Throat Irritation and Blood-Streaked Phlegm: What to Do? - Pulmonology

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Itchy throat, with phlegm containing streaks of blood and occasional blood clots?


Hello doctor, this morning I woke up with a slight discomfort in my throat and occasional dry cough.
I've never experienced this before.
After drinking some hot beverages, I felt a bit better, but later I noticed blood streaks in my phlegm.
By the evening, my throat felt like there was a hard object in it, and when clearing my throat, I noticed small blood clots.
Since a family member tested positive for COVID-19 two days ago, I suspect I might have contracted it as well, but I tested negative on a rapid test this morning.
What should I do?

Jiao Lv De M, 20~29 year old female. Ask Date: 2023/01/12

Dr. Zhou Ziguang reply Pulmonology


Hello: Please visit the pulmonology or otolaryngology department for evaluation and treatment by a physician.

Reply Date: 2023/01/12

More Info


Throat irritation accompanied by blood-streaked phlegm can be concerning, especially in the context of potential exposure to COVID-19. Given your symptoms and recent exposure to a confirmed case, it is essential to approach this situation with caution. Here’s a comprehensive guide on what to do next.


Immediate Steps to Take
1. Monitor Symptoms: Keep track of any changes in your symptoms. Note if you develop a fever, persistent cough, shortness of breath, or any other unusual symptoms. These could indicate a more serious condition.

2. Hydration: Staying hydrated is crucial. Drink plenty of fluids, such as water, herbal teas, and broths. This can help soothe your throat and thin mucus, making it easier to expel.

3. Rest: Ensure you get adequate rest. Your body needs energy to fight off any potential infection.

4. Gargle Salt Water: Gargling with warm salt water can help alleviate throat irritation. Mix about half a teaspoon of salt in a glass of warm water and gargle several times a day.

5. Avoid Irritants: Stay away from smoke, strong odors, and other irritants that could exacerbate your throat discomfort.


When to Seek Medical Attention
- Persistent Symptoms: If your throat irritation and blood-streaked phlegm persist for more than a few days, or if you notice an increase in the amount of blood, it’s essential to consult a healthcare professional.


- Severe Symptoms: Seek immediate medical attention if you experience severe symptoms such as difficulty breathing, chest pain, high fever, or if you feel faint.

- COVID-19 Testing: Even if your rapid test was negative, consider getting a PCR test for COVID-19, as it is more sensitive. Given your exposure, it’s wise to confirm your status.


Possible Causes of Your Symptoms
1. Viral Infections: Common colds, flu, or COVID-19 can cause throat irritation and coughing up phlegm. Sometimes, these infections can lead to minor bleeding if the throat is irritated or inflamed.

2. Allergies: Allergic reactions can cause throat irritation and post-nasal drip, leading to coughing and phlegm production.

3. Sinusitis: Inflammation of the sinuses can lead to throat irritation and blood-streaked phlegm due to drainage.

4. Gastroesophageal Reflux Disease (GERD): Acid reflux can irritate the throat and lead to coughing and phlegm production.

5. Other Conditions: Less commonly, conditions such as bronchitis, pneumonia, or even more serious issues like a pulmonary embolism could cause similar symptoms.


Conclusion
In summary, while your symptoms may be mild and could resolve on their own, it’s crucial to monitor them closely, especially given your recent exposure to COVID-19. Maintain hydration, rest, and consider home remedies like saltwater gargles. However, do not hesitate to seek medical attention if symptoms worsen or do not improve. It’s always better to err on the side of caution when it comes to your health. If you have any underlying health conditions or are on medications, make sure to discuss these with your healthcare provider as they may influence your treatment options.

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