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Coughing up Sputum - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I just coughed up a silicone like substance out of my mouth and my sore throat immediately started to feel better. I felt sick for a few days while this silicone ball was in my throat but once it left I feel better. This is not the first time this has happened. The silicone like chunk is not a dripping liquid at all when it comes out. It is surprisingly sticky and perfectly clear in color. How could something like this make me sick and where did it come from?
Doctor :   Hi
User :   hello
Doctor :   I am Dr AAAAAAA
Doctor :   Let me go through your query.
User :   ok
Doctor :   May I ask you a few more questions pertaining to your problem ?
User :   sure
Doctor :   What is your age and sex ?
User :   32 M
Doctor :   What is your occupation ?
User :   Property Manager
Doctor :   Ok
Doctor :   What is the consisitency of the material , is it hard, soft , sticky , foul smelling or normal ?
Doctor :   What is the color of the substance ?
User :   rubber like substance, it's soft and doesn't have an odor
User :   clear
Doctor :   Ok
Doctor :   Since how long have you been coughing it up ?
User :   hard to say
User :   a year or longer
Doctor :   Ok
User :   they make me feel sick but don't make me need to stay in bed
Doctor :   Have you ever had blood coughed out along with it ?
Doctor :   Ok
User :   just make me feel tired and then when they come out I feel better
User :   not that I can remember
Doctor :   Ok
User :   ?
Doctor :   How about any association with fever ?
User :   yeah
User :   mild
Doctor :   Since last one year how many times have you had a bout of fever ?
User :   not many. I wouldn't say a fever is a major part of the experience
Doctor :   Ok
User :   mostly just a sore throat
User :   and feel tired
Doctor :   How about any other swellings on the neck or in the neck or arm pits or anywhere else ?
User :   like my body is fighting until it comes out
User :   nope
Doctor :   Any pain in the ear , tongue ?
Doctor :   Ok.
User :   nope
Doctor :   Let me give you a few steps to rule out any big illness and lets see then : User :   ok
Doctor :   1. CBC Blood
Doctor :   2. ESR
Doctor :   3. X-ray Chest PA View
Doctor :   4. Sputum analysis and Culture
Doctor :   And my differential diagnosis would be 1. Bronchitis
Doctor :   2. Pneumonia
Doctor :   3. Pleuritis
Doctor :   Last question , Do you have pain in the chest wall ?
User :   no
Doctor :   That is a very good sign.
User :   good
Doctor :   I would rule out any carcinogenesis or any dangerous condition as per your symptoms.
User :   is it anything to do with sinuses
Doctor :   And I would say these simple tests can actually solve the problem and can zero upon a proper diagnosis.
Doctor :   Yes it could be also sometimes due to it.
Doctor :   Do you have any chronic rhinitis , Or CSOM ?
User :   don't think so
Doctor :   Or any allergic rhinitis or sinus infection ?
User :   no
Doctor :   Do you have pain below your nasal cavity on pressure or in the forehead or any light headedness ?
User :   a little light headed but that's it
Doctor :   Ok
Doctor :   Hope you have followed my advise .
User :   I will
Doctor :   Please run through the tests and you can either come back here or get an appointment with your primary and discuss the test results.
User :   ok thanks
Doctor :   1. CBC Blood
2. ESR
3. X-ray Chest PA View
4. Sputum analysis and Culture
Doctor :   Thank you for consulting me.
Doctor :   Take care , Bye for now.
User :   bye
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