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?

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@needtoknow

Hi rebecccamcroberts. No fever or shortness of breath. It has been going on for over 6 months. I have gone to several ENT doctors and to walk-in clinics. No one seems to be able to offer me a cause or solution. I have taken antibiotics, used nasal wash, Mucinex, etc. I need to find a doctor who can examine me and find out why this is happening.

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@needtoknow I was kind of happy to see your remark, as I have been suffering from this for a couple of years. 2 to 3 At least. I've never been able to find any information about it or anyone else who's ever experienced it, and like you none of my doctors have made any comments even though I have sent them pictures. asked about it a 100 times To every doctor I've seen for any reason I never get any response, any input, any opinion, nothing.

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@vcoufal

@needtoknow I was kind of happy to see your remark, as I have been suffering from this for a couple of years. 2 to 3 At least. I've never been able to find any information about it or anyone else who's ever experienced it, and like you none of my doctors have made any comments even though I have sent them pictures. asked about it a 100 times To every doctor I've seen for any reason I never get any response, any input, any opinion, nothing.

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I sympathize with you. It is very annoying and frustrating. I feel as though I have to constantly be clearing my throat which is exhausting at times. I told myself I will go to one more ENT doctor about this problem and if he/she has no solution, I will just have to give up. I will post my results of this last try to find the problem. It will probably be in two months or so as it is very difficult to get appointments with doctors these days. Will be thinking of you and hoping you find someone who cares enough to find out what is causing this problem for you.

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Hi all, I am writing this post in the hope that it may bring some of you hope and hopefully even relief. I had this issue of bringing up thick phlegm (like some of you have shared in photos) on a daily basis for over three years. I tried different types of antibiotics, I saw an ENT, I tried dietary changes in case it was caused by reflux, I tried Nexium and Pariet, I tried going dairy free in case it was an allergy, the list goes on. Just when I had almost given up, I thought I’d try going off my birth control pill to rule that out. To my amazement, within weeks/days after going off my birth control pill, the phlegm problems stopped. I asked my doctor to prescribe me a different type of birth control pill (albeit more expensive) and I am now feeling my healthy self again! I wanted to share this as I found comfort in finding this forum and I really hope this may bring some of you comfort and relief too.

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I hope this continues to be a successful solution!

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@hayroe

I have learned that if you have a divit in your nasal passage where bits can collect, they will. As most nasal cavities have staph, a pool of infection grows and gets too large for the space & breaks off. There is no way to remedy the situation. The nasal wash can help, but not much. I have noticed that through the pandemic and with mask wearing I've been free from this twice weekly event for almost two years.

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How did you learn about this? From and ENT?

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@am31

Hi all, I am writing this post in the hope that it may bring some of you hope and hopefully even relief. I had this issue of bringing up thick phlegm (like some of you have shared in photos) on a daily basis for over three years. I tried different types of antibiotics, I saw an ENT, I tried dietary changes in case it was caused by reflux, I tried Nexium and Pariet, I tried going dairy free in case it was an allergy, the list goes on. Just when I had almost given up, I thought I’d try going off my birth control pill to rule that out. To my amazement, within weeks/days after going off my birth control pill, the phlegm problems stopped. I asked my doctor to prescribe me a different type of birth control pill (albeit more expensive) and I am now feeling my healthy self again! I wanted to share this as I found comfort in finding this forum and I really hope this may bring some of you comfort and relief too.

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@am31, I can imagine your delight that the phlegm issue was resolved by changing prescriptions. What led to your asking your doctor to try a different birth control pill?

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I am looking for answers in any possible way so I appreciate you reading this post. In February 2020 I started to cough up stick and rubberily mucus, like snot. In May 2020 I started to cough up the strands you see in the photo. Since then I cough up two to three of these PER DAY. Between May 2020 and January 2021 I had more than 20 different tests performed to find the issue/source. In January 2021, a Gastroenterologist told me the source was my stomach because there was a hiatal hernia preventing the "flap" to function. The doctor recommended a Nissen Fundoplication or a gastric bypass. The gastric bypass was an option due to being overweight and could solve other medical issues like HBP, pre-diabetes, and sleep apnea.

In June 29, 2021 I had a gastric bypass weighing in at 294#. My weight in January 2021 was 331#. I had zero (0) instances of mucus strands being coughed up from the date of survey until January 31, 2022. Nothing that I can control changed yet these strands came out of no where. Today I am coughing up at least two per day. My weight loss has stabilized and I weigh 192# today.

The doctors are starting to perform more tests and, honestly, I'm tired of the tests and exhausted at many levels. I can't be the only person in the world to have this experience.

Below is a summary of tests completed in 2020, 2021, and 2022.

Link to other photos-these are pictures of what was coughed up so far in 2022 (you will need to copy/paste the link:
drive.google.com/drive/folders/1lQOo84um1edxAexekWXRHtEQJj6Ym6Ih?usp=sharing

Anyone have any insight? Thank you for your time.

