Every day I cough up what looks like a scab with ugly mucous and blood

Everything you explained and even your pictures are spot on with the issues I’m having. I have always thought it was staph. I wonder if we could pass this info along to Reddit? They are very good at identifying health problems. Anyone familiar with Reddit?

https://www.reddit.com/r/AskDocs/comments/9xpujg/thick_green_post_nasal_drip/?utm_source=share&utm_medium=ios_app&utm_name=iossmf
Check that post out

I’m so sorry—it looks like you definitely have the same thing I, and likely more than a few folks have on this forum. I completely understand—things have gotten so bad I’m waking in the night choking on this thing. It used to happen every few days, then I had nasal surgery—the airflow improved, which definitely made things worse. Now it’s every day. It’s worse on days I can’t cough it out...because I can feel it there. It’s kind of like how your ears, nose, and throat feel right at the beginning/end of a cold. My humble advice? New ENT, stat! You totally have chronic adenoiditis, and that means low-grade inflammation is happening above your hard palate ALL THE TIME. I had to do a month of antibiotics (did nothing) for insurance purposes, and finally, FINALLY, surgery is scheduled to have the dang things taken out. The last time I was scheduled to have them removed, my insurance changed and I couldn’t afford it. Then this summer, another ENT agreed they needed to come out...but the surgeon decided it wasn’t necessary during my nasal surgery, and DIDN’T DO IT. He was so sure fixing my nose would solve everything...nope. Worse. I went back to him and insisted earlier this month. He tried to blow me off, then the thing that finally seemed to get his attention was when I told him that because of this, my throat hurt every morning, and the base of my ears hurts every night. See that depression in the center of the scab? That’s where your adenoid is, the mucus is dripping back and hardening around it. Sometimes it hardens around the entire thing like in your 2nd picture, and sometimes just the top, like in the 1st and 3rd. Please don’t give up. Doctors work for YOU. It’s my actual job to help them, and all to often the attitude is: “I’m right because, duh, I’m the doctor here.” They aren’t all knowing and all powerful, they make mistakes and overlook things. You deserve to be heard. Good luck. Please keep us updated!

I thought I would share as I also suffer from what appear to be the same symptoms as indicated by many, and have yet to find a resolution via a Doctor.

- I've had the primary symptom where I occasionally catch in my throat and can cough up a mucus-y, but firm booger/scab every couple to few days
- I've seen an ENT twice, each time been prescribed an antibiotic but there has been no permanent solution (I can't remember the antibiotic names)
- I've been scoped and it was said that she saw 'dry crustiness' but no confirmation of an issue or condition
- I believe something was sent to the lab, but I never received a confirmation upon those results
- I was asked to nasal rinse daily, of which I attempted to do my best, but it honestly was never a solution either (and daily boiling or carting around distilled water in NYC is honestly a lot)
- I nasal rinsed daily to start, with mupirocin diluted in to the water, but after a month or so swapped to more like every other day, then it trickles down from there
- Honestly, even daily didn't affect the symptoms much

Some unique or personal notes:

- I live in an extremely dry NYC apartment, and DO frequently believe that I breath through my mouth during sleep, but I can find no solution for that
- I run a humidifier (and clean it) but have found no affect on symptoms
- I can actually, with my tongue, reach back and up, into the beginnings of the nasal passage, feel the dryness and beginnings of deposits and occasionally dislodge
- I otherwise do not cough, feel ill, or suffer from any other symptom
- I'm 34, male, healthy weight, don't suffer from acid reflux to my knowledge, and don't smoke or drink alcohol

Because I think the photos are helpful for others, I've been saving pictures of the result of discharge for a month and I'm sharing for those that are also suffering -- these occurred every 2-4 days or so, for a month.

The ENT I'd visited seemed fine, but I'm also not interested in guessing at antibiotics once every year or so only to see no change, and the presence of occasional blood (as you can see) is troubling. I really did think it might have to do with sleeping and dryness, but the comments in the thread have been interesting to also see.

Have others posting here had the Tornwaldt Cyst idea ruled out? I've been reading about that since someone came back with that as a diagnosis, and gotta say some of the symptoms really seem to be lining up in a pretty distinctive way.