HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Severe Cough

default
Posted on Fri, 4 Nov 2016
Question: i am almost a year no smoking. each morning i cough up brown gunk. Only in the morning. I think though that lately i have very few little flecks of blood in my spit. I did go to an ENT and they looked down my nose and throat with camera and it looked good but i am concerned. Any thoughts?
doctor
Answered by Dr. Klarida Papaqako (2 hours later)
Brief Answer:
Possible diagnoses explained.

Detailed Answer:
Hello,

Thank you for using HCM to post your health query.
I read carefully your question and I understand your concern.

What I understand from your description looks like you have checked the respiratory ways and the flecks of blood are not coming from there.
On the other side you say you have reflux and ranitidine/omeprazole is helping.
So, that may be one of the possible diagnoses...acid reflux may have caused damage in the wall of esophagus which is a tube that you haven't checked at ENT. The acid passes in the lungs and causes the brown gunk which is mixed with the blood. To confirm or rule out this you will need to do a fibrogastroscopy which will have a look at the esophagus and stomach.

Also possible diagnoses is the post nasal drip and the blood may come from the back of the nose.
You may also consider a visit to the dentist and make sure your teeth and mouth is fine and that your are not losing blood from there.
Finally I would say that you will need to check a CBC (complete blood count) which will check out if you have Anemia, which comes from long time loss of blood, if that is the case.

If worse or not better, I would recommend seeing a local doctor which of course can examine you and discover other details that I am not able to find like this.

These are my thoughts, and I hope this is helpful.
Let me know if you need more clarifications.
Otherwise please close and rate the answer.

Regards,
Dr. Papaqako

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Klarida Papaqako (15 hours later)
Thank you.
doctor
Answered by Dr. Klarida Papaqako (31 minutes later)
Brief Answer:
Glad to have been of help

Detailed Answer:
You are welcomed.
Happy to have been of help.

Please don't forget to kindly close and rate the answer.

Regards,
Dr.Papaqako
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Klarida Papaqako

General & Family Physician

Practicing since :2010

Answered : 1804 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Severe Cough

Brief Answer: Possible diagnoses explained. Detailed Answer: Hello, Thank you for using HCM to post your health query. I read carefully your question and I understand your concern. What I understand from your description looks like you have checked the respiratory ways and the flecks of blood are not coming from there. On the other side you say you have reflux and ranitidine/omeprazole is helping. So, that may be one of the possible diagnoses...acid reflux may have caused damage in the wall of esophagus which is a tube that you haven't checked at ENT. The acid passes in the lungs and causes the brown gunk which is mixed with the blood. To confirm or rule out this you will need to do a fibrogastroscopy which will have a look at the esophagus and stomach. Also possible diagnoses is the post nasal drip and the blood may come from the back of the nose. You may also consider a visit to the dentist and make sure your teeth and mouth is fine and that your are not losing blood from there. Finally I would say that you will need to check a CBC (complete blood count) which will check out if you have Anemia, which comes from long time loss of blood, if that is the case. If worse or not better, I would recommend seeing a local doctor which of course can examine you and discover other details that I am not able to find like this. These are my thoughts, and I hope this is helpful. Let me know if you need more clarifications. Otherwise please close and rate the answer. Regards, Dr. Papaqako