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Doctor insights on: Coughing Up Black Specs

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I keep coughing up black specs in my mucas. It's only just started happening today. Should I be worried? Should I see what happens before getting checked out

I keep coughing up black specs in my mucas. It's only just started happening today. Should I be worried? Should I see what happens before getting checked out

Black specs in mucus: Were you in an area of soot? Are there are specs of bright red blood? Any abodminal discomfort/ gastritis? How long have you been coughing? i would lconsider follow up today with urgent care just to have someone look at the sputum and get a more thorough histoyr. f/u w/ doc. ...Read more

Dr. Sue Ferranti
3,613 doctors shared insights

Cough (Definition)

The cough reflex is a protective mechanism that uses muscles in your throat and chest to expel mucous and saliva that may contain pathogens that would otherwise possibly be inhaled via aerosol or to expel pathogens infecting the throat and respiratory system. Cough benefits the host by reducing load and benefits the pathogen which may then spread via aerosol. ...Read more


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Why do I cough up dark specs in my phlegm.

Why do I cough up dark specs in my phlegm.

Depends: Dark specs may be blood but may be other. If blood can be coming from back of nose or sinuses, but may be coming from lungs. Blood is concerning when not where it should be, although there is less genral concern when from sinuses. The specifics of the dark spots and their origin needs to be determined. Strongly recommend evaluation by phsyician. ...Read more

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I have had a chronic productive cough for over 15 years. Seen pulmonary spec. An ENT. What are some causes. Been tested for most issues. ?

I have had a chronic productive cough for over 15 years. Seen pulmonary spec.  An ENT. What are some causes. Been tested for most issues. ?

Causes: Common causes for chronic cough include gastroesophageal reflux, allergies, asthma, postnasal drip, ACE-I inhibitors, COPD, and autoimmune disorder.
Consider seeing a gastroenterologist if pulmonary and ENT have not found the cause. ...Read more

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I woke up this mornings felt like theres something in my throat. I tried to cough it out & got phlegm with spec of blood. No other symptoms.

I woke up this mornings felt like theres something in my throat. I tried to cough it out & got phlegm with spec of blood. No other symptoms.

See answer: Generally, if a 28 year old person noted a spec of blood in phlegm after several coughs and had no other symptoms it's likely due to some superficial irritation in the throat area. If you have a cold and sinus congestion sinusitis could also cause this. Of course, if you continue to notice this beyond a day or two you should see your physician. ...Read more

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1st had sore throat 12 days later lost voice had terrible croup like cough now 1week later coughing up tiniest specs of red blood occasionally?

1st had sore throat 12 days later lost voice had terrible croup like cough now 1week later coughing up tiniest specs of red blood occasionally?

See a doctor: I would always get a chest x ray on anyone coughing up blood, and some lab work as well. I recommend you see a doctor. I wish you well! ...Read more

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Cbc lipids chest xray EKG echo lipid test and triponin test done all came back parfect... I have post nasal drip and coughing up specs of blood?

Cbc lipids chest xray EKG echo lipid test and triponin test done all came back parfect... I have post nasal drip and coughing up specs of blood?

Hemoptysis...: Hemoptysis, or coughing blood, has many etiologies. It is usually due to bronchitis but malignancy is another possibility that needs to be ruled out. If you have ever smoked, you may need a chest cat scan to be sure there is no malignancy present. Postnatal drip can cause bronchospasm as well as blood in sputum so this needs treatment. See your doctor and discuss ct scan! ...Read more

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Bad sore throat for weeks with white specs no fever coughing up and blowing yellowmucus, strep test was negative and no fever. Cbc and chest xray ok?

Bad sore throat for weeks with white specs no fever coughing up and blowing yellowmucus, strep test was negative and  no fever. Cbc and  chest xray ok?

Virus: This is an upper respiratory virus most likely a common throat infection virus it is possible that this is an atypical strep pneumonia bacteria which would give a negative rapid strep test if there was another bacteria interfering with the test such as actinomyces if you have a high fever please have a repeat strep test. ...Read more

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Black specs in my urine and hurts to wipe.

