Yellow Phlegm: Causes and Treatment for Bronchitis - Pulmonology

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Yellow purulent sputum


Hello, doctor.
This is my first visit: On August 21, I felt a slight itch in my throat and had a bit of a runny nose.
I didn't want to infect my children at home, so I went to see a doctor.
The doctor said I had pharyngitis.
Second visit: On August 24, I had thick yellow nasal discharge and a lot of yellow purulent sputum in my throat, with individual yellow phlegm.
The doctor diagnosed me with bronchitis.
Third visit: On August 28, the sputum increased significantly, and I would cough up a lot in the morning, but it would improve by the afternoon.
The doctor prescribed antibiotics.
Fourth visit: At a large hospital on August 31, I still had a lot of sputum and thick nasal discharge, but I wasn't coughing much.
The doctor prescribed a stronger antibiotic for seven days.
An X-ray was taken, and the doctor mentioned there was a slight haziness in the lower part of my lungs but didn't elaborate.
Auscultation of my lungs did not reveal any abnormal sounds.
Today, September 2, on the 13th day, I still have a lot of sputum but am not coughing much unless I try to expel it.
When I do cough, there is a lot of phlegm sound from my chest.
The antibiotics have caused me some dizziness and nausea, and my symptoms have not improved at all.
What could be the problem? Thank you very much!

Mary, 30~39 year old female. Ask Date: 2015/09/02

Dr. Wu Yingxun reply Pulmonology


Hello: You may have post-nasal drip and bronchitis, possibly accompanied by bronchopneumonia.
An X-ray is needed for a clearer assessment, and it is recommended to perform pulmonary function tests to understand the condition of the bronchi.

Reply Date: 2015/09/02

More Info


Understanding yellow phlegm, especially in the context of bronchitis, is crucial for effective treatment and management. Yellow phlegm often indicates the presence of an infection or inflammation in the respiratory system. In your case, the progression of symptoms from a sore throat and runny nose to the production of yellow phlegm suggests that you may be dealing with acute bronchitis, which is commonly caused by viral infections but can also be exacerbated by bacterial infections.

Acute bronchitis typically presents with a cough that may produce phlegm, which can vary in color from clear to yellow or green, depending on the underlying cause. The presence of yellow phlegm often indicates that the body is fighting off an infection, as the color comes from immune cells and other substances that accumulate in the mucus. In your situation, the initial diagnosis of throat inflammation followed by bronchitis aligns with this understanding.

The treatment for bronchitis often includes supportive care, such as staying hydrated, using humidifiers, and possibly taking over-the-counter medications to relieve symptoms. However, when bacterial infection is suspected, antibiotics like cephalexin may be prescribed. It is important to note that antibiotics are ineffective against viral infections, which are the most common cause of bronchitis. Therefore, if your symptoms persist despite antibiotic treatment, it may indicate that the underlying cause is viral rather than bacterial.

Your experience of dizziness and nausea after taking antibiotics is concerning. These side effects can occur, and if they are severe or persistent, it is essential to consult your healthcare provider. They may need to reassess your treatment plan, especially if you are not experiencing improvement in your symptoms. Additionally, the "foggy" appearance noted on your chest X-ray could suggest the presence of fluid or inflammation in the lungs, which may require further investigation.

In terms of management, if your cough is productive and you are experiencing significant discomfort, expectorants may help thin the mucus, making it easier to expel. However, if you are experiencing chest pain or difficulty breathing, it is crucial to seek immediate medical attention, as these could be signs of a more serious condition, such as pneumonia.

In summary, yellow phlegm in the context of bronchitis often indicates an inflammatory response to infection. While antibiotics may be necessary if a bacterial infection is confirmed, supportive care and monitoring of symptoms are equally important. If your symptoms do not improve or worsen, follow up with your healthcare provider for further evaluation and potential adjustments to your treatment plan. Always prioritize communication with your healthcare provider regarding any side effects or concerns you may have during your treatment.

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