Spitting up blood indicates the presence of bleeding that may originate in the digestive tract or in the respiratory system. Spitting blood may be caused by many different conditions, and the severity varies among individuals. Spitting blood may accompany vomiting if it is from a gastrointestinal source, or it may occur with coughing if it is from a respiratory source. Common gastrointestinal causes of spitting up blood are inflammation and infections, such as the stomach inflammation called gastritis. Conditions of the mouth such as gum disease and tooth extraction may cause spitting blood. Spitting blood that comes up with a cough is commonly associated with lung cancer, bronchitis, and pneumonia.
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