Green sputum when coughing without fever

Causes and treatment of green sputum when coughing

Coughing is a symptom that can point to a variety of different pathologies. To determine the causes of this symptom, you should determine the type of cough and the accompanying symptoms. Sputum or its absence is very important in diagnosis. Dry and wet cough indicate different diseases, therefore, their treatment should be carried out in different ways. When a patient has a cough with phlegm, it is very important to pay attention to her color and understand what causes caused the formation of such symptoms. The link describes why there is yellow sputum when coughing. About green sputum will be written in this article.

Causes of pathology

Very often people do not attach much importance to such manifestation of a disease as green sputum. But, in fact, this is a very important reason for seeking help. In this case, the green discharge during coughing can be accompanied by a rise in temperature or without a rise in temperature, which indicates an easy course of the disease

Without temperature

If the sputum produced during coughing has a green color, this may indicate the presence of a lung abscess or the initial stage of gangrene. Green mucus is a symptom that indicates swelling. Most often this occurs with genyantritis, inflammation of the bronchi.This color of sputum suggests the presence of an infection in the body, which began to multiply.As a rule, this occurs with tracheobronchitis. And the disease begins to manifest itself with a common cold. The discharge of green mucus occurs from the nose. She descends the walls of the nasopharynx and departs during a cough. As a rule, green sputum has an unpleasant odor.

If you have been tortured with coughing attacks with a discharge of thick sputum green, and you do not have a fever, the following diseases can cause this pathology:

• bronchiectatic disease;
• sinusitis (here you can learn about the signs of sinusitis and how to treat it);
• inflammation of the bronchi;
• cystic fibrosis;
• tracheitis (here it is described what antibiotics are taken with tracheitis and laryngitis);
• asthma; Frequent smoking.

In small patients, the withdrawal of green sputum without temperature can provoke:

• helminthic invasions;
• reaction of the body to chemical products;
• lack of humidity in the ambient air;
• psychological factors;
• presence of foreign matter in the lung;
• whooping cough;
• pathology of the digestive system.

The video describes the causes of green sputum when coughing:

With temperature

There are a number of pathological processes, which are characterized by the accumulation of large amounts of mucus in the respiratory tract. If the withdrawal of sputum is accompanied by a rise in temperature, then we can talk about the presence of the following pathologies:

• abscess of the lungs;
• bronchial asthma;
• lungs' cancer;
• inflammation of the bronchi;
• pulmonary edema;
• pneumonia;
• a heart attack.

If you have a green sputum with a cough, then immediately go to the clinic for an appointment. No matter if you have a fever or not, this symptom already indicates a certain pathology.

Therapeutic events

To achieve the maximum result during treatment and a speedy recovery, the following tips should be adhered to:

1. Therapy should begin only after the preliminary cause of the cough has been determined.
2. Determine the type of cough: dry or wet (read what to do if the cough does not go away for a long time).
3. All medicines and their dosage should be assigned individually.Here it is worth taking into account the main diagnosis, concomitant diseases, symptoms, individual characteristics.Also, you should pay attention to the properties of the drugs used to avoid side effects.

Read how to take ammonia anise drops from a cough.

Find out what to do if the cough does not pass.

Reviews on the effect of radish with honey from cough: http://prolor.ru/g/bolezni-g/kashel/redka-s-medom-recept.html.

Treatment in adults

The success of treatment is to reduce the amount of sputum. This factor indicates a positive trend. Also, the positive effect of therapy will be observed when green sputum gradually acquires a light color. About recovery is said and liquefaction of sputum. All these symptoms indicate an improvement in the condition if the patient has been prescribed the following treatment:

1. To remove nasal congestion, several times a day, rinse it with sea water. For these purposes it is worthwhile to use chemist's water, which is purified in a special way. Effective are the following drugs Humer, Aquamaris and Aqualor.
2. It is not necessary to curb cough, as this will only slow down the process of recovery. To improve expectoration, traditional medicine will come to the rescue. The most effective is a preparation prepared on the basis of carrot seeds and sunflower seeds. They should go to a glass container, add water and alcohol in the same ratio. After that, tightly close the dishes, wait 3 days until the agent is infused. Take on the dining room bed in between meals 3 times a day.
3. Improve the removal of green mucus will help compresses. It is best to use a pack of cooked potatoes or with a composition made from flour, mustard powder, aloe juice, alcohol and interior fat. These substances help to ease the overall health of the patient and quickly remove the green mucus.

The video describes the treatment of green sputum when coughing:

Therapy for children

Cough therapy with the removal of green mucus in young patients is made taking into account the cause of the underlying ailment. If there is a viral infection, the doctor will prescribe symptomatic treatment. Do this on time, otherwise the bacterial infection may join the virus. If the nature of the disease is known, then therapy should include the use of antibiotics. The choice of medicament should be carried out only by the attending physician. Here is described the treatment of cough with phlegm in the baby.

If the cause of cough with green sputum is bronchitis, then children are prescribed expectorant and mucolytic drugs. Their action is aimed at dilution of sputum, as a result of which it is possible to easily derive a pathological secret. It is not recommended to use antitussives, since they will not produce phlegm, but, on the contrary, will keep it in the airways.

When a cough with green sputum appeared on the background of tuberculosis, cancer, edema and pneumonia, the treatment should take place in a hospital. It is very important to diagnose the disease in time, and for the treatment to be effective, it is necessary to undergo regular check-ups.

Cough with green sputum is a very important symptom of the disease. Such a pathology can occur with or without temperature. Bacteria and harmful microorganisms can provoke an ailment. It is very important to determine the cause of the disease in time, so that all unpleasant symptoms leave the body, and a speedy recovery occurred. Perhaps you will also be useful information about the causes of cough in the morning.

ProLor.ru

Green sputum when coughing

Green sputum when coughing speaks of an inflammatory process in the bronchi, trachea or lungs with the formation of mucopurulent or purulent exudate.

With intense inflammation, the exudate accumulates and gets into the secretions of the mucous membranes of the respiratory tract affected by the infection.

Causes of green sputum on coughing

The main causes of the appearance of green sputum when coughing are directly related to those diseases, the symptom of which is a productive (wet) cough. Such diseases are tracheobronchitis, acute bronchitis and exacerbation of chronic bronchitis, pneumonia, bronchopneumonia, bronchiectatic disease, post-pneumonia purulent pleurisy (empyema of the pleura), and abscess lung.

As experts note, if coughing leaves green sputum, it means that such gram-positive and gram-negative bacteria are involved in the development of these diseases, Staphylococcus aureus, Streptococcus viridans, Streptococcus pneumoniae, Haemophilus influenzae, Escherichia coli, Proteus mirabilis, Klebsiella spp., Serratia marcescens and other

Bronchotracheitis infectious etiology develops from tracheitis amid a fairly high temperature, rhinitis, pharyngitis or laryngitis, when the inflammatory process descends from the upper respiratory tract in lower. If the cough is dry at the beginning of the disease, with bouts in the mornings, then on the 4th-5th day the cough becomes productive, and yellow-green sputum appears on coughing.

For acute bronchitis, as well as exacerbation of its chronic form is characterized by a strong cough, in which the patient coughs up the mucopurulent exudate of a viscous consistency of yellow or greenish color.

Among the clinical signs of bronchiectasis arising from damage to the walls of the bronchi and their enlargement, there is a green sputum when coughing, often with bloody inclusions and particles of dead epithelial tissues of the bronchi.

In most cases of pneumonia (pneumonia), the bacterium Streptococcus pneumoniae, which doctors call pneumococcus, is to blame. However, pneumonia can also be caused by viruses (mainly RS virus) and fungal infection (pneumomycosis, developing due to fungi of the genus Candida, Actinomyces, Histoplasma, etc.), and even parasites (pneumocystis pneumonia). But a cough of a greenish color can be with any etiology of pneumonia.

And with especially severe forms of pneumonia in their tissues, a pyogenic capsule can be formed - a cavity with purulent-necrotic contents. In this case, an abscess of the lung is diagnosed, which eventually breaks through to the bronchi, and then a green sputum with pus, which has a pronounced putrefactive smell, leaves behind the cough.

Who to contact?

Pulmonologist General practitioner Family doctor

Diagnosis of green sputum when coughing

The exact cause of diseases of the respiratory system, which are accompanied by a cough with green sputum, is designed to establish diagnostics. Unfortunately, the presence of green sputum when coughing is not always subjected to a comprehensive study with the use of proven diagnostic techniques. This leads to the fact that the appointment of antibiotics does not take into account the causative agent of the inflammatory process, and, therefore, with the same symptom antibacterial drugs may not work and do not lead to a cure of the disease or slow the recovery to a great extent and cause complications.

