Foamy Sputum: Is It Related to Mitral Valve Prolapse? - Cardiology

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Hello Doctor, I am 26 years old and my phlegm has always been clear but has a lot of small bubbles on top.
Is this normal? I looked it up online and it sounds very alarming 😭 but I have always had it this way.
I also have mitral valve prolapse with regurgitation; could this be related? My saliva also has many bubbles.
Occasionally, I experience nasal congestion and a dry throat, but my mitral valve prolapse with regurgitation is monitored annually with echocardiograms, and my doctor has said there are no major issues.
In the first year, I also had a 24-hour Holter monitor and an exercise test, both of which were normal.
I would like to know if my foamy phlegm is significantly related to heart failure.
I am really worried 😭 Here are the echocardiogram results from September last year:
M-MODE DATA:
AV OPEN (MM): (15-26)
IVS (MM): 7 (6-10)
AV ROOT (MM): 27 (20-39)
LVPW (MM): 7 (6-10)
LAD (MM): 27 (19-40)
LVIDd (MM): 44 (35-57)
RVD (MM): (7-23)
LVIDs (MM): 22 (20-35)
Estimated left ventricular ejection fraction: 63%
Peak systolic pressure gradient across tricuspid valve: 27 mmHg
Estimated pulmonary artery systolic pressure (PASP): 32 mmHg
M-MODE & 2-D FINDINGS: normal left ventricular (LV) systolic function without cardiac chamber dilation
DOPPLER/COLOR FLOW FINDINGS: trivial MR, mild TR
Please give me some advice or precautions.
I am really scared.

H, 20~29 year old female. Ask Date: 2020/05/31

Dr. He Dongjin reply Cardiology


Hello, mitral valve prolapse and regurgitation are completely unrelated to phlegm, bubbles, nasal congestion, and throat dryness.
It is advisable to consult an otolaryngologist for further examination.
Peace and care from Changhua Hospital.

Reply Date: 2020/05/31

More Info


Foamy sputum can be concerning, especially when you are already dealing with a heart condition like mitral valve prolapse (MVP) and regurgitation. However, it’s important to understand the context of your symptoms and how they relate to your overall health.

Firstly, the presence of foamy sputum can be caused by several factors. In many cases, foamy sputum is simply a result of air being trapped in mucus, which can happen when you are experiencing respiratory issues such as allergies, asthma, or even a common cold. It can also occur due to excessive saliva production, which you mentioned, and is often not a cause for alarm. However, if the sputum is persistent, changes in color, or is accompanied by other symptoms such as fever, chest pain, or difficulty breathing, it would be wise to consult a healthcare professional.

Regarding your concern about whether foamy sputum is related to your mitral valve prolapse and regurgitation, it’s important to note that while MVP can lead to some cardiovascular symptoms, it does not typically cause respiratory symptoms directly. However, if mitral regurgitation is significant, it can lead to heart failure over time, which may result in pulmonary congestion. This congestion can cause symptoms such as shortness of breath, coughing, and possibly foamy sputum due to fluid accumulation in the lungs.
Your echocardiogram results indicate that you have trivial mitral regurgitation and mild tricuspid regurgitation, which suggests that your heart function is still within a normal range, and there are no significant abnormalities at this time. The left ventricular ejection fraction of 63% is also a positive indicator of your heart's pumping ability. Regular follow-ups with your cardiologist are essential to monitor any changes in your condition.

In terms of your symptoms of nasal congestion and a dry throat, these could be related to environmental factors, allergies, or even dehydration. It’s important to stay well-hydrated and consider using a humidifier if you are in a dry environment. If you notice that these symptoms persist or worsen, it would be advisable to discuss them with your primary care physician or an ENT specialist.

Given your history of mitral valve prolapse and the current symptoms you are experiencing, here are some recommendations:
1. Monitor Symptoms: Keep a close eye on your symptoms. If you notice any significant changes, such as increased shortness of breath, chest pain, or changes in the nature of your sputum (such as color or consistency), seek medical attention promptly.

2. Stay Hydrated: Ensure you are drinking enough fluids throughout the day, as this can help thin mucus and reduce the likelihood of foamy sputum.

3. Follow-Up Appointments: Continue with your regular follow-ups with your cardiologist. If you have any new symptoms or concerns, don’t hesitate to bring them up during your appointments.

4. Lifestyle Modifications: Consider lifestyle changes that can improve your overall cardiovascular health, such as a balanced diet, regular exercise (as tolerated), and avoiding smoking or exposure to secondhand smoke.

5. Consult a Specialist: If your symptoms of foamy sputum persist or if you have concerns about your respiratory health, consider consulting a pulmonologist for further evaluation.

In summary, while foamy sputum can be alarming, it is often not directly related to mitral valve prolapse unless there are significant changes in your heart function. Regular monitoring and communication with your healthcare providers will help ensure that any potential issues are addressed promptly. Remember, it’s always better to err on the side of caution and discuss any concerns with your doctor.

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