Tests/Procedures Completed in 2020
1. ENT (March 5)
2. Pulmonology (May 6)
3. X-ray Chest Frontal & Lateral (May 18)
4. X-ray Esophagus (May 20)
5. D-Dimer Test (June 19)
6. 1st Upper GI (July 6)
7. CT Chest #1 (July 23)
8. Allergy testing (July 23)
9. PFT (August 4)
10. ENT (October 8)
11. CT Sinuses (October 22)
12. 2nd Upper GI with Bravo pH monitoring (Oct 22)
13. CT Chest #2 (November 13)
14. Bronchoscopy (November 20)
15. Pathology Tests (November 20)
16. Manometry/ Esophageal Motility (Dec 8)
17. Blood work (December 21)

Tests/Procedures Completed in 2021
1. Blood Work (January 25)
2. Autoimmune Disease Panel (March 3)
3. ER Visit (March 2021)
4. Blood Work (March 23)
5. Blood Work (March 26)
6. Blood Work (April 2021)
7. GI Pathology (April 2021)
8. Rheumatology (March 3)
9. Blood Work (May 2021)
10. Blood Work (June 2021)
11. Roux-en-Y Gastric Bypass (June 2021)
12. Blood Work (July 2021)
13. Blood Work (September 2021)
14. Blood Work (December 2021)

Tests/Procedures Completed in 2022
1. Sleep Neurologist (February 2022)
2. Polysomnogram (February 2022)
3. Upper GI and Bravo (May 2022)

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Hey Everyone! I posted awhile ago about this happening to me for now the last 2 years. I as well had posted some information about Thornwaldt cyst/disease crusting type. So I ended up bringing this to my ENT and he agreed it sounded like that could be the problem. I was excited as the fix seemed fairly simple. We did the MRI and unfortunately it did not show a cyst, but my adenoids (Yes I still had mine) were inflamed so he suggested taking them out. Im pretty against removing adenoids but I went for it just bc this "thing" is literally ruining my life. Once I healed from the surgery the issue persisted and to some degree seems to have gotten worse. So back to the ENT I went… that's when he did actually see the opening (Cyst) he was able to suck the stuff "Scab" out of the hole and I had relief immediately. (I have some symptoms that dont seem to bug some of y'all with this tho.. Occasional pain in the area of the "scab", I can feel the opening, severe anxiety/panic Once the scab comes up it stops for a bit, and sometimes the "scab" will be stuck up there for weeks and I can physically feel it up there it just won't come up no matter how hard I try to get it up) He needed to speak with some other people so he put me on a steroid nasal rinse for 3 weeks and I will return on Tuesday to see what he thinks. He does not know why it didn't show on the MRI. He was a little perplexed at the time so I have a lot of questions for him on Tuesday. I'll let y'all know on Tuesday what he is thinking.

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Hi everyone!!! As I still try to search for answers as to why we all have this, some things else popped in my head. Before I ask them though, I should mention that I did suffer from Mold Poisoning a few years ago. So what I’m also wondering…I have a bird. I wonder if dander can contribute to this. What I’m really wondering though is…if anyone else takes Zoloft or perhaps a medication that might include some of the same ingredients. It seems I start to feel the dryness in my throat almost immediately upon taking it now (and I have been on it for a few years). Interested to know.

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Hello! I just found this thread today & created an account so I could comment. I’m wondering if what I’m experiencing is the same or at least similar to others here. I’ve read through the whole thread and it sounds like the chief complaint is having to dislodge/hack out a scab from the adenoid area every couple of days. I also seem to have a mucus-y clump that dislodges every week or so, but usually it’s relatively small and I can’t cough it out of my mouth— it just goes down my throat. In case anyone can bear to read a long story, I’ll explain my situation from the beginning.
On a day in late October 2020, I was out and about and suddenly felt like I was having a hard time getting air— almost like I was congested. I thought it might be Covid so I went to my physician and was tested and it came back negative. Because it wasn’t Covid they thought it might be heart burn, so I tried taking heart burn medication which didn’t relieve the breathing issue. After 2 more visits to my physician, some blood work, and a chest X-ray later, my physician said she thought it might be anxiety and that I should consider taking medication for it. I felt like my physician was wrong, so I visited an ENT (April 2021). My ENT used a laryngoscope to look into my nose and she said she was seeing adenoid hypertrophy and nasal turbinate hypertrophy. She believed I had an adenoid infection. She prescribed an antibiotic (clarithromycin), an antibiotic ointment (mupirocin), an antihistamine (azelastine), Flonase, Claritin, and a daily nasal saline rinse (NeilMed). I didn’t think my issues were allergy-related because I’ve never had allergies, so I didn’t take the Flonase or Claritin. I did use the other things prescribed, but nothing fully resolved my issue. I went back to the ENT (June 2021) a couple months later and she once again used a laryngoscope and saw minor improvements in the adenoid and turbinate hypertrophy, but there were still there. She also dislodged a mucus clump with the scope during the visit. She suggested I visit an allergist to see if allergies were the cause. I followed her recommendation to see the allergist and it came back with zero allergies. I also did a lung function test which came up clear as well. The ENT mentioned that if I was still having problems in 3-4 months, that I should visit her for an adenoidectomy. I’m pretty opposed to having surgery for something that I don’t even know what the problem is, so I haven’t gone back.
Since my last ENT visit in 2021, I haven’t seen anyone for the issue. Day to day, I’ve gotten used to the feeling of mild congestion and find myself swallowing a mucus clump that comes from my adenoid area about once every one to two weeks. Whenever I’m getting the mucus clump, I have little red dots on the roof of my mouth. I also have started to have minor headaches from time to time or just twinges of head pain pretty much daily. I’ve started to just feel generally unwell. My symptoms seem to improve and get worse and then improve again and the cycle continues. I’m considering seeing another ENT because I really want to figure it out once and for all.
I’m not sure if my symptoms line up exactly with what people here are experiencing, but I’ve never heard anyone talk about the mucus-y clump before so I thought it might be similar.