To find out the true origin of cough, a more thorough examination is needed on the basis of:

• a general blood test;
• biochemical blood analysis;
• a blood test for eosinophils, mycoplasma, etc .;
• sowing sputum on the microflora;
• sputum smear microscopy;
• general analysis of urine;
• analysis of urine for antigens;
• koprologicheskogo research (analysis of feces);
• chest x-ray;
• spirometric study of respiratory rates;
• bronchoscopy;
• Ultrasound or CT of the chest.

Treatment of green sputum when coughing

Currently, in the clinical practice, the etiologic treatment of green sputum when coughing, or rather, diseases that have this symptom, is carried out with the help of antibiotics.

Appointment Ampicillin (synonyms - Ampexin, Domipen, Opicilin, Pentrexyl, Riomycin, Cimexillin, etc.): adults - 500 mg 4 times a day; The daily dosage for children is calculated at 100 mg per kilogram of body weight and divided into 6 receptions within 24 hours.

Amoxicillin (synonyms - Augmentin, Flemoxin) adults and children over 10 years old take after meals, d, three times a day, children 5-10 years old, 5 grams, children 2-5 years old, 25 g three times a day. The minimum course of treatment is 5 days.

In the treatment of green sputum during coughing in adults (with pneumonia), an effective fluoroquinolone antibiotic of the third generation Levofloxacin (Levoflocin, Tavanic, Tigeron, Flexin, etc.) in tablets: before meals twice a day, p, 5-, g; duration of admission - 5 days.

Practiced a five-day course of treatment of streptococcal respiratory tract infections with the antibiotic Rovamycin (in tablets by, and 3 million. IU). Adults should take it for 3 million. IU three times during the day, children daily dose is calculated per kilogram of body weight - 150 thousand. IU per day - and is divided into three doses. Also used are Azithromycin (Sumamed) and Erythromycin. And Josamycin (Vilprafen) is especially effective in the inflammation of the respiratory tract, triggered by Peptococcus spp. or Peptostreptococcus spp. Doctors recommend taking the drug 500 mg three times a day.

With pneumonia of fungal etiology, treatment of green sputum with cough should be performed with antifungal antibiotics, for example, Amphoglucamine. The recommended use of this is 10 to 14 days: adults - 200-500 thousand. ED twice a day (after eating); children - depending on the age (25-200 thousand. ED. 2 times a day).

With drug therapy of viral bronchitis and pneumonia, antibiotics should be supplemented with antiviral agents (Remantadine, Acyclovir, Virazol, etc.), which the doctor appoints individually - depending on the specific pathogen disease.

Treatment of green sputum during cough: means for liquefaction and coughing up phlegm

A key principle that all physicians adhere to by prescribing the symptomatic treatment of green sputum cough - in any case not to suppress the cough reflex, but to promote the coughing up of the accumulated exudate.

Expectorants act by dilating the bronchioles, which facilitates the excretion of phlegm. Tablets Terpinhydrate (on, 5 and, d) are prescribed one tablet three times a day. Mukaltin (on the basis of althea medicinal) should be taken before meals by, 5-, g intake 2-3 times (before meals). Lycorina hydrochloride - on, -, mg 3-4 times a day (about 30-45 minutes before meals). Narrow-anis drops should be taken with a cough in this dosage: adults - 10-15 drops 2-3 times a day; children - at the rate of one drop for each year of life. Finally, Pertussin, containing in its composition extract of thyme and potassium bromide, stimulates the physiological activity of the ciliated epithelium and peristalsis of bronchioles, due to which any, including green sputum when coughing, moves from the lower parts of the respiratory tract to the upper ones, and from there is output to the outside. Adults should take Perthussin on a tablespoon three times a day, children - on a tea or dessert spoon 2-3 times.

Mucolytic drugs make sputum less viscous, which greatly facilitates its removal from the respiratory tract. Recommended medics Bromhexine (Bronchostop, Solvin) is used by adults and children over 14 years of age at 8-16 mg 3-4 once a day; children 6-14 years - 8 mg three times a day, 2-6 years - 4 mg, children under 2 years - 2 mg 3 times a day. The course of treatment is 5 days.

Ambrohexal (other trade names - Ambroxol, Lazolvan, Bronhopron, Mukozan, Mukovent, Mucobroxol, etc.) increases the production of mucus in the respiratory tract. Adults drug is given one tablet 2-3 times a day (after a meal) or 10 ml of the drug in the form of a syrup - three times a day. Children older than 6-12 years, the recommended dose of syrup is 5 ml (2-3 times a day); children aged 2-5 years - on, ml; up to 2 years - on, ml twice a day.

Acetylcysteine ​​(Acestin, ATSTS, Mukoneks and others. trade names) adults and children over 14 years of age are prescribed 200 mg 3 times a day; children 6-14 years old - 200 mg each twice a day; for children 2 to 5 years, the drug is recommended in the form of effervescent tablets ATSTS - 100 mg 2 times a day.

Also can be used for coughing with green sputum pharmacy plant charges, which include the root licorice or althea, herb-coltsfoot and oregano, blackberry flowers, plantain leaves of large, seeds anise. Preparing the medicinal broth is simple: a tablespoon of the mixture is poured into 250 ml of boiling water (or two tablespoons per half-liter of water) and a quarter of an hour under a lid on a water bath; then the broth should be cooled, drain and take half a cup twice a day (after meal).

Prevention of green sputum during coughing consists in the effective treatment of cough in any pathology of the respiratory tract, without bringing it to the state of sputum stagnation in the bronchi and lungs. The faster you get rid of phlegm, the more favorable will be the forecast of green sputum when coughing. So, acute bronchitis can be overcome in ten days, but with chronic it will have to be fought much longer - one and a half to two months, or even more.

Remember that inflammation in the airways can lead to purulent bronchitis, chronic pneumonia, bronchiectasis, lung abscess. In the latter case, according to pulmonologists, serious problems arise, for the solution of which you may need urgent surgical intervention.

Therefore, you should consult a doctor if you have a green sputum when you cough.

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Cough without phlegm

Coughing is a reflex act, manifested by a strong exhalation, the cause of which is spasmodic contraction of the muscle tissues of the respiratory tract, which occurs as a result of the irritation of certain receptors. Often one can observe a cough with phlegm without temperature.

Such a clinical picture is not a disease, but only its defining symptomatology.

Causes of phlegm without temperature

Cough can also be called an assistant organism, because during the cough from the respiratory tract redundant sputum and foreign bodies that "clog up" the person's airways, which invariably helps in the fight against disease.

Sputum is secretion secretion, which begins to be actively developed against the background of percolation inflammatory process affecting the respiratory system, as well as with the invasion of the respiratory tract infection different etiology.

Excretion of the secretion may well be a factor in the norm, because the respiratory organs of humans constantly produce mucus (for example, a morning cough smoker), but it is likely - this is a symptom of pathological changes in the body rights. Causes of cough with phlegm without a temperature may be different, but the source of pathology is able to identify only a specialist. After all, this symptomatology can be caused by: •

• Allergic reaction of the human body to any external allergen.
• To provoke a cough with phlegm without a temperature is also capable of malfunctioning in the cardiovascular system, namely, with heart failure.
• Presence in the hollow organs that conduct air to the pulmonary alveoli, foreign bodies.
• Effects on the walls that limit the respiratory trunk, toxic substances that penetrate from the environment during inspiration.
• To bring to similar symptomatology can and venereal diseases.
• Coughing with phlegm without a temperature is capable of such bad habits as smoking. In this way, the lungs try to purify themselves of nicotine gums settling on the walls of the respiratory organs.

Acute and chronic forms of respiratory diseases of various etiologies. It can be:

• Bronchoectatic pathologies.
• Pulmonary edema.
• Tracheists.
• Pneumonia.
• Bronchitis.
• Mikoviscidosis.
• The sinusitis.
• Abscess of the lungs.
• Tuberculosis.
• Bronchial asthma.
• Anthrax spores.
• Such symptoms, manifested during sleep and in the morning, immediately after a person awakened from a dream, can show bed pliers, inhabiting, for the most part, in feathers pillows.
• Malignant tumor in the lungs.
• Pulmonary infarction.

Children and adolescents may be added to the above list and other sources that can trigger the onset of the symptom in question:

Cough with phlegm without temperature can be a sign of dryness of the room, in which the child spends a lot of time.

• As a symptomatology of invasion of parasites, such as helminths, ascarids, pinworms and others. Although to a lesser extent, this defeat can overtake an adult.
• To provoke such a cough are also capable of diseases affecting the organs of the digestive tract.
• Whooping cough can trigger such a reaction.
• Such a symptom, as it is not strange, may manifest itself as a psychological deviation.
• As the reaction of the body to any chemical product, including the means of household chemicals.
• The cause of this symptomatology may be a foreign object that has entered the respiratory system of the baby.

