in patients, where non bronchoscopic methods failed to reveal the cause. Other investigations like CT scan, FNAC/Biopsy was done in selective patients. Results: The most common etiologies of hemoptysis in our study were tuberculosis[27.9%] followed by malignancy[18.6%] and bronchiectasis[16.5%].Out of 246 patients,145 patients had mild hemoptysis [58.9%], 57 had moderate [23.1%], 44 had severe hemoptysis [17.8%]. 32.2% patients of mild hemoptysis were diagnosed as bronchogenic carcinoma, 97% of the patients with idiopathic hemoptysis were having mild hemoptysis. Of the 57 patients with moderate hemoptysis, 25% were diagnosed as having bronchogenic carcinoma, 41.6% were having tuberculosis as the etiology for hemoptysis. Tuberculosis (46.4%) and bronchiectasis (42.8%) were the most common etiologies in patients with severe hemoptysis. Conclusion: In India, the most common cause of hemoptysis still remains tuberculosis, although the incidence has significantly decreased.
KEYWORDS: Hemoptysis, Tuberculosis, brochiectasis
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