On z pack cough has finally loosened uphear rattling but can't bring it up&out is just coughing helping to move and rid it or does it need to be spit?

Thick mucus does: Not necessarily mean bacteria, forwhich z packs are popularly prescribed. Thick can block a bronchus. A big cough can get it to your throat, but still not able to "hawk it up and out." plenty of liquids, expectorants, and nothing to inhibit your cough is best for you to mobilize thick secretions. Up and out is good, but getting the gunk out of your airways is important.