Symptoms of cough without phlegm

Sputum is a secretory product that is excreted from the human body together with a cough. Depending on the color and texture of the secretive secret, symptoms of coughing with phlegm without a temperature "tell" the specialist, what kind of disease the patient's body was affected. Another answer may be that there is no pathology, since the secrets of the respiratory organs are constantly generating mucus. After all, it protects the human respiratory organs from ingress of foreign substances (for example, toxic chemical compounds, dust, foreign objects), and the immune defense cells contained in it are among the first to come into conflict with pathogens that try to invade human organism.

The internal walls of the bronchi are expelled by an epithelial layer provided with cilia. It is their movement and allows you to remove mucus, cleaning the organs. A healthy organism releases about 100 ml of exudate per day, which is a small amount. Mostly it is reflexively swallowed by a person, without even noticing it.

If there is a pathologically developing process in the human body, the volumes of mucus produced are rapidly increasing, and are quite capable of reaching, liter per day. To swallow such a number is problematic, and it is not necessary, and even dangerous.

The shade of the mucus coming out, its composition and texture is also important. Exudate can be by structure:

• With blood veins.
• Vitreous mucus.
• Serous discharge, similar to serum.
• Purulent - mucous discharge.
• Just slime.

Who to contact?

Pulmonologist Family doctor General practitioner

Diagnosis of cough without phlegm

There are a number of pathological diseases, with the progression of which there is a large amount of outgoing mucus. Thus the skilled expert is capable on structure and even on color of an exudate to make quite correct assumption about a disease present in an organism of the patient.

Therefore, the diagnosis of cough with phlegm without temperature begins with an evaluation of the structure of the discharge and their color. It can, of course, be that a shade of sputum is obtained by staining it with food. For example, after eating dishes that include beets or carrots. To color mucus is capable of red wine, coffee and many other products. Therefore, it is primarily to exclude this factor. But, in most cases, the shade exudates is given by the disease and the processes occurring during it are negative for the patient's health.

• For example, in the case of asthma with a cough, a clear mucus of increased density emerges.
• In the case of diagnosing pneumonia, exudate leaves a greenish-yellow or yellow hue.
• With croupous pneumonia, the color of the sputum is rusty.
• In the case of an organism affected by bronchitis or various strains of influenza, purulent mucus leaves with a cough, which is dyed greenish yellow. Blood veins may well appear.
• When a lung infarct is one of the symptoms of this pathology is an exudate of a bright red hue.
• In the case of progression of the pulmonary edema, the secretions have a foamy character, with bloody veins.
• Exudate of a yellowish-brown color is present in the symptomatology of lung abscess.
• Bronchogenic form of cancers in the lungs, notes the joint output of cough and mucus fibers of red (bloody) color.
• If a specialist observes spitting out of white flakes, he may assume that the lungs are affected by fungal forms.
• Pulmonary abscess, bronchiectasis and necrotic processes (eg, gangrene) cause the appearance of greenish sputum. Slime of this color always speaks of diseases in which a characteristic feature is the suspension of outflow. Green exudate indicates that the body is infected with an infection that has already begun its reproduction, and, consequently, the disease continues to progress. For example, tracheobronchitis begins trivially with a common trivial rhinitis. Part of the mucus flies, but some of it drains down the back wall of the pharynx. This sputum leaves the patient's body in conjunction with a cough. At the same time such discharges have a very unpleasant "aroma".

After a visual examination of the patient, the doctor prescribes an additional examination, which may include:

• Analysis of sputum for the presence of infection, bacterial and fungal damage, as well as determining the causative agent of the disease.
• Probably the appointment of radiography.
• Other specifying diagnostic procedures.

In any case, with the appearance of tangible sputum, it is not superfluous to seek advice from a specialist. And the sooner a person decides to take such a step, the sooner will dispel doubts about the reason for the appearance cough with phlegm without temperature, and, accordingly, appropriate adequate therapeutic measures. Sometimes, from how quickly the patient turned to a specialist, it depends not only on his health, but also on his life. After all, even pneumonia can pass without increasing the body's temperature.

Treatment for cough without phlegm

It should be remembered that if a person is worried about a cough, sputum goes, and the temperature indicators remain normal, you should increase the amount of liquid that a person drinks throughout the day. This approach will dilute the viscosity of mucus, which will make it easier to withdraw with a cough, clearing the airways. Independently appoint antibiotics, should not, this step can only worsen the situation.

Before starting to fix the problem, it is necessary to establish the cause correctly, only from this approach one can expect effective treatment and favorable outcome of the disease.

After setting the correct diagnosis, treatment of cough with phlegm without a temperature begins with a schedule of the treatment protocol corresponding to the established pathology. It should also determine the quality of the cough: it is wet or dry.

The treatment protocol is written out to the patient purely individually. The attending physician should not only build on a particular disease, but take into account the severity of the pathology and those changes that have already occurred in the patient's body, the patient's anamnesis and his individual features. When prescribing medications, the doctor should also take into account the pharmacodynamics of the drugs, their characteristics for interacting with others medicinal products, as well as contraindications, side effects, which can cause the prescribed drug and age data of the patient.

The patient is diagnosed with a wet cough, then it is advisable to drink plenty of liquid, which may include various herbal tinctures and decoctions. For their preparation, a medicinal natural material is used which has enveloping, expectorating, bronchodilator and anti-inflammatory characteristics, as well as such medications must effectively stop the stimulation bronchial mucosa. There are many such plants, but the most used for therapy are oregano, common ale, mother-and-stepmother, sweet potato (yellow), licorice naked (licorice smooth, licorice), chemist's daisy, thermopsis lanceolate, marshmallow medicinal, elecampane high, plantain large, sage and others.

In the absence of contraindications, such a patient is prescribed inhalation and irrigation of the nasopharynx with sodium chloride, chloride ammonium, soda solutions, sodium benzoate, as well as using extracts of plants having the above properties.

After such procedures, the irritation of the mucosa of the airways is reduced, which makes it possible to reduce the spasmodic reflex, provoking coughing attacks, the smooth muscle tissues of the lungs relax. Against the background of the work of these drugs, the viscosity of the exudate decreases, which facilitates its withdrawal. It is only necessary to know the parents of infants that steam inhalations to babies who have not yet turned a year are strictly contraindicated. Older children (up to six years), this procedure is carried out only according to the prescription of the doctor and under the vigilant attention of the health worker or parents.

If a history of a patient of any age is affected by the central nervous system, then such drugs are strictly contraindicated such drugs as thermopsis and ipecacuan. The combination of pathology and these drugs, on the contrary, increases the spasm of the smooth muscles of the bronchi, activating a cough that can even cause vomiting. The combination of a vomitive reflex and a cough can lead to asphyxia (a state of increasing choking, associated with a sharp lack of oxygen in the body) and aspiration (penetration into the respiratory tract emetic masses).

From medicamentous preparations at a cough with a sputum without temperature are appointed or nominated:

• Expectorants: bronchopam, amtersol, helicidin, Dr. Mom, mukaltin, pulmotin, sinupret, travisyl, eucalyptus Dr. Theiss and many others.

Travisil is produced on the pharmacological market in the form of absorbable tablets, syrup and lozenges. The drug is taken orally.

In the case of its administration as a syrup, travisyl is taken by adults and adolescents over the age of 12 to 5-10 ml three times throughout the day. The syrup is taken undiluted. Before the procedure, the medicine should be shaken well. The duration of the drug course is determined by the treating doctor, based on the clinical picture of the disease and the characteristics of the patient's body. The daily dosage should not exceed 30 ml.

To small patients, the age of which falls in the interval from three to twelve, the dosage is individually prescribed, - 5 ml three times a day. The daily dosage should not exceed 15 ml.

Travisil in the form of candies is prescribed for oral administration. The procedure is that the medicine is placed in the mouth, where it is kept until completely dissolved. Adult patients and adolescents over 12 years of age, the drug is prescribed two to three candies, dissolved three times a day. Children, whose age falls between three and twelve, the dosage is individually individually - two candies three times a day.

Similar dosages are also attributed to the tablet form of administration.

The drug is perfectly perceived by the body of patients, the only contraindication is the individual intolerance of the constituents of the drug.

Expectorant Sinupret is injected inside. If the medicine is prescribed in the form of a dragee, then it must be drunk without chewing, together with a sufficient volume of liquid. If sinupret in the form of drops, it should be diluted with a small amount of water.

Adult patients are given a dosage of two pills three times throughout the day. Children of school age - one dragee three times throughout the day.

Adult patients take drops in the amount of 50 drops three times during the day. Children of school age - 25 drops three times throughout the day. If the use of sinupret in the form of a dragee is not recommended until the age of twelve, then to small patients who have already turned two years, you can give the drug in question as drops - 15 drops three times throughout the day.

