Female Age: 30On a normal day coughs out blood and has a bleeding nose. Blood test are clear Chest X-ray shows small scarring on the lungClear for TBHer child has a hole in the heartOtherwise fine and healthyThis is not much info, but can someone please give their advice as to what seems like the problem in this scenario?? your answers will greatly appreciated. Thank you so much
Hello Thanks for posting at Chat Doctor. So the main complaints are bleeding from the nose and blood in cough. TB is a known cause of blood in cough. Since you have excluded TB, We must look for other causes.  Also, we have to ascertain whether the bleed is only from the nose or is it coming from inside (lungs). I would advise a HRCT of the lungs to evaluate causes of blood coughing. Some bacterial infections can also cause blood in cough. Please do a HRCT chest and revert. Wishing you good healthRegards.