Hi Shane,
Welcome to Healthcare Magic and thanks for your question...
There seem to be two issues for concern here. Firstly, the fact that you may mave brought out blood in your phlegm. Having blood in phlegm can be due to a variety of causes, but whatever it may be, it requires attention and is indeed a matter of concern. Sometimes, wretching while
vomiting (you may have vomitted when you had consumed excessive amounts of alcohol) can cause tears in the mucosa of the throat / food pipe and cause bleeding. Adverse effects to the lungs associated with
smoking can also result in blood in phlegm. Certain respiratiory infections can also be a reason...
I suggest that you consult your doctor and have an examination and if necessary, a few tests done to make sure that there are no major problems.
The second issue that concerns me is that you seem to have a drinking problem... You have mentioned that you have been drinking often over the last 2 years and having 10-12 beers at a go is definitely excessive. Having a 'tolerance' to alcohol does not mean that you are immune to the adverse effects which are caused by excessive intake of alcohol. In fact, having a high 'tolerance' may be an indicator that you are body may be getting dependent on the substance.
I suggest that you control your drinking and if you feel that you have difficulty in doing that on your own, please do not hesitate to seek professional help...
Wish you all the best.
-Dr.Jonas Sundarakumar
Consultant Psychiatrist