Duration of the drug course largely depends on the individual characteristics of the patient's body, as well as the clinical picture of the disease. Mostly this period is from one to two weeks. If after this period the pathological symptomatology does not go away, it is necessary to consult a specialist who prescribes another drug, or takes a break with a repeated course of treatment.

It is not recommended to take the drug to children under the age of two, as well as with increased sensitivity of the component components of the drug.

• Mucoregulating medications. These include ambroxol, lindoxil, ambrolitin, lasolvanum, mucosan, bromhexine, lazolvan, mucovent, acetylcysteine, Fluixol, mucosolvan, bronchoprot, secretil, ambronol, mucofar, ambrolitic, carbocysteine, viscomercil and some others. These drugs contribute to the recovery of sputum characteristics, which helps its effective elimination. Mukoreguliruyuschie drugs well normalize the amount produced by bronchial secretions of exudate.

Ambroxol is injected into the patient's body at a daily dosage of 10 mg per kilogram of patient weight divided into three to four doses. To achieve therapeutic effectiveness, it is better to take the medicine immediately after ingestion, washing down with the necessary volume of fluid.

Dosage for adult patients is - one tablet, which corresponds to 30 mg, two to three times throughout the day. The same dosage is maintained in the case of prolonged treatment.

Children and adolescents are advised to give this medication in the form of a syrup. The concentration of active substance ambroksola in 5 ml of the drug is 15 mg.

The dosage depends on the age of the small patient:

• babies who are not yet two years old - one, one ml twice a day;
• small patients, whose age falls within the age limit of two to five - per, ml three times throughout the day.
• children older than five years - 5 ml two or three doses throughout the day.

If necessary, the dosage can be doubled.

Adult patients syrup is prescribed in an amount of 10 ml - the first two - three days, then this amount can be doubled.

If the clinical picture of the disease "requires", ambroxol can be prescribed to the patient both in the form of intravenous or intramuscular infusions.

• two to three ampoules are administered to adults, which corresponds to 30 to 45 mg ambroxol two to three times a day;
• to children who are not yet two years old - half the ampoule twice a day;
• to small patients, whose age falls in the age limit from two to five - half the ampoule three times during the day.
• children older than five years - one ampoule, two - three doses throughout the day.

Contraindication to the use of the drug in question is hypersensitivity to ambroxol hydrochloride or other components of the drug.

Preparations of this group enable antibiotics to leak into the secret of the bronchial tree more easily. It should only be remembered that some drugs of this group are not recommended for patients who have a history of bronchial asthma. Such a combination can only exacerbate a person's grave condition.

This group of drugs has analgesic characteristics, as well as light anesthetics.

• Mucolytic drugs normalize the production of bronchial secretions, as well as activate the process of removing excess mucus from the bronchi. The drugs of this pharmacological group include solutan, hexapnevmine, opsonin, stoptussin, transferrin, lysozyme, loraine and others.

The drug containing essential oils - hexapneumemia - in the form of tablets is taken orally. Adult patients - one tablet three times throughout the day, children who are under 15 years of age - one tablet twice a day.

In the form of syrup:

• adult patients - three to six tablespoons of fluid, divided into three doses;
• to children who have not yet turned two years old - from one to two teaspoons of hexapneumine, divided into several daily receptions;
• to small patients, whose age falls in the age limit from two to eight years - two to three teaspoons (or one - one and a half dining rooms) taken during the day;
• children whose age falls within the limit of eight to 15 years - four to six teaspoons (or two to three table) per day.

Hexapneumemia is contraindicated if the patient has glaucoma, asthmatic cough, hepatic and pulmonary insufficiency, urinary retention, as well as with increased individual intolerance of the components of the drug facilities.

• If a cough with phlegm without temperature is a consequence of an allergic reaction of the body, to some external irritant, antihistamines are prescribed, such as loratadine, alerpriv, loparene, clarice, fexofenadine and others.

Antihistamine drug loratadine is prescribed for adults and adolescents, over 12 years of age, one tablet, which corresponds to 10 mg of active active, once a day. Babies who have reached the age of two, but who are under 12 years of age, are dispensed according to the weight of the body: at a weight of less than 30 kg - half the tablet; with a weight of more than 30 kg - one tablet in one time in one day.

The duration of therapy is generally 10 to 15 days, in rare cases, the treating doctor may to correct the period of taking the drug for a particular patient, and to paint from one day to one month. It is not recommended for the purpose of the drug in question if the patient's body experiences an increased sensitivity to the components of medicinal products, as well as during lactation in women and children up to a two-year age.

For young children, who still have trouble swallowing a "big" pill, the treating doctor prescribes antihistamines in the form of a syrup.

• The stabilizers of membranes of mast cells are also appointed. These drugs include: vividrin, kuzikrom, sodium kromoglikat, kromogen, intal, kromoglin, lekrolin, stadaglycin, naklrom and others.

Sodium cromoglycate, active ingredient of which is cromoglycic acid, is used in the form of inhalations. In this case, the dosage of the drug is prescribed depending on the diagnosed pathology and age of the patient.

In the case of bronchial asthma, adult patients and children who are already five years old, starting dosage One to two doses are prescribed (metered special metered aerosols), four to six inhalations throughout days.

Orally, adults and adolescents who have already reached the age of 12 can take two capsules of the drug (, g) taken four times a day 30 minutes before the proposed meal. Children from two to twelve years - one capsule (, g), taken four times a day for half an hour before the proposed meal.

Through the mucous nasopharynx (intranasal), you can take one aerosol dose three to four procedures per day (in each nasal passage).

Do not take the drug under hypersensitivity to the components of the drug means, including benzalkonium hydrochloride, in case of pregnancy, during lactation, children whose age has not yet reached two years.

If the result of drug treatment has not brought a therapeutic effect, and cough with phlegm without temperature does not pass, we should talk about this in the knowledge of his attending doctor, who will appoint several additional surveys capable of "shedding light" on the situation, cause.

The additional examination may include:

• General blood analysis.
• Conduct a Mantoux test.
• Biochemistry of blood (or detailed research).
• Chest radiography.
• If necessary, an investigation is made for chlamydia and mycoplasma.
• Bioanalysis of bacteriological culture is conducted on the flora of the exudate.

A very important point of the survey is to find out whether the cough was the root cause of the disease or its consequence. But it should be remembered that in any situation only an expert should make a diagnosis and prescribe a therapeutic treatment.

Preventing cough with phlegm without temperature

Nobody argues that any pathological change in the human body is much better to prevent than to go through painful procedures and a long course of treatment. Where it is more desirable for the body. Therefore, the prevention of cough with phlegm without temperature, like any disease, takes a significant place in the life of each person.

• The first point of these recommendations should be tempering the body, which should begin with the first minutes of the child's life, but if this period is missed, it is never too late to start at any time.
• Air baths.
• Cold and hot shower. For the baby, you can recommend starting with the pouring of the legs.
• It should not be wrapped up in a child, however, like an adult, in a large number of warm clothes. Many mothers, trying to protect their child, protect it from drafts, and 15 - 20 degree frost is considered an indicator of cancellation of walks. But you can give a small example: our face. After all, a stout body, we do not think that the person is quite comfortable and in such a frost, so what makes our body different from him. We do not call for the exclusion of clothes from our wardrobe, by no means, but if you do not want to constantly get sick, you should not. Both the adult and the baby should be dressed in the weather.
• In the summer, not only pleasant, but also very useful to walk barefoot on the grass, pebbles and other structures of the soil. Such procedures are not only an element of hardening, but also a massage of the human sole, which, as determined by the great ancient Chinese healers, is a great variety acupuncture points. By influencing them, it is possible to stimulate the work of the whole organism, including internal organs, while hardening will be more effective, since the foot zones activate the immune system.
• At any time of year one should spend a lot of time outdoors, communicating with nature. This relaxation is also beneficial for the nervous system, which is a possible source that can provoke the appearance of cough with phlegm without temperature.
• Get rid of bad habits. And if you have not smoked before, then you should not start.
• Avoid smoky, dusty and smoky places.
• Very carefully, carrying out all the safety rules, work with combustible and toxic materials.

In the off-season, when the risk of contracting infectious diseases increases:

• If an infected person appears in the family, it is preferable to isolate the patient as much as possible from other members of the family, having allocated his set of dishes and bath accessories.
• It is necessary to minimize visits to public places and public events.
• The nutrition of the family should be full and varied, with lots of vegetables and fruits that rich in minerals, trace elements and vitamins, so necessary for the full operation of the human organism.
• Not the last place in the prevention and occupies general hygiene. Adhering to all the rules of caring for yourself: beyond the mouth and your body, you can significantly reduce the likelihood of infectious and helminthic infection.
• In the winter-spring period, it is not superfluous to take a preventive course by drinking multivitamins.

