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?

I have been getting these sores for several years. For those that don't get them, they will not understand it. You cannot see where they attach, but they present as a painful and sometimes scratchy feelling in the nasopharynx. The "scab" becomes loose and I am able to cough it out. It generally looks exactly like a scab and bloody because it just detached from somewhere. It can be the size of a pencil eraser or a quarter. I have come to realize its onset is a result of some type of irritation like allergies or a common cold, and for some reason believe this mucosal area is always vulnerable to developing the sore and scab. I just had minor hand surgery and it flaired up from the use of an LMA.(I coughed up a scab the size of a quarter after two days of a sore, scratchy throat).It is like an ulcer. I have found the best treatment is to start using a NeliMed nasal irrigation with premade salt packets and distilled water. I do this twice a day for 7-10 days after the initial onset of sore throat symptoms. If the ulceration develops, it is usually a very small scab with treatment and there is significant temporary relief of the sore throat until the area is ultimately healed. I do wonder if laser treatment would work for something like this although any surgical treatment would be a last resort for me. I do worry though how this might affect me in my geriatric years. Would I be more vulnerable to pneumonia or other respiratory illness if the underlying condition is unknown to health care providers or that no treatment is done? I suppose antibiotics would work. I also wonder if there is any medication that can treat it like those that can treat ulcers of the stomach lining. On a side note, I also get the tonsil stones on a more regular basis, but those are not the same as what I have described here. I have had no ENT surgery to speak of. Would be nice to have more research available on this.

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I have been getting the same thing for years and I finally found an ENT who correctly diagnosed me. It’s coming from your adenoids. He looked in my sinuses with a scope and showed me a picture of it. Adenoiditis is what it’s called and that dried up mucus thing is dried up pus because your adenoids are infected. He put me on antibiotics and a short term steroid. Hope this helps.

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@I get the same stuff, but I have no adenoids. Mine comes from my lungs, filled with nodules, infections, etc. from Amyloidosis.

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@teemarable

I have been getting the same thing for years and I finally found an ENT who correctly diagnosed me. It’s coming from your adenoids. He looked in my sinuses with a scope and showed me a picture of it. Adenoiditis is what it’s called and that dried up mucus thing is dried up pus because your adenoids are infected. He put me on antibiotics and a short term steroid. Hope this helps.

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Hello @teemarable and @selfhelper . Welcome to Mayo Clinic Connect. Thank you for sharing your experience-

@selfhelper, have you seen your ENT since your last post?

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you might have pneumonia and or mycoplasma or lung infection need to get a sputum culture and bacterial test done through a microbiology lab usually see doctor or get 3 urine containers with yellow top and cough your lungs up into each container and maybe over 2 days at different points of the day early morning ,Avro and evening

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@teemarable

I have been getting the same thing for years and I finally found an ENT who correctly diagnosed me. It’s coming from your adenoids. He looked in my sinuses with a scope and showed me a picture of it. Adenoiditis is what it’s called and that dried up mucus thing is dried up pus because your adenoids are infected. He put me on antibiotics and a short term steroid. Hope this helps.

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I've had something similar.
For the past 6 days I've had either a v.heavy cold or the flu. Incredible amounts of green and bloody mucuous from my nose. Got through 3 rolls of toilet paper. My nostrils have been caked in dried snot/blood. On th e 5th night, I woke up choking on a crusty and bloodied flake of snot. Similar thing happened twice the next day and couldn't work out if it was from nose or throat but the Adenoids make sense. Mucous from chest was like a knot of wet cheese. Has now thinned out and moved to to the chest and become a cough.

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@needtoknow

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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These are my symptoms exactly. I keep looking at conversation on this site but it seems no one is getting relief or a diagnosis from a Dr. that helps with the problem of a scab forming and how difficult it is to deal with this so often (I too have a difficult time coughing up the phlegm/scab at least every other day. Any new info would certainly be appreciated.

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it could be coming from your sinus have you used a sinus wash and or seen an ENT SURGEON whom can put a camera up and down your nose and also down your throat . my consider having a bronchial wash butwill need to see a lung or heart lung surgeon

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I have the same problem but my is every 5 to 10 min. It seems like I have a flap at my adamapple that when I breath it closes and I can not kick anything out. It is like everything runs down into throat and gets caught there. I can not eat everything gets stuck there it is a nightmare hard to breath nose,thoat is plugged and doctors can not find anything I will kick some out if I can for them and they no nothing. It is like I can not go or do anything. Need help.

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@fcleaner1

I have the same problem but my is every 5 to 10 min. It seems like I have a flap at my adamapple that when I breath it closes and I can not kick anything out. It is like everything runs down into throat and gets caught there. I can not eat everything gets stuck there it is a nightmare hard to breath nose,thoat is plugged and doctors can not find anything I will kick some out if I can for them and they no nothing. It is like I can not go or do anything. Need help.

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@fcleaner1 @beebuzz @needtoknow Hey guys, pardon the totally gross pictures, but I thought it might be helpful to make sure everyone has the same issue in mind. The photo is of the afore mention snot crusts. I’ve been definitively diagnosed with chronic adenoiditis, and will soon be having them removed. Currently, I have to clear one of these bad boys out more or less daily, and at times, it can be annoyingly difficult, painful, and embarrassing to try and “cough it up.” Basically, you sound like you’re trying to (pardon me) “hawk up” a stubborn loogie (sp?). I encourage anyone with similar symptoms to gather the evidence: save/document a series of crusts (to show your provider), study nasal anatomy/read about chronic adenoiditis, and perhaps most important: find an ENT who listens to you, and agrees to perform an internal laryngopharyngeal exam with a flexible fiber scope.

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@klpdx

@fcleaner1 @beebuzz @needtoknow Hey guys, pardon the totally gross pictures, but I thought it might be helpful to make sure everyone has the same issue in mind. The photo is of the afore mention snot crusts. I’ve been definitively diagnosed with chronic adenoiditis, and will soon be having them removed. Currently, I have to clear one of these bad boys out more or less daily, and at times, it can be annoyingly difficult, painful, and embarrassing to try and “cough it up.” Basically, you sound like you’re trying to (pardon me) “hawk up” a stubborn loogie (sp?). I encourage anyone with similar symptoms to gather the evidence: save/document a series of crusts (to show your provider), study nasal anatomy/read about chronic adenoiditis, and perhaps most important: find an ENT who listens to you, and agrees to perform an internal laryngopharyngeal exam with a flexible fiber scope.

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This picture is EXACTLY what my mucous scab looks like. I took a pic of mine to show my Dr. thank you so much for sharing your experience. I will be discussing with my Dr soon.

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My "scabs" and situation is very similar to klpdx, but my adenoid were removed when I was five years old!

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