HomeAnswersGeneral Medicinecough with phlegmI cough up mucus with specks of blood. What could be the reason?

I cough up mucus with specks of blood. What could be the reason?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. M. A. Toyeb, Nazma Parveen

Medically reviewed by

iCliniq medical review team

Published At January 16, 2018
Reviewed AtAugust 21, 2023

Patient's Query

Hello doctor,

The last few weeks I have been coughing a lot. Multiple times a day I will gag and cough up mucus. Sometimes it is clear and sometimes it is green with red specks in which I assume is blood. I have a pressure on my chest so breathing can be hard.


Welcome to icliniq.com.

I have read through your query and went through the attachment you sent (attachment removed to protect patient identity). Sometimes violent coughing can lead to specks of blood in sputum. You said that you have chest congestion and greenish sputum. That means you are suffering from upper respiratory tract infection. You need to take an antibiotic course. But if there is a recurrence of blood-tinged sputum you will need to get yourself assessed. CT chest should be done along with a sputum examination. Another factor to be taken into consideration is whether you smoke. I hope I was able to help. If you have any further questions please feel free to write.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. M. A. Toyeb, Nazma Parveen

Dr. M. A. Toyeb, Nazma Parveen

General Practitioner

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