Such measures will protect your body from many pathologies. But a cough with phlegm without temperature can be a sign and quite serious illness, so one of the points preventive measures can be called and the fact that in the occurrence of such symptoms should always appear qualified specialist. It is better if it is a false alarm, and the source of pathology is banal than to miss the development of a dangerous disease, which, the earlier it is recognized, the less effort it will take to apply it cupping.

Forecast of cough without phlegm

Predictably, a prognosis of cough with phlegm without a temperature has a favorable outcome, but only if the cause of the disease, causing such a symptomatology was established at an early stage of its development and at the same time had no serious complications, and a dangerous etiology.

For example, if the cause of a cough with such characteristics is a malignant tumor, then any prognosis can be given only by analyzing a specific clinical picture.

If the source of pathological symptoms are diseases of another genesis, then everything depends on the disease, the severity of its course, as well as the timeliness of establishing the cause of the pathology and the effectiveness of the therapy. The neglected diseases, as a rule, lead to serious complications and transformation into more dangerous diseases, which may well lead to a fatal outcome.

It would seem a banal cough, which every person has encountered. But his ignoring, especially if seizures are burdened by other symptoms, can become a threat not only to health, but also to a person's life. Cough with phlegm without temperature - this combination can be a consequence of a minor cold, but may be a signal that speaks of the development in the patient's body of a deeper and more serious pathology. Therefore, do not pay attention to the discomfort is not worth it. When such a symptom appears, it will be correct to make an appointment with a specialist. Only he is able to dispel your suspicions, or, conversely, having conducted the necessary examination, to reveal the true cause of pathological manifestations. Only after the statement of the correct diagnosis can we speak about adequate therapeutic treatment. Therefore, do not ignore the signals of your body, because timely treatment is the preserved health of your body!

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Cough with phlegm

Medical specialists apply to such a concept as cough with phlegm, the term "productive." This means that during the coughing episode, the production of bronchial tubes is allocated - mucus secretions, which are excreted with coughing movements outward.

It is believed that such discharge is a sign of purging the pulmonary system, and therefore one of the symptoms of an early recovery. Nevertheless, it should not be forgotten that the presence of mucous secretions may also indicate the development of serious diseases, for example, bronchial asthma, pneumonia, oncology of the respiratory system, ischemic disease heart.

Causes of cough with phlegm

Excretions during expectoration can appear exclusively in respiratory tract diseases, representing the result of increased production and secretion of bronchi (during bronchitis or asthma), the effusion of blood plasma from the vasculature into the pulmonary cavity (during pulmonary edema), the release of pus from the cavities (with abscess, tuberculous caverns, bronchiectasis).

The most common reasons are:

• upper respiratory tract infections (respiratory viral infections and pathologies);
• obstructive form of bronchial inflammation;
• pneumonia;
• allergic conditions, including bronchial asthma;
• rhinitis;
• abscess of the lungs;
• tuberculosis.

The exact reason for triggering a cough reflex can only be determined by a diagnostic method, while Of great importance is the characterization of bronchial secretions, as well as the presence of other associated symptoms.

Is sputum cough phlegm?

Is it contagious if it coughs productively? This question is often of interest to many patients, especially the mothers of small children who doubt about whether it is possible to lead a child into the kindergarten, if the seizures become productive and began to clear slime.

It is worth noting that cough syndrome is contagious regardless of whether it is wet or dry if it is caused by a viral infection. On average, the period of "infectiousness" (in medicine - contagiousness) of a viral disease varies from 5 to 10 days from the time of the onset of the first symptoms. However, some diseases can be dangerous for others for a longer period:

• diphtheria - up to 2 weeks;
• whooping cough - up to 18 days from the onset of the illness. As a rule, after 28 days, the patient who has recovered whooping cough will not be exactly dangerous, even if the coughing trouble continues to bother the patient.

Therefore, it is not entirely correct to believe that if a child has a temperature stabilized and a mucous secret has appeared, then the risk of infecting other children is canceled. The virus often continues to exist in the body and is released by the patient when exhaled and sneezed.

Symptoms of coughing with phlegm

As the symptoms of the disease progress with the accumulation of excretions of the bronchial tree, it becomes necessary to purify the respiratory tract from the accumulated secretion. In this case, a cough reflex works-a call for a sharp exhalation of the air, due to irritation of the bronchial walls with a mucous secretion.

When there is an abundance of mucus, it is important to distinguish the cleansing process from the transition of the inflammatory pathology to the chronic form.

Usually coughing movement originates from a sharp and deep breath, which lasts no more than 2 seconds. After that, the guttural musculature, covering the vocal chink, is also sharply reduced. Bronchial muscles instantly come to tone, the abdominal muscles contract - this action of the muscle fibers is aimed at overcoming the resistance of the closed vocal cicle. At this time, the pressure within the chest cavity is about 100 mm Hg. Art. Next, there is a sudden opening of the glottis and an exhaled exhalation. Basically, if the bronchi have accumulated secretions, the cough reflex is triggered involuntarily, but the patient himself is able to trigger it independently.

As a rule, the cough and cramping of the bronchi by itself are not a disease - they are just symptoms of another disease, which is important to detect and cure. Do not ignore other signs that indicate the presence of the disease:

• difficulty breathing, shortness of breath;
• temperature increase;
• loss of appetite;
• pain inside the chest;
• wheezing when breathing;
• change in color and other properties of sputum.

Cough with expectoration during pregnancy

In pregnancy, any disease is perceived extremely negatively: still, it is not known how the disease will affect fetus, as well as pregnancy itself, and medications throughout this period should be taken very selectively. However, there is an indisputable fact that in pregnant women immunity is clearly weakened, so ARD with ARVI during gestation, unfortunately, is not uncommon.

Cough syndrome during pregnancy is also often found: it is not only possible to treat it, but it is also necessary. Illiterate or untimely treatment can pose a serious threat to pregnancy. First of all, coughing jerks can provoke an increased tone of the uterus, which can lead to painful spasms and even detachment. At the same time, arterial and intra-abdominal pressure increases, which can provoke miscarriage at early stages or premature birth at later stages of gestation.

When respiratory illnesses, it is necessary to see a doctor, and not only: it will be better if the woman remembers the doctor for any anxious or suspicious symptoms. It should be borne in mind that coughing attacks and mucus secretion from the bronchi can accompany not only a cold, but also diseases of the stomach, thyroid, heart. Do not start treatment yourself, let the medical specialist do it.

Types of phlegm on coughing

Bronchial mucous accumulations are pathological excretions that go out in the process of coughing tremors from the respiratory tract. In healthy people, too, mucus is produced inside the bronchi: this mucus performs a protective function, not allowing dust, chemicals and bacteria to penetrate to the lungs. If the amount of this mucus increases, pus with other impurities is added to it, then it is usually said about the appearance of moist discharge. Allocation is divided into several types, which depends on their number, color, odor, density, multilayeredness.

Let's talk about the types of mucous secretions for respiratory diseases.

• Green sputum when coughing is usually a companion of many inflammatory pathologies involving the bronchi and lungs. Such diseases can be provoked by a bacterial and viral infection, or have an allergic nature. To the listed diseases carry protracted bronchitis, croupous pneumonia, bronchial asthma, tuberculosis, oncology, etc. As a rule, green dense mucus is a sign of a stagnant purulent process in the lungs.
• Cough with hard-to-recover sputum appears most often as a consequence of ARVI or ARI, and can also be the result of stagnant phenomena in the lungs. If the slimy secret has too dense consistency and viscosity, then it is difficult for him to get out of the respiratory pathways, it accumulates inside the bronchi, provoking constant coughing, not bringing relief.
• Blood in sputum when coughing can appear as a result of a small and harmless bleeding from the capillary vessels of the bronchial tree, which could burst during a coughing attack, and due to serious disease. Therefore, the presence of blood should alert, especially if such a sign is present for several days, or if the discharge contains a large amount of blood. Do not forget that the admixture of blood can get to a secret from patients with tonsils, nasopharynx, bleeding gums.
• Yellow sputum when coughing - this is the result of the appearance of pus in the secretions. Most often this is a sign of an incomplete bronchitis, or its transition to a chronic form. If you continue to neglect treatment, then over time, such a secret can change the color from straw-yellow to rusty or green (an obvious sign of a purulent process).
• Cough with purulent sputum often indicates the development of stagnation inside the lungs, especially if the discharge becomes much thicker. Broncham becomes difficult to remove the purulent secret, which accumulates and can acquire an unpleasant smell and taste. As a rule, without therapy with antibiotics in this situation can not do.
• White sputum when coughing is potentially able to appear with inflammation of the lungs. If the white secret is secreted by lumps, or resembles cottage cheese, then this unambiguously means that the causative agent of pneumonia is a fungal infection. In this situation, antibiotics will not help: special anti-fungal therapy will be needed.
• Black sputum when coughing is in most cases a professional sign - such excretions are typical for miners, masons, excavators. To learn more about the presence or absence of the disease, you will have to pass the secret to the analysis.
• Gray sputum when coughing, as well as black, often accompanies respiratory illness in representatives Some professions, whose work is related to the presence in the air and inhalation of a large amount of dust with suspended particles. To the same category carry heavy smokers, inside the respiratory organs which are deposited nicotine gums, giving the secreted secretions a gray tint.
• Pink sputum when coughing is a sign of the presence of a small amount of blood inside the mucus. Most often this is the result of the bleeding of bursting capillaries, which can occur with too aggressive coughing attacks. However, for such pink discharge it is necessary to observe: if they last more than 3 days, or change color to intense red, then you should immediately contact a specialist.
• Red sputum when coughing indicates the appearance of blood in the discharge. This can be considered as hemoptysis in tuberculosis, actinomycosis, oncology of the respiratory system, with abscess, pulmonary infarction, heart failure or pulmonary edema. This condition is considered very dangerous and requires immediate medical attention. In rare cases, redness of the secretion may be caused by taking certain medications.
• Transparent sputum when coughing is the most innocuous kind of mucous secretions. Usually such a sign accompanies the onset of respiratory illnesses, when complications are still absent, and the disease can be cured without any negative consequences. Nevertheless, if the mucus is viscous, "vitreous," this may be a sign of bronchial asthma.
• Frozen sputum when coughing occurs with anthrax or pulmonary edema. Both that, and other disease are considered very serious, that demands the immediate reference to the doctor.
• Dense sputum during coughing usually appears at the initial stages of the transition of the dry process to wet, or with stagnant phenomena. To the mucous secret was not thick, use thinning medications, chest massage. It is also recommended to use a large amount of alkaline warm liquid.

