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

Posted by needtoknow @needtoknow, Feb 10, 2016

Every day I cough up what looks like a scab with ugly mucous and tiny amounts of blood. It seems to come from the back of my throat or nose. My doctor has seen the scab but does not see anything wrong. This, to me, seems really odd. Has anyone had this problem?

Hi @needtoknow, I wonder if you still have your problem. I have exactly the same symptoms as you for 2 years now. 2 ENT’s told me it was a staph. Infection, and that nothing could be done. 2 weeka ago i visited a third ENT and after he gave me a CTScan i am up for an MRI next week, for he believes i have a Thornwald cyste ( crust type) The mucus, and every other day a green yellow scab with a red centre.i I developed it after a soar throat. Hope you will reply, for your post is from 2016.

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@michelebos

Hi @needtoknow, I wonder if you still have your problem. I have exactly the same symptoms as you for 2 years now. 2 ENT’s told me it was a staph. Infection, and that nothing could be done. 2 weeka ago i visited a third ENT and after he gave me a CTScan i am up for an MRI next week, for he believes i have a Thornwald cyste ( crust type) The mucus, and every other day a green yellow scab with a red centre.i I developed it after a soar throat. Hope you will reply, for your post is from 2016.

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@michelebos – Hello and welcome to Mayo Clinic Connect. Checking in on you- Did you have your MRI yet?

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@michelebos

Hi @needtoknow, I wonder if you still have your problem. I have exactly the same symptoms as you for 2 years now. 2 ENT’s told me it was a staph. Infection, and that nothing could be done. 2 weeka ago i visited a third ENT and after he gave me a CTScan i am up for an MRI next week, for he believes i have a Thornwald cyste ( crust type) The mucus, and every other day a green yellow scab with a red centre.i I developed it after a soar throat. Hope you will reply, for your post is from 2016.

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Thank you Jamie. I am going for my MRI coming friday. Do you have the same “ problem”?

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@michelebos

Hi @needtoknow, I wonder if you still have your problem. I have exactly the same symptoms as you for 2 years now. 2 ENT’s told me it was a staph. Infection, and that nothing could be done. 2 weeka ago i visited a third ENT and after he gave me a CTScan i am up for an MRI next week, for he believes i have a Thornwald cyste ( crust type) The mucus, and every other day a green yellow scab with a red centre.i I developed it after a soar throat. Hope you will reply, for your post is from 2016.

Jump to this post

I don’t. I was just checking in to see if you had it performed and how the results were…..if you are interested in sharing. 🙂

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I hope to get my results coming thursday, and offcourse i will share my results. Hopefully i can help people with this nasty condition.

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I cough phlegm every morning and sometimes throughout the day. I’ve gone to several ENT’s and I take omeprazole 40 mg for years. I think it is something else maybe in sinuses but these doctors should be aware of that? Any ideas.

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May be caused by silent reflux as well as sinus drainage, or allergies you are unaware of, anything from dust, pollen, foods..

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I see this post is from 2 years ago but I have the exact same thing as the original post. Not every day but quite frequently I cough up a mucus-covered "scab". The ENT that I saw said I had reflux and put me on medication but it did not help and that medication has such bad side effects such as pulling calcium from your teeth and bones. I have tried probiotics and digestive enzymes. Thought they were working but no. Have cut down on coffee, no soda, and drink lots of water, but still it comes. Did you ever get a diagnosis or solution? Please share.

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Check reviews, ask friends and get a second opinion. "Scab" does not sound right. Prilosec has only 20MG of omeprazole in lieu of doctors prescriptions which are generally 40mg. Do you constantly clear your throat? That is symptom of GERD, get second opinion from someone or a facility know for its expertise. Not all doctors are equal.

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I do not constantly clear my throat. I have no discomfort until that scab and phlegm start to build up. But yes, I will go for more opinions. However, it seems all those in this discussion have gone to many and not found a solution/diagnosis. Hoping to get a good idea before I spend all my time and money.

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As you know from my previous post, I have had this same problem. One time, the doctor pulled it out but, as you say, thought nothing of it. It may be partly attributable to GERD but I feel there is a spot somewhere in there where mucous collects and doesn’t drain properly. After the mucous gets stuck there for a while it forms a scab and becomes infected. If I don’t “hack it up” regularly, it really becomes infected and I have to take an antibiotic. I know this sounds gross, but hacking it up sometimes is really difficult. Wish I could find a doctor that could/would fix this. Had an MRI of my sinuses but they could not find anything – I think that is because it is just a little “dent” or “ledge” back there that collects mucous and doesn’t drain and they cannot see it in an MRI. Let us know how you are doing with this. Good luck!

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@kgoodwin9, @needtoknow and @moreinfo (Welcome to the group!), When the ENT scopes you have any of them talked about preventative care for the troublesome spot in your throat?

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