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@triedntrue

Hello! I just found this thread today & created an account so I could comment. I’m wondering if what I’m experiencing is the same or at least similar to others here. I’ve read through the whole thread and it sounds like the chief complaint is having to dislodge/hack out a scab from the adenoid area every couple of days. I also seem to have a mucus-y clump that dislodges every week or so, but usually it’s relatively small and I can’t cough it out of my mouth— it just goes down my throat. In case anyone can bear to read a long story, I’ll explain my situation from the beginning.
On a day in late October 2020, I was out and about and suddenly felt like I was having a hard time getting air— almost like I was congested. I thought it might be Covid so I went to my physician and was tested and it came back negative. Because it wasn’t Covid they thought it might be heart burn, so I tried taking heart burn medication which didn’t relieve the breathing issue. After 2 more visits to my physician, some blood work, and a chest X-ray later, my physician said she thought it might be anxiety and that I should consider taking medication for it. I felt like my physician was wrong, so I visited an ENT (April 2021). My ENT used a laryngoscope to look into my nose and she said she was seeing adenoid hypertrophy and nasal turbinate hypertrophy. She believed I had an adenoid infection. She prescribed an antibiotic (clarithromycin), an antibiotic ointment (mupirocin), an antihistamine (azelastine), Flonase, Claritin, and a daily nasal saline rinse (NeilMed). I didn’t think my issues were allergy-related because I’ve never had allergies, so I didn’t take the Flonase or Claritin. I did use the other things prescribed, but nothing fully resolved my issue. I went back to the ENT (June 2021) a couple months later and she once again used a laryngoscope and saw minor improvements in the adenoid and turbinate hypertrophy, but there were still there. She also dislodged a mucus clump with the scope during the visit. She suggested I visit an allergist to see if allergies were the cause. I followed her recommendation to see the allergist and it came back with zero allergies. I also did a lung function test which came up clear as well. The ENT mentioned that if I was still having problems in 3-4 months, that I should visit her for an adenoidectomy. I’m pretty opposed to having surgery for something that I don’t even know what the problem is, so I haven’t gone back.
Since my last ENT visit in 2021, I haven’t seen anyone for the issue. Day to day, I’ve gotten used to the feeling of mild congestion and find myself swallowing a mucus clump that comes from my adenoid area about once every one to two weeks. Whenever I’m getting the mucus clump, I have little red dots on the roof of my mouth. I also have started to have minor headaches from time to time or just twinges of head pain pretty much daily. I’ve started to just feel generally unwell. My symptoms seem to improve and get worse and then improve again and the cycle continues. I’m considering seeing another ENT because I really want to figure it out once and for all.
I’m not sure if my symptoms line up exactly with what people here are experiencing, but I’ve never heard anyone talk about the mucus-y clump before so I thought it might be similar.

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Welcome @triedntrue. I agree that your situation sounds similar to the others who have posted here, especially @bblank0025's post from Mayo 13. I'm sure members like @needtoknow @am31 @searchingforrelief @noblelife will also understand what you're dealing with and your search for answers.

I think @nrd1 would agree with you to consider your options carefully before choosing surgery. There may be oher less invasive approaches to try first.

Did you ever retest for Covid? I know you said that you don't have a history of allergies, but might that be something to explore in case you've developed allergies?

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@colleenyoung

Welcome @triedntrue. I agree that your situation sounds similar to the others who have posted here, especially @bblank0025's post from Mayo 13. I'm sure members like @needtoknow @am31 @searchingforrelief @noblelife will also understand what you're dealing with and your search for answers.

I think @nrd1 would agree with you to consider your options carefully before choosing surgery. There may be oher less invasive approaches to try first.

Did you ever retest for Covid? I know you said that you don't have a history of allergies, but might that be something to explore in case you've developed allergies?

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Hi @colleenyoung, thanks for your reply. I retested for Covid many times and was never positive. Also, as I stated in my original post, I did visit the allergist and did a whole panel— it came back with zero allergies.

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