As you can see, the characteristic of the secretions has the most important diagnostic value. No less important role is played by the description of coughing attacks, so we will dwell further on this symptom.

Types of cough syndrome

Wet cough syndrome is considered a natural physiological phenomenon, through which the accumulation of accumulated mucus from the tracheobronchial tree occurs. However, many are concerned that such a symptom is not always the same. Can this prove anything? In some cases, it really can, because manifestations of cough reflex are a valuable informative moment in setting the right diagnosis.

• A painful cough with phlegm is able to indicate that the mucus is too viscous to go out without hindrance. Therefore, in order to push out a thick discharge, the respiratory tract needs to exert much more effort, which causes soreness or even heaviness in the course of the bronchi. To facilitate the release of mucus, use medications that dilute it.
• Cough with viscous sputum is often characteristic of croupous pneumonia, an inflammatory reaction in the respiratory system. With properly prescribed treatment, after a short time, such mucus becomes liquid, begins to expectorate well.
• Coughing spells with phlegm can be observed with a large accumulation of mucus in the bronchi. If there are many discharges, they gradually begin to irritate the bronchial walls, which provokes a coughing attack. Such an attack continues until all the discharges leave the airway. Then the accumulation occurs anew, and the process repeats. To ensure that mucus does not accumulate in large quantities, it is recommended to periodically move, walk around the room, do light gymnastics. Massage of the chest is useful.
• Cough after eating with phlegm is often not a sign of respiratory diseases. He has other causes associated with the pathology of the digestive system. This symptom is characteristic for peptic ulcer, gastroesophageal reflux, as well as other gastrointestinal diseases. To clarify the diagnosis, it is better to consult a gastroenterologist.
• Cough with phlegm without temperature is a characteristic symptom of ARI or viral infection in patients with weakened immunity. The absence of fever at this stage is not an excuse for ignoring the disease. Treatment is prescribed accordingly with other available symptoms.
• Cough with phlegm and a temperature of 37 ° C is considered one of the typical signs of ARI. This temperature is not dangerous, it does not require the appointment of antipyretic drugs. Moreover, the use of tablets and potions that "knock down" the temperature is highly discouraged in this situation. Temperature values ​​of about 37-3, ° C mean that immunity works, and the body struggles with the disease on its own. In this case, you do not need to interfere.
• An allergic cough with sputum is less common than without it. Usually it is not accompanied by an increase in temperature, there may be a runny nose. If the bronchial secretion is excreted, then, as a rule, it does not contain an admixture of pus or blood - the clearing is transparent. Attacks occur more often at night or after contact with an allergen: animal hair, dust, pollen, etc. 8.
• Cough with phlegm and runny nose - a common occurrence in ARVI or with allergies. It is necessary to distinguish these two diseases: in ARVI often there is a fever, and with allergies it should not be.
• Dyspnoea and cough with phlegm in many cases mean the initial stage of bronchial asthma. This disease consists in worsening patency of the bronchi due to bronchospasm, inflammatory puffiness of mucous membranes, ingestion of bronchial mucus. All these factors have the complex name "obstruction of the bronchi". Shortness of breath with worsening of the condition occurs paroxysmally: in the intervals between attacks the patient usually feels quite satisfactory.
• Cough of the smoker with phlegm - heavy, with wheezing, occurs more in the morning. Slime from the bronchi can be light, sometimes with a gray tint, with an unpleasant smell of nicotine gums. The cough reflex works in response to irritation of the bronchial walls with cigarette smoke, the obstruction of bronchioles with tobacco resins, and the accumulation of a protective secret in the respiratory system. It is observed regularly, almost constantly, can be accompanied by inflammatory processes (chronic) of the trachea, bronchi, larynx.
• Cough with phlegm in the morning is observed with bronchiectasis, chronic bronchitis, gastroesophageal reflux disease, and smokers with experience. To establish the cause of morning bouts, it is often necessary to check not only the respiratory system, but also the organs digestion, since often the mucus inside the lungs is a secretion of the stomach, abandoned by night sleep inside the respiratory ways. This happens during diseases of the esophagus - reflux-esophagitis.
• Night cough with phlegm occurs in bronchial asthma, cardiac insufficiency, sinusitis, pertussis. When diagnosing this type of coughing, attention should also be paid to other symptoms: soreness inside the chest or heart, color of discharge, temperature, runny nose.
• Bark cough with sputum may be a sign of obstructive bronchitis, pertussis, false croup, which is often found in children of childhood. In adults, it can be a sign of pharyngitis, laryngitis, and inflammatory process in the bronchi and (or) in the trachea.
• Coughing up to vomiting with sputum in children is common, as the cough and vomiting center is almost there. Therefore, even a mild attack can provoke the appearance of vomiting, especially if the baby has recently eaten. In adult patients, such a reaction may be a sign of disturbances in the digestive system, namely, peptic ulcer.
• A persistent cough with sputum is a clear sign of chronic damage to the respiratory system. This condition can be observed in heavy smokers, in persons working inside dusty unventilated premises or in chemical industries, as well as in patients who did not receive acute treatment bronchitis. Chronic diseases of the respiratory system are more difficult to treat. If the disease is associated with a professional activity, a change of place of work may be mandatory.
• Paroxysmal cough with phlegm is a frequent satellite of allergy, for example, bronchial asthma. During seizures, the patient experiences shortness of breath may secrete a mucous transparent secret from the bronchi. In breaks between attacks of the patient, as a rule, nothing disturbs - he feels almost healthy.

As can be seen, a cough reflex with secretion can be observed with various lesions of the trachea, bronchi, lungs, larynx, heart or digestive system. Therefore, it is very, very difficult to determine the cause of the indisposition independently. Trust a good doctor: a comprehensive diagnosis will help determine the disease in time to begin treatment of respiratory problems.

Who to contact?

Pulmonologist General practitioner Family doctor

Diagnosis of cough with phlegm

The collection of data on the history of the disease is of great importance for the diagnosis of respiratory pathologies. The doctor will start by receiving the following information:

• When did the disease begin?
• Did other diseases, such as viral infections, precede him?
• Is the seasonality of the pathology traced, are there any seizures of shortness of breath or shortness of breath?
• Are there additional symptoms, such as a runny nose, stuffy nose, heartburn, stomach pain, etc.?
• Is there a temperature increase?
• What is special about bronchial secretions? What color are they? Is there a smell?
• Are there chronic diseases, bad habits?
• What are the features of professional work?
• Is there a tendency to allergies?
• Did the patient take ACE inhibitor drugs (captopril, enalapril, prestarium, etc.)?

After finding out the anamnesis, the doctor proceeds to a number of additional studies.

