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Blood in phlegm
I have cold and cough from last 3 days and some fever as well, i am coughing a lot so have taken the medicine but I see the first phlegm that i spit in the morning has blood in it but later it is not there, what should I do
Answers (5)
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Dr. Himani Gupta
Ear-Nose-Throat (ENT) Specialist
8 yrs exp
Guwahati
Need not to worry
Next Steps
Visit ENT and pulmonologist… get done CXR Pa view and laryngeal endoscopy!!
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Dr. Jaimini Thakkar
ENT/ Otorhinolaryngologist
6 yrs exp
Anand
It is because of mucosal injury.
continue same treatment.
There is nothing to worry about.
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Dr. Satguru Saran Singh
ENT/ Otorhinolaryngologist
6 yrs exp
Bareilly
It is due to forceful cough, continue same treatment,
It blood in sputam persist than take consultation with pulmonologist
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Dr. Atul Kumar Nimawat
ENT/ Otorhinolaryngologist
6 yrs exp
Udaipur
Hi, I am Dr. Atul Kumar Nimawat MS ENT.
based on your symptoms — cold, cough for the past 3 days, occasional fever, and blood-streaked phlegm (hemoptysis) seen only in the first morning expectoration — the most likely cause appears to be irritation of the throat or bronchial mucosa due to persistent coughing or infection.
This can occur when frequent coughing causes minor trauma to the small blood vessels in the throat or airways, especially if the phlegm is thick or if the cough is forceful. The fact that blood is present only in the first phlegm and not throughout the day is somewhat reassuring and suggests a localized irritation rather than a serious underlying disease.
Next Steps
Since you have already started medication and the bleeding is minimal and not ongoing, you can continue supportive care for another 1–2 days. However, if symptoms do not improve or the blood in sputum continues, it is advised to consult an ENT specialist or a chest physician (pulmonologist) for a proper physical examination and possibly a chest X-ray to rule out infections like bronchitis, pneumonia, or rarely tuberculosis (if risk factors are present).
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Dr. Farha Naaz
ENT/ Otorhinolaryngologist
11 yrs exp
Hyderabad
Share pics
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.