Often get up in the morning and spit out sputum with blood behind it is no longer may be due to bleeding gums, tuberculosis and other reasons, can be improved by changing the way of brushing teeth, anti-tuberculosis treatment and other methods. 1. Bleeding gums: some people wake up in the morning brushing habits are not good or the toothbrush used is too hard, when brushing the gums hurt gums lead to bleeding gums, coughing up sputum may be gums blood to bring out, but other times do not brush the teeth, so there is no blood, this situation does not need to be treated, pay attention to improve the habit of brushing the teeth a little more gently, and change to use the bristles of the texture of the softer toothbrush. 2. Tuberculosis: Tuberculosis patients can appear in the sputum with blood or hemoptysis symptoms, although the patient is still only in the morning sputum with blood, but if the diagnosis of tuberculosis, with the development of the disease will also appear fever and night sweats and other symptoms, the treatment can be applied to isoniazid, rifampicin, ethambutol, pyrazinamide and other drugs. In addition, other diseases such as bronchial dilatation, lung cancer, gastrointestinal bleeding can cause sputum with blood, it is recommended to go to the hospital in a timely manner, under the guidance of the doctor to find out the cause of the active treatment, so as to avoid delaying the condition.