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Doctor insights on: Scratchy Throat With Phlegm And Coughing How Likely Is Strep

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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'm not sick but I have a scratchy throat with phlegm and cough for a long period only other symptom was one day of a plugged ear what could this be?

I'm not sick but I have a scratchy throat with phlegm and cough for a long period only other symptom was one day of a plugged ear what could this be?

Rhinosinusitis: Chronic inflammation of the nose and sinuses can cause post-nasal drip with irritating drainage. This can cause a sore throat and cough. Try rinsing your nose thoroughly with saline solution. There are several devices like the neil-med sinus rinse bottle which are very effective. ...Read more

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A bit sick. Somewhat irritated scratchy throat. My head hurt when I bend my head toward ground. Dry cough. Slight pain where scapula is? Not strep.

A bit sick. Somewhat irritated scratchy throat. My head hurt when I bend my head toward ground. Dry cough. Slight pain where scapula is? Not strep.

Viral: If you have had a throat swab and it was negative for both the quick id and throw culture then this is most likely a viral illness. It even could be the flu. ...Read more

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Coughing with phlegm for 2mos. Wheeze for 1 month once in the morning, mid day and 2x in the day. Sometimes, a severe scratchy throat. What do I have?

Coughing with phlegm for 2mos. Wheeze for 1 month once in the morning, mid day and 2x in the day. Sometimes, a severe scratchy throat. What do I have?

Sinus & allergies: Allergies can cause post nasal drips & suffice enough develop airway hyper reactivity & wheezing but asthma can be present.
Get check by a lung doctor ...Read more

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Scratchy throat and ears 5 days ago, now I have body aches, chills, coughing yellow phlem and woke up with a mild fever. Been taking OTC meds.

Scratchy throat and ears 5 days ago, now I have body aches, chills, coughing yellow phlem and woke up with a mild fever. Been taking OTC meds.

Need to see your MD: , it can still be a viral disease, but at times secondary bacterial infection kicks in, that's why you need see your doctor if no improvement within a week of start of symptoms, ...Read more

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What causes your throat, when swallowing, to feel like a lump is in it and hoarseness, and a scratchy throat with a lot of phlegm?

What causes your throat, when swallowing, to feel like a lump is in it and hoarseness, and a scratchy throat with a lot of phlegm?

See your doctor: Although that could have started as a viral upper respiratory infection, from you description there could be a secondary bacterial infection on top needing an antibiotic prescription ...Read more

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I have a sore/scratchy throat with green/yellow phlegm. Its not bad just annoying. I get this same thing every month or two for a few days. Any idea?

I have a sore/scratchy throat with green/yellow phlegm. Its not bad just annoying. I get this same thing every month or two for a few days. Any idea?

Sore Throat: Sinus drainage can cause a sore throat. For it to be recurrent it is likely due to some environmental cause such as pollution or allergies. You need an evaluation by your doctor. ...Read more

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I have a sore/scratchy throat with green/yellow phlegm. Its not bad just annoying. I get this same thing every month or two for a few days. Any idea?

I have a sore/scratchy throat with green/yellow phlegm. Its not bad just annoying. I get this same thing every month or two for a few days. Any idea?

Viral: It sounds like a viral upper respiratory infection but you shouldn't be getting them so often. Perhaps excessive dryness in your environment makes you prone to these infections or irritations. Take extra vit c and use a humidifier if necessary to improve your resistance. If symptoms persist an exam by an otolaryngologist and a throat culture are advised. ...Read more

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I have a chronic scratchy throat with light phlegm (8+ months). Not thrush, not acid (tried ppis / changing diet), tonsils swell every 4-6 weeks.

I have a chronic scratchy throat with light phlegm (8+ months). Not thrush, not acid (tried ppis / changing diet), tonsils swell every 4-6 weeks.

Scratchy throat: You may have a postnasal drip or you could have an allergic nose that is responsible for your symptoms. Try an antihistamine like allegra, Claritin (loratadine) or xyterc and also make an appointment with an allergist for further evaluation. ...Read more

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Throat pain and a scratchy throat for 4 weeks. Throat pain on the left side. 1st week diagnosed with Strep. 2nd week strep gone. What could this be?

Throat pain and a scratchy throat for 4 weeks. Throat pain on the left side. 1st week diagnosed with Strep. 2nd week strep gone. What could this be?

Sore throat: You didn't mention taking antibiotics to treat your Strep throat but most infectious sore throats are caused by viruses which won't respond to antibiotics. Allergies, bad heartburn & mouth breathing are common causes of non-infectious sore throats. See your Family Doc for re-evaluation & appropriate treatment. ...Read more

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I've had an itchy, scratchy throat for a couple days. This morning I noticed little bumps on the dangly thing inmy throat. Could this be strep or somet?

I've had an itchy, scratchy throat for a couple days. This morning I noticed little bumps on the dangly thing inmy throat. Could this be strep or somet?

Doctor can evaluate: Throat symptoms can be from strep throat infection (antibiotics are needed), a cold or influenza (antibiotics usually not used), or from some other cause such as allergies or irritants. Usually, a person sees a doctor if the throat symptoms are bothersome, recurrent, or don't go away quickly (mainly to see about antibiotics). ...Read more

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I have fever, a little bit, with scratchy throat. How can I tell a cold from a strep throat?

I have fever, a little bit, with scratchy throat. How can I tell a cold from a strep throat?

May be difficult: Initially, it may be very difficult. A strep throat however, is often accompanied by a headache and/or abdominal pain, as well as a fairly severe headache as well as a progressively severe sore throat that will make even swallowing difficult. Some affected people may also develop a rash--often described as feeling like sandpaper--that is particularly prominent in skin folds, such as the elbow. ...Read more

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I has strep throat about a month and a half ago and now I have dry/scratchy throat, a little pain swallowing, and my temp. Is increasing is it strep?

I has strep throat about a month and a half ago and now I have dry/scratchy throat, a little pain swallowing, and my temp. Is increasing is it strep?

No way to tell: Your symptoms could be strep again, or just a virus, or early mono, or sleeping with your mouth open, etc. You can tell if it is strep when you have a quick test or culture done. The symptoms are not specific. ...Read more

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If one has had strep, and still has blisters and a scratchy throat, after 3 weeks, but no fever are they at risk for rheumatic fever?

If one has had strep, and still has blisters and a scratchy throat, after 3 weeks, but no fever are they at risk for rheumatic fever?

Unrelated symptom: You don't say where the blisters are but I agree they are not a feature of strep. The nastiest raw throats I see are usually viral and or mono.That said, the persistent throat issue is not a signal for rheumatic fever. That process occurs when your immune system kicks into high gear after untreated strep. If you did proper rx within 7-10 days of 1st symptoms, it stops the rheumatic conversion. ...Read more

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What can help me with my scratchy throat and cough?

What can help me with my scratchy throat and cough?

Hot liquids.: Many things are used commonly. Hot salt water gargles, hot tea with honey. Otc preps like chloraseptic (a numbing medication) or guaifanesin (an expectorant) plus or minus dm (a cough suppressant). ...Read more

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If my 2 year old aspirated part of a sucker 24 hrs ago, would he have other symptoms besides occasional cough and scratchy throat.

If my 2 year old aspirated part of a sucker 24 hrs ago, would he have other symptoms besides occasional cough and scratchy throat.

Yes: If he inhaled a part then he would have a bad cough and eventually trouble breathing or noisy breathing. If he swallowed the piece then he could have the same symptoms or trouble eating and drinking. If he has the breathing symptoms, he should go to the emergency room. ...Read more

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I've had a scratchy throat and dry cough for a month. I wake up without a voice, it comes back, then starts to go again by night time.

Maybe GERD: This may be gastroesophageal reflux (acid reflux into the back of the throat); this can especially occur at night. You could try over the counter "acid blockers" like pepcid/omeprazole for a few weeks and see if it helps. ...Read more

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What is the best way to soothe a sore/scratchy throat and cough?

What is the best way to soothe a sore/scratchy throat and cough?

Sore throat: I like to inhale eucalyptus oil mist. Use a humidifier and drip 5-10 drops of eucalyptus oil (don't make it very strong) and inhale it through your nose. Eucalyptus soothes mucosal membranes and appeases cough and scratchy throat. Make sure the mist is lukewarm and not hot. ...Read more

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There is an employee who does not bath. We share a seat in a truck and I've developed a cough and scratchy throat. I need health risk info to give bos?

There is an employee who does not bath. We share a seat in a truck and I've developed a cough and scratchy throat. I need health risk info to give bos?

Can't say: I am not aware of any published cases of health problems from being exposed to body odor. I do not think you should need "health information" - lack of good personal hygiene should be an issue for your boss, other employees and any of the public who this employee interacts with. You may have some kind of allergy, though. You would need to see your doctor to evaluate this and give you a note. ...Read more

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I have the worst feeling throat I've ever felt - scratchy throat, mucus, soreness, dryness, and a terrible cough. What could be the cause and how can I get better?

I have the worst feeling throat I've ever felt - scratchy throat, mucus, soreness, dryness, and a terrible cough. What could be the cause and how can I get better?

Common cold: It sounds like a bad cold, take over the counter decongestants and cough suppressants, such as guaiafenesin, drink a lot of fluids. If the symptoms persist for a week, seek the opinion of your doctor. ...Read more

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I am running a low fever, have a scratchy throat and a bad cough. What might it be?

I am running a low fever, have a scratchy throat and a bad cough. What might it be?

Hard 2 know!: You have symptoms of uri, strep throat, viral pharyngitis and it could be many other things. If you treat this symptomatically with warm saline gargles, acetamenophen or ibuprofen, rest and liquids and you continue to have issues or worsen, see your pcp. Strep throat is a concern. ...Read more

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Scratchy throat and a cough am I catching a cold?

Scratchy throat and a cough am I catching a cold?

Very possible: It's very possible that you have been exposed to a virus. Watch your symptoms for increased fever, and other worsening signs of a more significant illness. Drink plenty of fluids, get good rest and eat well. If getting worse after 5-7days consider getting a consult. Always be seen if significant worsening. Gargling warm salt water and plain Robitussin (guaifenesin) may help symptoms. Good luck. ...Read more

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I feel like I have a bit of a cold, a really scratchy throat and a cough, is there something that's been going around lately? I usually never get sick and when I do it's usually just minor and goes away in a day or so. This one is kind of sticking around.

Flu: There is flu epidemic going around although other viral infections may also be possible. The flu shots this year are only about 50% effective. There is a drug you can take that may reduce the duration and severity of your symptoms but must be taken in the 1st 48 hrs after symptoms started. As for the cough, it may linger on for a few weeks for some people. ...Read more

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I am on vacation and have prescription amoxicillin with me. I have a scratchy throat, slight cough caused by the tickle. Can I take it? I'm in sun

I am on vacation and have prescription amoxicillin with me. I have a scratchy throat, slight cough caused by the tickle. Can I take it? I'm in sun

DON'T DO IT! Bad Idea: Antibiotics should only be taken when it's clear you have a bacterial infection sensitive to that antibiotic. The vast majority of sore throats are viral & antibiotics will do more harm than good, impairing immune function, killing friendly flora & can cause diarrhea & yeast infections. Pelargonium sidoides, an herb sold at health food stores as Umcka, is more likely to help- also zinc lozenges. ...Read more

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Hello. I have a scratchy throat with no other symptoms such as cough, fever, etc. Could this be allergies or sinus problems?

Hello. I have a scratchy throat with no other symptoms such as cough, fever, etc. Could this be allergies or sinus problems?

Allergy: A scratchy throat is much more likely to be due to upper respiratory tract allergy than sinusitis. Sinusitis is a disease with more significant symptoms such as yellow-green nasal discharge, pain in the face, pain between the eyes. Excessive post-nasal discharge and occasionally frontal headaches. ...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


Pharynx (Definition)

It is the connection between the mouth and the throat. The 3 parts are the oropharynx, nasopharynx, and hypo-pharynx. The pharynx leads into the ...Read more