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Doctor insights on: Coughing Up Yellow Phlegm With Blood

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Dr. Angelina Postoev
925 doctors shared insights

Phlegm (Definition)

Phlegm is the thick, sticky mucus secreted by the surface of the respiratory tract during a cold or other respiratory infection. The respiratory tract includes the nose and sinuses, throat, voice box, bronchi, and lungs. Phlegm is mucus that may contain bacteria, viruses, respiratory surface cells, and inflammatory cells. Normal mucus is not phlegm, but a protective layer secreted ...Read more


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I am experiencing cough (quality: blood in phlegm, with phelgm or mucus) and arm pain. The following also describes me: Chest congestion. Green and yellow phlegm with blood.. Was prescribed zpak. But afraid to take. Is there a substitute?

I am experiencing  cough (quality: blood in phlegm, with phelgm or mucus)  and arm pain. The following also describes me: Chest congestion. Green and yellow phlegm with blood..  Was prescribed zpak. But afraid to take. Is there a substitute?

Take as prescribed: This sounds like a potentially serious infection, maybe even pneumonia. "Afraid to take" azithromycin (Zpak) is not rational; it is a very safe antibiotic with few side effects. Not treating your infection is MUCH riskier than any potential problem from the antibiotic. Take it as prescribed; if you remain concerned, discuss with the doctor who prescribed it. ...Read more

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Constantly coughing yellow mucus with a little blood for over 2 and a half weeks. I also wake up with stuffy nose and with more phlegm to cough out.

Constantly coughing yellow mucus with a little blood for over 2 and a half weeks. I also wake up with stuffy nose and with more phlegm to cough out.

Coughing: Use salt eater nose drops to help clear your nose 4 times daily. Use a vaporizer sleep on several pillows. Since its been longer than 10 days that you have been ill, see your pcp. You may have a sinus infection and need antibiotics. ...Read more

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No cough, fever, or stuffy nose. Producing phlegm dark yellow with mostly bright red or dark red blood. Not sure if I should keep waiting it out ?

No cough, fever, or stuffy nose. Producing phlegm dark yellow with mostly bright red or dark red blood. Not sure if I should keep waiting it out ?

Mgt.: Please see your PCP right away. The source of the bleeding should be determined. Sometimes there is nasal bleeding and this can be one source. You may have an infection. and other causes can be evaluated. ...Read more

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Cough for more than 1 month. Got worse in the past 10 days, more yellow phlegm, chest pain, low grade fever. Chest X-ray & blood mormal. What is it?

Cough for more than 1 month. Got worse in the past 10 days, more yellow phlegm, chest pain, low grade fever. Chest X-ray  & blood mormal. What is it?

See a doctor: You have some type of inflammatory process in progress in your respiratory tract, possibly chronic pneumonia, potentially due to tuberculosis, aspiration, fungal infection or some other form of inflammation. You should make a list of your temperatures, associated symptoms and see a doctor asap. If you know an infectious diseases expert so much the better. Good luck and hope you are better soon. ...Read more

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Hi, bringing up dark yellow phlegm with bright red blood streaks, no cough, no sore throat, no blocked nose. Should I be concerned?

Hi, bringing up dark yellow phlegm with bright red blood streaks, no cough, no sore throat, no blocked nose. Should I be concerned?

Bronchitis: Blood tinged mucus or sputum is often due to an infection in sinus or lungs. Many of us treat, unless bloody nose from blowing too much. Most of us will treat with antibiotics if it happens for more than 3 days. There are other causes, too, but it's a GREAT idea to get checked soon. In the meantime, avoid otc cough and cold meds, and fragrances and aerosols (which don't help, can make worse) ...Read more

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I am a 22 year old male with a 7 year history of smoking. I have had a pain in my upper right back and have coughed up blood streaked yellow phlegm.

I am a 22 year old male with a 7 year history of smoking. I have had a pain in my upper right back and have coughed up blood streaked yellow phlegm.

Bloody sputum & smok: Young man you need to see your doctor ASAP or go to ER, bloody sputum, cough & chest pain can't be ignored especially with history of smoking for 7 years. Please don't ignore these symptoms, at the mean time try to stop smoking. Good luck. ...Read more

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My throat hurts and ears. I have phlegm and when i coughed little blood was in it. Is this serious? Happened inthe morning also yellow mucus in nose.

My throat hurts and ears. I have phlegm and when i coughed little blood was in it. Is this serious? Happened inthe morning also yellow mucus in nose.

See below: Yellow or green mucous is not concerning. If there was only a bit of blood streaking, the source was probably a slight bleed in the nose mucosa. If it continues, get seen, otherwise, using otc meds can help. ...Read more

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I have cought and yellow phlegm with blood at mornings and nights i'm very constipated constantly and the cought starts maybe one month ago, thanks?

I have cought and yellow phlegm with blood at mornings and nights i'm very constipated constantly and the cought starts maybe one month ago, thanks?

Get examined: Yellow mucous can signify a bacterial infection. The blood may be due to trauma to lining of your bronchi from the coughing. The constipation may or may not be related. If you're using cough medication it can cause constipation. Best advice-get it checked out. ...Read more

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What can I do for this pain in throat + dark yellow phlegm w/ blood?

What can I do for this pain in throat + dark yellow phlegm w/ blood?

Doctor time: You describe enough serious stuff going on that warrants a medical exam by a doctor. See a doctor. ...Read more

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Why I keep spitting up mucus and phlegm, it had every day from 1-6 times I spitting up and it's from clear-light-dark yellow rarely some blood on it?

Spitting up blood: There are many reasons for your symptoms but without getting more information and talking to you and examining you I cannot help except to go to a walk in clinic if u do not have a reg doctor, some of the reasons are not good and some are no worries. See someone. Some BP MEDS cause cough. So need more info. Happy to do second opinion. ...Read more

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What does it mean when you're coughing up yellow phlegm and then you cough up white phlegm?

What does it mean when you're coughing up yellow phlegm and then you cough up white phlegm?

The desription of: Phlegm points to infection when yellow, orange or blood tinged, and clear can mean you have cleared a mucus plug. But these are primitive. Allergy, cold and bronchitis can do this, as well as pneumonia...Or cancer. Persistent productive cought needs to be evaluated. ...Read more

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What exactly does it mean whenyour coughing up yellow phlegm and the next lot you cough up is white?

What exactly does it mean whenyour coughing up yellow phlegm and the next lot you cough up is white?

Varies: Phlegm color can vary: sometimes it can be yellow, sometimes it can be white, sometimes it can be clear. "bad" color types, so to speak, are like brown, dark green, or even bloody. If anything like this comes up, especially with fever, you should see your doctor right away. ...Read more

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What diseases would cause you to cough up blood or have blood in the phlegm?

What diseases would cause you to cough up blood or have blood in the phlegm?

Hemoptysis: It depends on what the medical and social history of the patient is. The differential ranges from infection to cancer especially if the patient is a smoker. Hemoptysis requires a thorough medical evaluation. ...Read more

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Cough for about 3 years. Different coloured phlegm...Green, yellow, clear, thick, and bloody?

Cough for about 3 years. Different coloured phlegm...Green, yellow, clear, thick, and bloody?

Depends: Generally, a chronic cough is defined as one lasting more than 8 weeks. The most common causes include post nasal drainage, reflux, and asthma. Depending on the cause, the treatment is different. For example for asthma, inhaled corticosteroids are the mainstay. It's best to see your doctor for testing to determine cause. Your smoking status is also important. ...Read more

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Blood in my phlegm, no cough. Its started Nov 17 until now. what can i do? what medicine i take?

Blood in my phlegm, no cough. Its started Nov 17 until now. what can i do? what medicine i take?

Needs investigation: After this long you need to get this evaluated to determine the source and cause of the bleeding. It could be blood from the nose, the sinuses but also the lungs ...Read more

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I sneezed this morning and brought up a lot of phlegm which contained blood. should I get this checked. I don't have a cough or any other symtoms ?

I sneezed this morning and brought up a lot of phlegm which contained blood. should I get this checked. I don't have a cough or any other symtoms ?

Depends: If it was a one time bloody nose then you could observe your symptoms. If you are having persistent nose bleeds and severe pain a full ear, nose throat exam is indicated. See your doctor for more answers. Good luck. ...Read more

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What can cause you to cough phlegm with a little bit of blood?

Hemoptysis: Bronchitis/pneumonia/congestive heart failure/pulmonary embolus/ ling cancer with airway involvement to name a few. If symptoms persist, you should seek medical attention sooner rather than later. ...Read more

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No hard cough but there is blood in the phlegm, is this serious?

No hard cough but there is blood in the phlegm, is this serious?

Hemoptysis: Hemoptysis (http://www.Mayoclinic.Com/health/coughing-up-blood/my01064) is common ; usually benign if small volumes in a non-smoker. But it's always a good idea to go see your family doc for an evaluation as there are too many causes to review ; consider w/more information ; examination. ...Read more

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Hello, I was just wondering what is going on. I have had a cough with phlegm for maybe over 4 weeks, occasionally blood-streaked phlegm.

Hello, I was just wondering what is going on. I have had a cough with phlegm for maybe over 4 weeks, occasionally blood-streaked phlegm.

Bronchitis?: This may be bronchitis, but since it has lasted so long you need to be checked to see if you have something more serious, like pneumonia or tuberculosis. See a doctor about this. Good luck! ...Read more

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Hi. I saw 20% of blood to my phlegm in my 1st cough but theres nothing already on my 2nd and 3rd but just phlegm again. Whats wrong maybe?

Hi. I saw 20% of blood to my phlegm in my 1st cough but theres nothing already on my 2nd and 3rd but just phlegm again. Whats wrong maybe?

Unclear: It is not clear but hemoptysis is not good. Need to see why this is occuring . Might have a serious chest infection or could come from nose. Please seek care and for sure get a chest xray. Need to get dx for sure and may require more than simple treatment. ...Read more

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I get this recurring cough about 3 times a year. Always with phlegm, sometimes with blood (rarely). No other symptoms. I'm 21 and don't smoke.

I get this recurring cough about 3 times a year. Always with phlegm, sometimes with blood (rarely). No other symptoms. I'm 21 and don't smoke.

Don't know cause.: Mix hot water, 1 tsp. lemon juice & 1 tsp. honey in a mug, then add more lemon juice or honey to taste, if desired. Sip the mixture slowly and inhale the steam from the hot liquid to help reduce congestion in the chest. Or make tea with 2 tsp of Marshmallow root bark per 1cup of hot water (steep in a covered pot for at least 5 minutes). Drink several times a day or as needed to relieve coughing. ...Read more

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3rd day of cold is it normal to cough up some yellow phlegm in morning?

3rd day of cold is it normal to cough up some yellow phlegm in morning?

Yes, usually: That is not unusual. Sometimes, coughs from colds can take several days to go away or get better. Obviously, if it gets much worse, or you start coughing up blood, would go see a doc right away. Hope you feel better! ...Read more

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I had a cold with thick yellow phlegm and now the cough is non-productive but not going away - 3 weeks. How long before cough goes away?

I had a cold with thick yellow phlegm and now the cough is non-productive but not going away - 3 weeks.  How long before cough goes away?

3 wks not long 4 col: You can't rush Mother Nature! That your cough now is non-productive is good progress and demonstrates that you're on your way to a cure. Your body takes time to heal. Patience, patience. ...Read more

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This morning i coughed up a big chunky ball of phlegm filled with blood...i dont even have a cough at the moment and this isnt the first time??

This morning i coughed up a big chunky ball of phlegm filled with blood...i dont even have a cough at the moment and this isnt the first time??

Mgt: You should have chest imaging and please see a pulmonary specialist. They can order the sample for further analysis, including cytologies and fungal cultures. ...Read more

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Some mornings I wake up and hack up some yellow/brown phlegm. Its usually when I first wake up. I don't have a cough or feel sick. Is this normal?

Some mornings I wake up and hack up some yellow/brown phlegm. Its usually when I first wake up. I don't have a cough or feel sick. Is this normal?

Maybe postnasal drip: Mild nasal allergies can cause some muscus dripping in back of throat/mouth and collects there during sleep and can turn a bit brown in the am. During day, little mucus/drip is pulled down by gravity, but when sleeping mucus tends to stay in back of throat and thus productive coughing/coughing in the early am. If worsens, call doc for eval. Good luck. ...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


Dr. Sue Ferranti
625 doctors shared insights

Productive Cough (Definition)

cough which ...Read more