Black specs in my urine and hurts to wipe.

Urine specs: These could be fragments of urinary stones or fragments of old vaginal blood, but a urinalysis with microscopic examination would identify any urinary pathology. Urethral discomfort on wiping could signify some inflammation or infection. If symptoms persist, consult your physician or a urologist. ...Read more

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My mucus have black specs in it. I don't smok or have a cold.. Should I be worried?

My mucus have black specs in it. I don't smok or have a cold.. Should I be worried?

Black specs in mucus: Mucus serves several functions including filtering stuff in the air we breath - this could be smoke particles from wood smoke or if you live in a dusty environment. Sometimes blood as it gets old can appear dark in mucus. If its not a regular occurence probably nothing to worry about if it keeps happening you probably should see your doctor. ...Read more

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Black specs in stool? What could this be? Cause for concern?

Black specs in stool? What could this be? Cause for concern?

Likely: Has something to do with your diet, but doesn't sound concerning. Completely black and tarry stools are concerning for upper GI bleeding, but that's not what you are describing. ...Read more

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I have these small black specs under my skin on my inner thighs. I can squeeze them out and when they surface they are kind of hard and yellowish.

I have these small black specs under my skin on my inner thighs. I can squeeze them out and when they surface they are kind of hard and yellowish.

sebaceous glands: Are producing sebaceum that is not easily coming out. You're squeezing it out clean the area involved. Sometimes washing with washcloth and so more vigorously over an area opens the pores and lets the areas clear on their own.What you have is a common ordinary blackhead that you have squeezed out, . ...Read more

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I have been feeling like something is on me... Especially in my hair!!! I feel a bite like sensation and anything I have been able to get ends up being a peice of lint or fabric. It also has been a black spec or dot and on occasion I see what looks like

I have been feeling like something is on me... Especially in my hair!!! I feel a bite like sensation and anything I have been able to get ends up being a peice of lint or fabric. It also has been a black spec or dot and  on occasion I see what looks like

False parasitosis: This sounds like delusional parasitosis, "...a mistaken belief that parasites have infested the body. People with [DP] have an unshakable, false belief that they are infested with insects, worms, mites, lice, fleas, ... [etc]" (Merck Manual). See a doctor to confirm nothing abnormal seen, then trust his or her advice if psychiatric care recommended. Suggested from compassion, not criticism. ...Read more

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I have seen a few black specs in my stool, what could be causing this?

I have seen a few black specs in my stool, what could be causing this?

Could be: Something you ate or specs of old blood see doctor and have a hemocult done. ...Read more

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Black specs on TP, for the past 8 months stool looks normal 3 negative stool test. Please advise ?

Black specs on TP, for the past 8 months stool looks normal 
3 negative stool test. 
Please advise ?

Diet?: I'm sure you are worried that this represents blood. Blood coming from the upper gastrointestinal tract is indeed black, but it would not look like black specks on the TP. Generally the entire stool is black and tarry and the stools would be positive for blood. This could be something in your diet. ...Read more

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I have recently been diagnosed with moderate Crohn's Disease. I have been noticing black specs in my stools. Is that normal?

I have recently been diagnosed with moderate Crohn's Disease.  I have been noticing black specs in my stools. Is that normal?

Specs in stool: Hi QCary, yes specs in the stool can be expected. This is usually some dried blood. Especially after flare. Close follow up with your doctor is vital. Regular blood checks are important as well. Your doctor likely started you on medication, close adherence is important. Please see your doctor for flares, black or bloody stools, loss of appetite, fevers, or persistent diarrhea. Hope that helps ...Read more

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What could cause tiny black specs to appear on my fingertips? I have lupus and recent increase in swelling and tingly fingertips on one side.

What could cause tiny black specs to appear on my fingertips? I have lupus and recent increase in swelling and tingly fingertips on one side.

Vasculitis: Small black spots on you finger tips could represent necrotic areas due to tissue damage to small blood vessels; either from inflammation of the blood vessels or from emboli (small blood clots originating in an other area of the body). This symptom requires immediate attention from a physician. ...Read more

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Ok, would black specs mixed in 2 yo stool be considered coffee ground stool or would that be more obvious? Is this normal? Not sure what to look for.

