How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Lisa, MSN, FNP-BC, CCRN Your Own Ques...

Lisa, MSN, FNP-BC, CCRN
Lisa, MSN, FNP-BC, CCRN, Nurse Practitioner
Category: Health
Satisfied Customers: 890
Experience:  Board Certified Family Nurse Practitioner
18529113
Type Your Health Question Here...
Lisa, MSN, FNP-BC, CCRN is online now
A new question is answered every 9 seconds

i have been taking spiriva and advair for the past two weeks.

Resolved Question:

i have been taking spiriva and advair for the past two weeks. since i have been taking them I feel better but I have been spitting up small amounts of bloody mucus
Submitted: 4 years ago.
Category: Health
Expert:  Lisa, MSN, FNP-BC, CCRN replied 4 years ago.

Hello;

 

Thank you for writing in today. I want to provide you with the best information, so I have a few questions. I hope you understand.

 

Are you breathing easier?

Less cough?

Less wheezing (if you use to wheeze)?

Is the sputum blood tinged or bloody?

Is is a fresh red blood or an old brown blood?

 

Please let me know.

 

Lisa

Customer: replied 4 years ago.
yes i a breathing better i have hardly any more cough now i had weezing but not any more the blood is red and in mucus. i have had broncitis before but i am not coughing or feeling ill
Expert:  Lisa, MSN, FNP-BC, CCRN replied 4 years ago.

Hello;

 

Thank you for responding. This is what is likely happening. The Spiriva and Advair work by reducing the inflammation in the lungs, which explains why you are breathing better. Now, as the inflammation reduces, the small airways begin to open better. As the airways open, air can get in more easily and mucous can come out more easily. Some people actually have more mucous when they start these medications, because they can finally get mucous out. Chances are this is old mucous. When you have inflammation, such as bronchitis, this can cause stress and bleeding. This could be old bloody sputum from bleeding due to inflammation.

 

Now, if this is more than just blood tinged/streaked, meaning all red blood like a clot, or it is fresh, bright red bleeding, you should be seen by your doctor. You will likely need a chest xray to rule out possible causes.

 

I hope this helps. I think there was a bit of confusing about my questions with regard to fresh blood or old blood, etc. If you have additional questions or concerns, please let me know.

 

Lisa

Customer: replied 4 years ago.
i only spit up if i try to,to see if there is blood. i also take an asprin a day and i am a smoker.
Expert:  Lisa, MSN, FNP-BC, CCRN replied 4 years ago.

Is the phlegm more blood tinged, meaning it has a little streak of blood or blood speckles? Or does it look like a blood clot and all blood? Which one?

 

When was your last chest xray? When was your last bronchitis?

Customer: replied 4 years ago.

they are like little clots and some

 

are are blood streaks. my last chest xray was in november of 08. my daughter just had bronctisis and i was around her this has just started since i took this medicine,however i am breathing much better.

 

 

 

 

..

Expert:  Lisa, MSN, FNP-BC, CCRN replied 4 years ago.

Hello;

 

Thank you for responding.

 

This could be from some minor irritation or some mucosal irritation due to the medication; however, you need to be seen by your provider. You need to have a chest X ray. The chest film will check for tuberculosis and lung cancer. It is recommended that smokers have a chest x ray 8-12 weeks after bronchitis. Also, since you smoke, you are at risk for lung cancer, which bloody sputum can be a symptom, so you need periodic chest x rays. Again, likely a minor irritation, but you do need to be seen and other causes ruled out.

 

I hope this helps.

 

Lisa

Lisa, MSN, FNP-BC, CCRN, Nurse Practitioner
Category: Health
Satisfied Customers: 890
Experience: Board Certified Family Nurse Practitioner
Lisa, MSN, FNP-BC, CCRN and 10 other Health Specialists are ready to help you
Customer: replied 4 years ago.
should i contine to take this medication, or just take one of them
Expert:  Lisa, MSN, FNP-BC, CCRN replied 4 years ago.

Yes, continue to take the medications. Even if you do have some minor irritation side effect, this will likely pass. For now, enjoy breathing better, but know you need to go in for an evaluation with your doctor.

 

Lisa

Customer: replied 4 years ago.
i hate to bother you again, but my doctor said i had a snall emphesiam and before it gets worse hewanted me to go on this medication
Expert:  Lisa, MSN, FNP-BC, CCRN replied 4 years ago.

Well, thank you for letting me know. I actually knew that, based on the medications and your information. We providers like to use the same medications :)

Customer: replied 4 years ago.
could you tell me how much your help cost
Expert:  Lisa, MSN, FNP-BC, CCRN replied 4 years ago.

You listed your question at $18. Anytime you hit the accept button, there is an $18 fee. You have hit the accept button once, so that would be equal to $18. If you accept the answers to any of the other questions, each will be $18. If you are prompted for a bonus, this is optional.

 

I hope this explains. If you have any other questions about the process, please let me know.

 

Lisa

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery