I lost voice suddenly on Father's Day. Hoarseness but 0 pain, 0 sore/scratchy, or SOB. Waking up w/coughViscous, bright red phlegm x2D. DX: SeroNeg RA,?

Mgt. I would recommend a visit with an ENT specialist and chest imaging if this has not been completed as yet. If you are currently coughing up blood, please go to the ED right away. Do you have a history of smoking?
Viral but bleeding. The hoarseness suggests a viral illness but bleeding suggests there may be an infection. You need to discuss this with your rheumatologist. The bleeding may be related to your RA and/or your medications for theRA.