• Physical examination (general examination). Includes the detection of signs of heart disease, examination of the mouth, throat. The doctor pays attention to the increase in lymph nodes, the presence of free nasal breathing, the purity of the surface of the tongue and tonsils. Conducts audition of the lungs for the presence of wheezing, whistles, crepitations, as well as the nature of the listed symptoms.
• Chest x-ray. It is performed to detect neoplasms and tuberculosis changes inside the lungs, and bronchiectasis and sarcoidosis can also be detected.
• Evaluation of the functionality of external respiration - allows to detect bronchial obstruction, interstitial lung diseases, bronchial asthma.
• Analysis of bronchial secretions with microscopy of the material. Smears are stained by Gram and Tsil-Nielsen, mucus sowing and cytological examination are carried out.
• Instrumental methods of research. Methods of bronchoscopy with cytology and histology are used (mainly if there is a suspicion of oncological disease), biopsy of suspicious tissues, transbronchial lung biopsy, CT scan.

The diagnosis is based on a set of studies, based on the results of a general examination, analyzes of the coughing material and instrumental assessment of the state of the respiratory system.

Treatment of cough with phlegm

Some believe that if bronchial mucus is released, the disease does not need treatment. This is a great misconception. Treatment at this stage is mandatory. It should be aimed at facilitating the diversion of excreta and the elimination of the underlying disease.

If the discharge is poorly expectorated and remains in the bronchial cavity for a long time, it can lead to bacterial complications. Therefore, the most used medicines in this situation are expectorant medications, mucolytics and combined agents. Some of them make slime more liquid, while others control its production in order to produce exactly the amount of excreta that the organism can take out most easily.

Dilution of sputum during coughing can occur with the use of expectorants:

• plant (based on plants) - are represented by pectusin, solutane, tussin, piles, syrup "Doctor Mom";
• synthetic - are represented by bromhexine, lazolvanom, ambroksolom, ATSTS.

Herbal preparations may have fewer side effects, but they are more likely to cause allergies, especially in pediatric patients. All this must be taken into account when choosing the means of treatment.

Treatment for a cough with hard-to-recover sputum should be done only with expectorants and mucolytic medications. In no case can you use antitussive drugs - they block the cough reflex, and hard to remove mucus in general ceases to be excreted. As a result, we get the accumulation of mucus inside the bronchi and lungs, the attachment of bacterial infection and complications, sometimes in the form of pneumonia. Choose medication carefully, after consulting with a doctor. We remind you that such medications should dilute and facilitate the excretion of bronchial mucus, cleaning the respiratory tract from the inside. Simultaneously, the main disease is treated, symptomatic treatment, immunostimulating therapy is carried out.

Means for coughing sputum

If the mucus from the bronchi is difficult to separate and removed, doctors recommend drinking plenty of warm liquid, including herbal teas and compotes. Apply medications that eliminate inflammation, having an enveloping, expectorant and bronchodilator effect, reducing the sensitivity of bronchial walls, increasing the cough threshold. If not contraindicated, you can use steam inhalation with the addition of various drugs and herbs. Inhalations help moisturize the mucous membrane, calm pain, improve the composition of mucus, relax smooth bronchial muscles.

At the same time, medicines based on thermopsis or ipecacuan should not be used in early childhood, since they can stimulate increased irritation of the respiratory system and the appearance of vomiting.

Let's consider the most effective means in more detail.

Inhalations with a spit with sputum often involve the use of herbal remedies: leaves of eucalyptus, sage, calendula, chamomile, St. John's wort, as well as preparations of Salvin and Romazulona. With inhalations of steam, it is recommended to use phytoncides - all known onions or garlic, the proportion: 0. In the pharmacy you can buy onion tincture on alcohol - it is used for the amount of 25 cap / 100 ml of pure water. A good effect is expected from such simple means that use on, l of water:

• sea ​​salt or baking soda (1 h. l.);
• essential oil 10 cap. (eucalyptus, mint, needles, anise, peach);
• balm "Asterisk" - on the tip of the spoon.

You can use oils for inhalation - from sea buckthorn, olives, rose hips, rosemary.

Cough medicines with sputum are divided into several categories:

• products based on bromhexine (Bromhexin, Ascoril, Solvin);
• funds based on ambroxol (Ambrobe, Ambrosal, Flavamed, etc.);
• drugs based on carbocisteine ​​(Bronhobos, Fluviert);
• means based on acetylcysteine ​​(ACTS, Fluimutsil);
• vegetable preparations based on althea, anise, elecampane, plantain, etc. (Mukaltin, Pectussin, Bronchikum, etc.). •

Tablets from cough with phlegm:

• Carbocysteine ​​- stabilizes the consistency of mucus, contributes to its exit from the broncho-pulmonary system. Assign 2 capsules three times a day, with the improvement go to 1 capsule three times a day;
• Likorin - normalizes the secretion of the bronchial glands, relaxes the spasmodic smooth muscle structures of the bronchi. Take ½ or a whole tablet 3 to 4 times a day after eating;
• Likvitorit - a drug of licorice, eliminates inflammation, spasm, improves expectoration. Assign 1-2 tablets up to 4 times a day for half an hour before meals;
• Mukaltin - a preparation of an althaea, a soft expectorant. Apply orally 1-2 tablets up to 3 times a day before meals. •

Antibiotics for coughing with sputum are prescribed only in advanced cases of the disease, as well as with suspected complications. In most cases, the following antibiotics are considered effective:

• penicillin series is represented by amoxicillin (Flemoxin), augmentin, amoxiclav, ampicillin and others. The listed medicines perniciously act on the majority of bacteria which cause an inflammatory reaction in the respiratory organs. If one of these drugs does not show the expected effect, it is replaced by another belonging to another group of antibiotics;
• fluoroquinolone series is represented by levofloxacin, moxifloxacin (Avelox). Such drugs are usually prescribed if antibiotics from a number of penicillins are ineffective;
• the cephalosporin series is represented by cefuroxime (also Zinnat, Aksetin), cefixime (Suprax), etc. These antibiotics are often used to treat inflammatory processes in the bronchi, lungs, pleura, etc .;
• macrolide series is represented by azithromycin (Sumamed), which is often taken with atypical pneumonia, where the pathogens are mycoplasma or chlamydia. •

Cough syrup with phlegm is a very popular remedy, especially in children's practice. Many syrups are analogous to tablets, with a similar composition and action. Children are more willing to take syrups: it is easier for them to swallow a sweet aromatic liquid than to swallow a bitter pill. To choose a syrup it is desirable, being guided by recommendations of the doctor:

• Linkas is a herbal medicine, it eliminates the fever, spasms of the respiratory system, improves the production of mucus by the bronchi. It is prescribed for pharyngitis, tracheobronchitis;
• vegetable syrup Suprima-Broncho - can be prescribed with laryngitis, pharyngitis, pneumonia, whooping cough, tracheobronchitis. May cause an allergic reaction;
• Syrup Lazolvan - a remedy from the group ambroksola. A very common and effective drug. Used for inflammation of the bronchi, lungs, bronchial asthma, congestion, bronchiectasias;
• Herbion - syrup from plantain. Treats inflammation of the respiratory system, helps even with a cough syndrome smoker;
• Bromheksin-syrup - mucolytic, promotes expectoration, thinning viscous mucus. Improves and facilitates the secretion of secretions;
• Erespal when coughing with phlegm - a syrup based on Fenspiride, an anti-bronchoconstrictor. Relieves spasms, eliminates inflammation, reduces the secretion of mucus by the bronchi. Actively used for bronchial asthma, bronchospasm, chronic bronchitis, pertussis, pharyngitis. Can be used in children from the moment of birth, from 2 hours. l. up to 6 tbsp. l. a day before meals. At reception there can be a drowsiness, frustration GASTROINTESTINAL TRACT. • \

Herbs from coughing with phlegm are the most acceptable treatment without medication. Pine kidneys, onion, garlic, marshmallow, mint, chamomile, plantain, mother-and-stepmother, St. John's wort, elephant, sage are used as components for the collections or therapeutic mixtures. Herbs can be used in the form of broths, infusions for inhalation, herbal teas for oral administration. A good effect is given by special breastfeeding, which can be purchased at any pharmacy. There are 4 types of such fees:

• No. 1 - althea rhizome, oregano, mother-stepmother leaf;
• №2 - mother-and-stepmother, plantain, rhizome of licorice;
• №3 - rhizome altea, anise, rhizome of licorice, pine buds, sage;
• №4 - chamomile color, Labrador tea, calendula, violet, rhizome of licorice, mint.

Vegetative components in these collections have complex mucolytic, expectorant, bronchodilating and anti-inflammatory effect. The secret begins to retire on time, the cough reflex is gradually docked.

