Sore Throat and Yellow-Green Phlegm with Blood: Causes and Remedies - Otolaryngology

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Sore throat with yellow-green phlegm containing blood streaks?


Last winter, I went to the clinic for an injection due to a cold, and most of my symptoms improved.
However, I've been troubled by persistent phlegm.
Recently, I might have caught something from a classmate; two days ago, I started feeling like I had a cold again.
I measured my temperature at home (ear temperature) and it was 37.8°C, indicating a slight fever and headache, so I went back to the clinic.
My symptoms include a sore throat, reluctance to swallow, and a mild cough, although I don't cough often.
The phlegm is yellow-green and sometimes has blood streaks.
I've been experiencing tinnitus in both ears for the past two months, and sometimes it hurts when I yawn.
I try to relieve the tinnitus by pinching my nose and blowing, but it persists.
I also felt particularly fatigued and weak when climbing stairs a couple of days ago.
The doctor at the clinic diagnosed me with tonsillitis and, after listening with a stethoscope, mentioned that I have some phlegm inside.
When examining my ears, he suggested that I might have neuralgia.
However, the tinnitus hasn't subsided; I’m unsure if it’s neuralgia or a blockage.
I find the most distressing part of having a cold is the sore throat and phlegm; I don't want to swallow but have to keep spitting it out, which is quite bothersome.
I would like to ask the doctor if there are any effective methods to improve my current condition.
Why did I still have phlegm after recovering from my last cold? Why is there blood in the phlegm even though I rarely cough? Also, do you have any dietary recommendations? Please, doctor, I would appreciate your advice!

Sylvia, 10~19 year old female. Ask Date: 2016/04/30

Dr. Zheng Jueyi reply Otolaryngology


Hello, after catching a cold, it is recommended to drink plenty of water and limit sugary foods.
As for the presence of blood in the sputum, it is often related to microvascular rupture caused by coughing.
If there is no improvement, it is advisable to continue seeking medical evaluation.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/30

More Info


Understanding the symptoms you are experiencing, such as a sore throat, yellow-green phlegm with blood, and ear ringing, can be quite concerning. These symptoms can indicate a variety of underlying conditions, and it's essential to approach them with a comprehensive understanding.


Possible Causes
1. Infection: The presence of a sore throat, fever, and yellow-green phlegm suggests a possible bacterial or viral infection. Common culprits include viral infections like the common cold or influenza, and bacterial infections such as streptococcal pharyngitis (strep throat). The yellow-green color of the phlegm often indicates the presence of pus or dead white blood cells, which is typical in bacterial infections.

2. Tonsillitis: Your doctor mentioned tonsillitis, which is inflammation of the tonsils that can cause severe sore throat, difficulty swallowing, and the production of phlegm. This condition can be caused by both viral and bacterial infections.

3. Sinusitis: If you have been experiencing ear ringing (tinnitus) and pain, it could be related to sinusitis, where the sinuses become inflamed and can lead to post-nasal drip. This can cause phlegm to accumulate in the throat, leading to irritation and coughing.

4. Bronchitis: If the phlegm is persistent and you have a cough, it could also be indicative of bronchitis, which is inflammation of the bronchial tubes often following a cold.

5. Blood in Phlegm: The presence of blood in your phlegm can be alarming. It may result from irritation in the throat or lungs due to coughing or inflammation. However, it can also indicate more serious conditions such as a respiratory infection or, in rare cases, something more severe like a pulmonary issue. It’s crucial to monitor this symptom closely.


Remedies and Recommendations
1. Hydration: Drink plenty of fluids to help thin the mucus, making it easier to expel. Warm liquids like herbal teas or broths can be soothing for your throat.

2. Gargling Salt Water: Gargling with warm salt water can help reduce throat inflammation and provide temporary relief from pain.

3. Steam Inhalation: Inhaling steam from a bowl of hot water or taking a hot shower can help loosen mucus and relieve congestion.

4. Humidifier: Using a humidifier in your room can add moisture to the air, which can soothe your throat and help with mucus production.

5. Over-the-Counter Medications: Consider using over-the-counter pain relievers like ibuprofen or acetaminophen to reduce fever and throat pain. Expectorants can help loosen mucus, making it easier to cough up.

6. Avoid Irritants: Stay away from smoke, strong odors, and other irritants that can worsen your symptoms.

7. Rest: Ensure you are getting adequate rest to help your body recover from the infection.


When to Seek Further Medical Attention
- If the blood in your phlegm persists or increases.

- If you experience difficulty breathing or chest pain.

- If your symptoms do not improve within a few days or worsen.

- If you have a high fever that does not respond to medication.


Conclusion
While your symptoms may be manageable with home care, the presence of blood in your phlegm and the ongoing ear ringing warrant close attention. It’s advisable to follow up with your healthcare provider, especially if your symptoms persist or worsen. They may recommend further evaluation, such as imaging studies or a referral to an ear, nose, and throat (ENT) specialist, to rule out any serious conditions. Remember, your health is paramount, and seeking timely medical advice is always the best course of action.

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