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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Coughing Up Of Black Phlegm In The Morning?

Helo Sir, i have a problem, In the morning when i wake up and i cough the first time then the normal tar like stuff from smoking comes out. (a little bit black soil in color) This cough contain a very tiny amount of blood spot i inspected it myself also very well to be sure. This only happens in the morning just after i woke up, i want to notify that i sleep with my mouth open and its terribly dry when i wake up and cough the first time. There is some pain and gas in my stomach. I already went to my doc a couple of times and he listened to my lungs and everything is more then fine he said no obstructions nothing also no wheezing etc. I think that if the blood would come out of my lungs that it would also be present in the Phlegm i cough up or not? And like i said i only happens in the morning after just waking up, the rest of the day how hard i also try to get blood in my cough i does not happen and believe me i try hard to be sure. I only cough in the morning the rest of the day nearly not. What do you think doctor ?
Mon, 30 Apr 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

As the issue is only related to morning and there is a history of sleeping with open mouth, there is dryness of upper respiratory tract mucosa, irritation of underlying bronchi and phlegm overnight; which when coughed out from the surface of irritated mucosa will be blood stained.

I recommend a microscopy examination of the morning phlegm to rule out any other underlying issue.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Purva Patel
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What Causes Coughing Up Of Black Phlegm In The Morning?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As the issue is only related to morning and there is a history of sleeping with open mouth, there is dryness of upper respiratory tract mucosa, irritation of underlying bronchi and phlegm overnight; which when coughed out from the surface of irritated mucosa will be blood stained. I recommend a microscopy examination of the morning phlegm to rule out any other underlying issue. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Purva Patel