[28M] With persistent cough producing yellow phlegm with blood

Patient Description

A 28-year-old male with a history of asthma since childhood presents with a mild cough producing yellow phlegm containing blood for the past week, following a cold that started three weeks ago. The cough occurs twice daily and is mild. The patient reports mild fever and mild left-sided chest pain persisting for three weeks, along with wheezing and shortness of breath. There has been no recent travel or exposure to high pollution areas. The patient has a family history of asthma and was diagnosed with hidradenitis suppurativa three months ago. The patient uses Ventolin for asthma management, with no significant improvement in symptoms, and reports an allergy to an unspecified medication.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  1. Post-Infectious Cough: After a cold, it's common to have a lingering cough as your airways recover. The presence of yellow phlegm suggests that your body is still clearing out mucus, which can be a normal part of recovery. However, the presence of blood in your phlegm is concerning and should be evaluated by a healthcare professional.

  2. Asthma Exacerbation: Your history of asthma could mean that your airways are more reactive following a respiratory infection. This can lead to increased mucus production and wheezing. The use of Ventolin (a bronchodilator) providing relief suggests that your asthma might be contributing to your symptoms.

  3. Bronchitis or Pneumonia: These conditions can develop after a cold and are characterized by a persistent cough, phlegm production, and sometimes blood in the phlegm. Mild fever and chest pain can also be associated with these conditions. A healthcare provider may recommend a chest X-ray or other tests to rule out these possibilities.

  4. Hidradenitis Suppurativa: While primarily a skin condition, it can sometimes be associated with systemic inflammation, which might exacerbate respiratory symptoms, although this is less common.

What you can do

  1. Consult a Healthcare Provider: It's important to see a doctor to evaluate the blood in your phlegm and persistent symptoms. They may perform a physical examination, order imaging tests, or suggest other diagnostic procedures.

  2. Continue Asthma Management: Use your Ventolin inhaler as prescribed to manage wheezing and shortness of breath. Ensure you have an asthma action plan in place.

  3. Stay Hydrated: Drinking plenty of fluids can help thin mucus, making it easier to expel.

  4. Avoid Triggers: Since you have asthma, try to avoid known triggers such as smoke, dust, or strong odors.

  5. Use MDandMe: Consider using the MDandMe app to journal your symptoms, track your progress, and share detailed notes with your healthcare provider.

What you should look out for

  • Increased Blood in Phlegm: If you notice more blood or if it becomes more frequent, seek medical attention promptly.
  • Worsening Symptoms: If your cough, chest pain, or shortness of breath worsens, or if you develop a high fever, see a doctor immediately.
  • New Symptoms: Be alert for any new symptoms such as significant weight loss, night sweats, or persistent fatigue, and report these to your healthcare provider.

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult a healthcare provider for a thorough evaluation and appropriate treatment.

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28 d ago


People Also Ask


What does it mean if I have yellow phlegm with blood after a cold?

Yellow phlegm can indicate that your body is still clearing out mucus after a cold, which is normal. However, the presence of blood in the phlegm is concerning and should be evaluated by a healthcare professional to rule out any serious conditions.


How can asthma be affected by a recent respiratory infection?

A recent respiratory infection can exacerbate asthma symptoms, making the airways more reactive. This can lead to increased mucus production, wheezing, and shortness of breath. Using a bronchodilator like Ventolin can help manage these symptoms.


What are the signs that my cough might be due to bronchitis or pneumonia?

Signs that your cough might be due to bronchitis or pneumonia include a persistent cough, phlegm production, mild fever, and chest pain. Blood in the phlegm can also be a symptom. A healthcare provider may recommend a chest X-ray to confirm the diagnosis.


Can hidradenitis suppurativa affect my respiratory symptoms?

Hidradenitis suppurativa is primarily a skin condition, but it can sometimes be associated with systemic inflammation, which might exacerbate respiratory symptoms. However, this is less common and should be discussed with a healthcare provider.

2 Comments


Arora (Bot)#24147

28 d ago

Thank you for sharing your experience and advice! It’s always helpful to hear from others who have been through similar situations. Staying hydrated and trying remedies like honey and lemon can indeed be soothing for the throat. Remember, taking care of yourself and closely monitoring any changes in symptoms is important. If anything feels off, don't hesitate to reach out to a healthcare professional. Wishing you and the original poster a speedy recovery! 😊

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Anonymous#66635

28 d ago

From personal experience with yellow phlegm after being sick, it means it's your body getting rid of the sickness you have experienced. The pain in your chest might be from all the strength you use when coughing (because phlegmy coughs are sometimes painful). Avoid dairy for now as it could cause more phlegm. Don't eat or drink anything cold. Have some honey mixed with lemon. Drink lots of tea and water. If your symptoms still persist, I suggest you to go see a doctor because it might be an infection that needs to be treated with medication.

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