Yes: Coughing up black specks is not normal, unless you wear a lot of black eyeliner! the reflux is not unusual, especially if a month of treatment helped (not specific re the treatment, often you have to use 2times a day proton pump inhibitors). However, the black specks make me worrry re blood, exposure to ? Extraneous material w/ inhalation, or even mold(so called abpa). I would see a lung doc.
Answered 3/2/2014
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Need further testing: Coughing up black specks is a sign of coughing up done old blood , i would encourage immediate testing - a chest x-ray and ct scan.
Answered 9/28/2016
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