Coughing up in the morning with blood in the sputum

Coughing in the morning and having blood in the sputum are usually symptoms caused by chronic pharyngitis. There are many causes of chronic pharyngitis. For example, acute pharyngitis, nasal disease, chronic tonsillitis and other diseases can all be transformed into chronic pharyngitis. In addition, long-term smoking, drinking or breathing harmful gases such as dust can lead to chronic pharyngitis. Below we will introduce you to the relevant knowledge about chronic pharyngitis in detail!

1. Pathological causes

Local factors (55%)

1. Repeated attacks of acute pharyngitis turn into chronic pharyngitis;

2. Suffering from various nasal diseases, long-term mouth breathing and postnasal discharge, frequent irritation of the pharynx, or affected by chronic tonsillitis, dental caries, etc.;

3. Long-term excessive smoking and drinking, or stimulation by dust and harmful gases can cause this disease.

Systemic factors (34%)

Various chronic diseases, such as anemia, constipation, chronic inflammation of the lower respiratory tract, cardiovascular disease, etc., which cause hemorrhagic changes, can all lead to this disease.

2. Symptoms and Signs

The diagnosis can be made based on the medical history, clinical manifestations and local examinations. The course of this disease is generally long, with local symptoms being the main ones. Systemic symptoms are mostly not obvious, and there may also be neck pain, chest and back discomfort. The hidden lesions of adjacent organs should be carefully examined to differentiate it from pharyngeal paresthesia. X-ray, CT and MRI examinations can be used to rule out early malignant tumors.

The pathological changes of chronic simple pharyngitis are mainly chronic congestion of the mucosa, infiltration of lymphocytes, leukocytes and plasma cells around the blood vessels, hyperplasia of the mucosal and submucosal connective tissue, glandular hypertrophy, and increased mucus secretion.

There may be various sensations in the throat, such as foreign body sensation, dryness, burning, slight pain, etc. The pharyngeal secretions increase and become thick, so there is often throat clearing and spitting out white sticky sputum. In severe cases, it may cause irritating cough, nausea, and vomiting. Examination of the throat shows diffuse congestion of the mucosa, dilated blood vessels, dark red color, a small amount of sticky secretions, and a swollen or extended uvula.

3. Treatment Methods

Eliminate various pathogenic factors, such as quitting smoking and drinking, improving the working environment, and actively treating chronic inflammatory lesions of the nose and nasopharynx and related systemic diseases. Strengthen physical fitness, improve body immunity, and prevent acute upper respiratory tract infections.

Local treatment is the same as that for acute pharyngitis. Traditional Chinese medicine treatment is effective, with Zengye Decoction modified. You can also use appropriate amounts of double flower and Ophiopogon japonicus, add 2 pieces of Sterculia lychnophora, and brew with boiling water instead of tea.