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

This is what I’m using.

I saw that on Amazon. Some of the reviews said it didn’t hold up so I was worried. Maybe I’ll just go for it and see how it does.

I bought mine directly from the NeilMed website. If it fails I think they’ll replace it.

@searchingforrelief
Depending upon your age, you probably don't have adenoids, but your problem sounds like it's in the same area as mine, which I've previously uploaded picures of the thumbnail sized "scab"

For years I was getting the scab about every 4-6 weeks until I had my deviated septum corrected by a local ENT 2 years ago.
After that I was getting the scabs every 3 days.
I had 2 MRIs and a CAT scan – I have really good insurance, but no indication of what was causing the scab.
At one point I took an antibiotic for 10-days, and the scab went away for 2 months … then it came back, though on a 4-5 day cycle.

I had a scab extracted and sent off to pathology, which came back with “Heavy Growth Staphylococcus Aureus”
After over a year of the local ENT trying to figure out what was going on, he decided to send me to the Specialist at Penn Medicine in Philadelphia – The Dr. you go to see when your local ENT isn’t able to find a solution.

He looked at my scans and history, and said yup I’ve seen this before … which was encouraging.
He said that I have a structural issue with my sinus that would be repairable, but felt that correcting the problem with the growth could be done without surgery.

As @nrd1 pointed out, your ciliary function (the little hairs that sweep mucous out) needs to be properly working. In my case, hydration and moisture helped to dislodge the scab, but did not help the underlying problem, which was a staph colonization causing a biofilm to develop. Note that this is a staph colonization, not a staph infection.

The solution for me was to give my body time to repair itself by breaking down the biofilm over a 21 day period. This gave the underlying tissue a chance to repair the cilia
• Clindamycin for 21 days
• Nasal Rinse twice a day – Distilled water (not tap!), saline, ½ tsp baby shampoo, Mupironcin, Budesonide
• Based on where my scab forms, in the upper nasopharynx where my adenoids would be, I must bend over so that when I rinse with the solution, it actually gets to the spot where the scab forms. I find it most convenient to do this in the morning when I shower. If I don’t bend over, then it’s not getting to the area.

Other notes:
• For the 1/2 Teaspoon of baby shampoo, I measured it at first, now I just squeeze in an approximate amount. It sounds crazy, but J&J Baby shampoo is what breaks down the biofilm -- see picture of the rinse ingrediants. I also warm the rinse before I use it.
• Be sure to rinse the sinus rinse bottle every 2 weeks with 1/3 Hydrogen peroxide 2/3 Distilled water. And never use tap water.

Looking forward to hearing if this works for anyone else. I've a long history with this, so the notes above are an abbreviation that I wanted to quickly pass on to you and the others in this forum.

Be well 🙂

I had staph some years back which I treated in a local way with mixed herbs and roots, since then it seem to be ok, but recently about two months now I began to witness some rashes and boil on my private part and my lap, Base on what I have heard so far about staph, I know it's staph cos at a time my sperm became watery and I could barely have sex second time. Pls what I need now is how I can take care of this ugly situation.

Hello all, thank you for posting about this topic... I too am plauged with the crusty greenish yellow circular phlegm balls that I have been coughing up every other day. This has been happening to me for almost 3 years, but gotten much more frequent with time. My doctor cultured my phlegm and it came back as heavy growth staph areus (not mrsa) with rare white blood cells seen and many gram positive coli. I was put on 300mg of clindamycin 3x a day for 10 days. Immediately the coughing of these nasty things stopped and I could finally rest my throat. However, 6 days after antibiotics were over (yesterday) the darn thing was coughed up again 🙁 now, it looks much clearer and a little smaller than before, but still concerning and has the darker spot in the middle. It's really hard too in the center.

Today I saw my ent for a endoscopy (he saw the phlegm sitting near my antenoids near the nasopharynx far back in my nose in the center of my head.) He then did a sinus CT which he said showed nothing abnormal... He isn't worried about this ball of phlegm and said I do not have a sinus infection. He said it's common for staph to collect in the nose. I seriously don't understand why the antibiotics stopped this while I was on them if it wasn't an medical worthy bacterial infection?? He won't give me antibiotics for longer because he's afraid of side effects like c diff and said I don't need it. :/ I told him I literally cannot live with this forever, as it hurts to hack this stuff up. He then replied that he can offer a biopsy of the area that will check the cells as well as culture the samples and he will clean the area with antibiotic ointment. I seriously doubt this is going to help, but I am out of options and just want it to be over with so I agreed to do it next Wednesday.

Has anyone ever had a remedy to this madness? I am at my wit's end. To make things even more interesting, my left eyelid is dropping and started around the same time as this mucus issue. My neurologist 2 years ago said my MRI was normal and I am fine. So it's normal to cough up phlegm balls and have a sagging eyelid at age 30? Someone PLEASE help lol ........