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Coughing up yellow-brown mucous, phlegm, throat sore, blood. What is going on?

Hey I m an occasional smoker and I ve been coughing up yellow-brown mucous and phlegm for a while, but recently my throat has become very sore and my loogies have gotten much thicker, almost rubbery. Also, they have gotten darker since my soreness started, and with small amounts of blood . I m becoming increasingly worried, and have a doctors appointment soon. I just wanted an early opinion so I know what to expect. Can someone enlighten me on what s going on?
Asked On : Sat, 9 Mar 2013
Answers:  1 Views:  166
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ENT Specialist 's  Response
Thanks for writing to H.C.M. about your query.
I have gone through your query regarding cough and phlegm some times mixed with blood. as you said that you are occasional smoker, but due to blood in phlegm you are much worried. Here I would like to tell you some diseases where blood is found in sputum.-
(1) Acute Pharyngitis (Acute sore throat).
(2) Pulmonary tuberculosis.
(3) Tumour base (posterior part) of tongue.
(4) Tumors of larynx and pharynx.
(5) Thrombocytopenia may be pathological, drug side effect or idiopathic.
(6) Leukemias.
(7) Tumor of nasopharynx- in these cases usually nasal bleeding is also noted along with blood in sputum.
Since you are having chronic cough therefore for making diagnosis following investigations are necessary-
(1) X-Ray chest in P.A.view.
(2) Sputum for AFB, Culture and sensitivity, Malignant cells.
(3) Blood - CBC, B.T., C.T., Prothrombin time, S.G.P.T.
(4) Pan endoscopy- ( Nasal endoscopy, Pharyngoscopy, Direct Laryngoscopy & Bronchoscopy).
Working on these lines with thorough clinical examination and co-relation with inferences of investigations one can reach to correct diagnosis and that can be manage accordingly.
I hope now your query is explained.

With Regards.
Answered: Sun, 10 Mar 2013
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