Ok, would black specs mixed in 2 yo stool be considered coffee ground stool or would that be more obvious?  Is this normal? Not sure what to look for.

Specs in Stool: "coffee grounds" usually refers to vomit containing blood. Black specs mixed in with stool most likely food. Bananas in stool- usually have a black spec appearance. Another possibility is chewed crayon. Usually blood in stool looks red or can make stool look dark green or black. If stools are loose or diarrhea with blood contact your child's pediatrician. ...Read more

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Black specs on TP and in stool when I look threw it, very closely, 4 or 5 Neg stool test, noticed this for going on a year could it still be blood ?

Black specs on TP and in stool when I look threw it,  very closely, 4 or 5 Neg stool test, noticed this for going on a year  could it still be blood ?

Rectal bleeding : If you have had that many negative stool tests for blood at a time when you actually saw the black specs, then you can't be fairly certain that the black stool does not represent blood. It is unlikely to be anything worrisome. Unless symptoms change, I would do nothing further. Good luck. ...Read more

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I keep feeling theres something crawling in my hair. Is this bad? I can't ever find anything but sometimes a black dot &\or a glow-like glittery spec...it usually has a fiber or a hair too!?!? My kids are also now feeling these things! Feels like I'm stu

I keep feeling theres something crawling in my hair. Is this bad? I can't ever find anything but sometimes a black dot &\or a glow-like glittery spec...it usually has a fiber or a hair too!?!?  My kids are also now feeling these things! Feels like I'm stu

Feelings on scalp: and now your children feel it. This may be from lice, a reaction to something in the home or what you wash your pillow cases in, or unintentional suggestion from you to your children. You need another person to look at this. Please see your doc. Peace and good health. ...Read more

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Tiny black specs in urine for two days. Has stopped now, is it kidneys and do I need to see a doc?

Tiny black specs in urine for two days. Has stopped now, is it kidneys and do I need to see a doc?

Urine specs: you could be passing gravel. Gravel are small stones usually formed from the precipitation of calcium in the urine. If it persists you should have a kidney stone workup. It is possible you could have larger kidney stones. If you can catch some of these specs it would be helpful. These can be analyzed for calcium or uric acid and it would help in the diagnosis and subsequent treatment. ...Read more

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Do black specs(like tiny pepper flakes) in the stool indicate blood even when the stool in a normal brown color?

Do black specs(like tiny pepper flakes) in the stool indicate blood even when the stool in a normal brown color?

Nah: Significant blood loss (more than 3-4 ounces of blood), especially from upper sources, e.g. Stomach, duodenum , small bowel, less likely from right colon, can give black, tarry stol, with a typically characteristic odor, often loose (blood is a laxative):melena (black). Entire stool would be black, not just individual spots. Likely from food, seeds. Iron pills, pepto bismol (bismuth subsalicylate) can do also. ...Read more

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My 3 month breastfed & formula (on occasions) baby poop had tiny little black specs in his poo? Is this normal or should I be concerned?

My 3 month breastfed & formula (on occasions) baby poop had tiny little black specs in his poo? Is this normal or should I be concerned?

Baby bowel movement: The only time we are concerned with color of a baby's stool is if it is white or has blood in it. Changes in stool's color, consistency is normal. ...Read more

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Threw up 1st time, blood at the end of vomitting, thought id just busted a vessel. Threw up again and at the end it was brown w black specs. Worry?

Threw up 1st time, blood at the end of vomitting, thought id just busted a vessel. Threw up again and at the end it was brown w black specs. Worry?

Mallory Weiss tear: You can tear a small portion of your stomach with vomiting. You will want to talk to your doctor who may want to start you on an acid reducing therapy. ...Read more

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I am experiencing skin rash (quality: bumpy,red, with black spec center). Is it shingles?

I am experiencing  skin rash (quality: bumpy,red, with black spec center). Is it shingles?

See a dermatologist: Your description allows no diagnosis. "Shingles" is a very specific condition. You provide no clues even close to anything. ...Read more