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Emergency Signs See a doctor right away or go to a hospitals emergency department if coughing up blood is due to trauma or injury to the chest or is accompanied by any of the following: Unexplained coughing up blood Large amounts of blood coughed up (more than a one teaspoon) Shortness of breath Signs of significant blood loss (weakness, dizziness when standing up, lightheadedness, thirst, sweating, and a rapid heart rate) Fatigue Blood is also in the urine or stool Having a tracheostomy If you take blood thinning medications (anticoagulants) How Is Coughing Up Blood Diagnosed