Folk remedies for cough and phlegm

What other folk remedies are used in the treatment of respiratory diseases with expectoration of a secret:

• We put a whole lemon in water, boil for 10 minutes. Remove from heat, cool. Cut the lemon into 2 equal parts, squeeze the juice into which we add 2 tbsp. l. glycerin, top up to 200 ml with honey, mix. Accepted for 1 tbsp. l. received mass three times a day before meals and at bedtime.
• Mix the equal parts of freshly squeezed carrot juice, black radish and milk. We consume 6 times a day for 1 tbsp. l.
• Mix two chicken yolks, 2 tbsp. l. fresh butter, 2 h. l. natural honey, 1 hour. l. flour. We use the obtained mass for 1 hour. l. throughout the day, can be repeated.
• Take black radish (7 pcs.), Cut into slices, add a little sugar to each piece, leave it for 6 hours. The resulting juice is drained, then we take 1 tbsp. l. every 60 minutes.
• We prepare a kissel from a viburnum on honey, we drink during the day.
• We prepare the infusion of sage (1 tbsp. l. for 250 ml of hot water), we insist, filter, add equal amount of boiled milk. We drink 100 ml several times a day, with honey or sugar.
• Finely chopped, kg of onions, add 400 g of sugar and 40-60 g of honey, boil with 1 liter of water for 3 hours on low heat. Then cool it, drain the liquid. We consume 1 tbsp. l. about 5 times a day, it is possible during coughing seizures.

The use of folk remedies can be more effective if combined with inhalation by steam, using baking soda, medicinal herbs. A positive effect is observed when adding fir, cedar, eucalyptus oil to the fluid for inhalation. Such procedures are best done at night, before going to bed.

What if my cough does not go away with phlegm?

The appearance or intensification of the presence of pus in the mucous secretions, a significant increase in the amount of secretion, an increase in temperature indicators (preliminary signs of exacerbation) may be the reason for the earliest possible and soonest appointment antibiotic therapy. Begin such treatment with the use of ampicillin (1 g from 4 to 6 times a day), levomycetin (per, g four times per day), tetracycline, cefazolin, lincomycin.

To activate a protective immune mechanism, it is recommended to take vitamin drinks and multivitamin preparations. In order to stimulate the nonspecific resistance of the body, biogenic stimulants are used:

• an extract of aloe liquid injecting in / m or s / c of 1 ml per day for a month;
• biosedema IM injection 1 ml (2 ml) every day. For 20-30 days.

From herbal remedies it is recommended to add preparations from elderberry, nettle leaves, parsley root, willow bark.

If the condition steadily worsens, then there can be no question of independent treatment. Therapy should be carried out under the supervision of a doctor - therapist, pulmonologist, otolaryngologist, phthisiatrist.

Help with cough with phlegm

During an attack, the main type of help can be the acceleration of the removal of mucous secretions from the respiratory tract. In the laryngeal or bronchial cavity pathogenic microorganisms can accumulate, and they can be removed only with good expectoration. How quickly it will be possible to clear the respiratory tract from the secretions, so quickly the body will feel relief and begin to recover.

Simultaneously with the use of medicines prescribed by the doctor, the patient should drink a large amount of warm liquid to facilitate mucus evacuation. This will greatly improve the excretion of excreta and purification of the respiratory system. As drinking it is useful to use herbal teas based on lime flowers, dog rose, raspberry, currant, other medicinal plants.

If there is a mucous secret in the bronchi, then drugs that block the cough reflex should not be used. Such preparations include, for example, codeine, as well as all agents based on it.

You can give some advice to those who can not cope with the disease:

• monitor the humidity in the room (normal humidity should vary from 40 to 60%);
• if you smoke, drop it. Moreover, avoid smoky places;
• Avoid overcooling and sudden overheating, do not leave the hot room in frosty air;
• Avoid inhaling vapors of various chemical sprays, detergent-cleaners;
• Do not suppress the desire to clear your throat - so you clear the bronchi, making your condition easier.

Preventing cough with phlegm

The operation of the cough reflex is in most cases a symptom of the disease of the respiratory system, so its can be prevented if time to think about the prevention of respiratory diseases, such as bronchitis, SARS, acute respiratory disease, laryngitis, etc.

For prevention, factors that can provoke such diseases should be avoided: hypothermia, drafts, weakening of immunity, physical overload, stress, beriberi.

Avoid situations that can lead to irritation of the lungs: walk away from smoky, smoky, dusty and chemically treated rooms. Working with chemicals, lacquer-coloring substances can provoke the development of chronic respiratory damage. If being in such premises is inevitable, use appropriate protective measures - gauze dressings, respirators, etc.

If you are addicted to allergies or bronchial asthma, try to avoid provoking factors (contact with potential allergens).

Needless to say, smoking is one of the main factors in the appearance of chronic cough syndrome - very harmful for health in general. If you smoke, give up this habit. The rest can be advised to avoid places where people smoke. Passive smoking irritates the respiratory tract no less than smoking active.

A good preventive effect is provided by tempering the body. It is best to begin the procedure in the summer, when the body can easily tolerate temperature changes, and immunity in summer is considered more robust. Suitable for dousing with cool water, contrast showers, swimming in open water, air and sunbathing, outdoor sports. Winter hardening is better to do under the supervision of a specialist, because illiterate excessive cooling of the body can produce the opposite effect.

Prognosis of cough with phlegm

The prognosis directly depends only on the underlying disease, which triggered the cough reflex. If this symptom accompanies an acute viral or microbial infection of the respiratory system, then it is safely eliminated after the underlying disease has been cured.

If the cause of an attack is an allergy or the use of certain medications, then eliminating the allergen with substitution of drugs for others will help eliminate an unpleasant symptom.

A healthy lifestyle, adequate nutrition, lack of bad habits, active pastime can be the key to a favorable prognosis of respiratory diseases.

If the cough with phlegm is chronic, then getting rid of it will be more difficult - it can require complex complex treatment, often with the use of potent drugs and antibiotic therapy.

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Cough expectoration

Sputum for coughing

A sputum is a secretion from the respiratory organs that occurs during expectoration and coughing. It includes saliva, secretions of the mucous membrane of the nasal cavity and sinuses of the nose.

The development of the pathology of the patient determines the nature of sputum produced. As the sputum goes away, the character of the disease itself changes, which can be judged by the nature of sputum discharge. For example, if coughing leaves sputum, which has a putrid smell, this may indicate that there is a serious damage to the bronchi and lungs.

It is allowed to collect sputum in patients for laboratory tests. For a day, up to one and a half liters of sputum in a patient can go away.

Do not forget that sputum, as a biologically active liquid, can be a danger to others. In the case of the development of certain forms of tuberculosis, sputum may contain a high concentration of pathogens. When the patient coughs, such a sputum can be a danger to others, so it should be collected and processed very carefully. To collect it special vessels with glass lids are used.

Sputum, which is formed in the respiratory system, interferes with the breathing process, so it should be eliminated. This is facilitated by expectoration of phlegm. The special drainage position given to the patient helps to speed up the process.

Types of phlegm on coughing

Cough sputum can have a liquid, viscous and thick consistency. The presence of viscous sputum is characteristic of a disease such as croupous pneumonia, there is such a sputum during inflammation in the airways, in this case it gradually turns into a liquid one. The presence of mucus in the sputum and its total amount determines the viscosity of phlegm. A large number of shaped elements, such as: leukocytes, a variety of epithelium, determines the density of sputum. In the event that a large number of sputum is plasma, the sputum becomes liquid. This occurs with pulmonary hemorrhage, edema of the lungs or various poisonings.

Severe sputum when coughing

Strong sputum during coughing is observed in the case of inflammatory diseases of the respiratory system, when significant amounts of purulent and serous secretions accumulate in the lungs and bronchi. Most often, this phenomenon is caused by viral diseases, which are at the stage of resolution, when a bacterial infection joins. Sputum becomes dense and abundant, and pus is often mixed with it. Perhaps the appearance of strong sputum when coughing a child after he suffered a cold or ARVI - in this case, you should carefully monitor its condition: did the temperature increase, did the overall state. Both in the presence of a strong and frequent coughing indicates the penetration of infection in the lungs and lower parts of the bronchi.

When you cough, phlegm with blood

Sputum production during coughing is typical for a variety of diseases of the respiratory system. However, in the absence of pathologies, the mucus that is released during coughing is clear. If phlegm with blood is excreted when coughing, this indicates serious enough diseases of the human body. These may include:

- Lungs' cancer.A very common symptom of this disease is precisely the expectoration of a coughing bloody sputum. Blood is present in the sputum in the form of veins of bright red color. It is necessary to immediately make an X-ray of the lungs in case of manifestation of such symptoms, but it is not worth it panic until the patient has a rapid loss of weight, sweating, a sense of lack air.

- Bronchitis.Sputum with blood often accompanies bronchitis. During this disease, the patient's condition can change at different times. About chronic bronchitis can be discussed if bloody sputum is observed for more than three months a year.

- Pneumonia.Often, bloody veins in expectorated sputum are observed in the case of pneumonia.

- Tuberculosis.Bloody sputum, secreted by coughing in the morning, is a characteristic sign of a patient with pulmonary tuberculosis. In addition to the blood veins in the expectorant mucus, it is possible to observe impurities of pus. The causes of this disease state can also be in diseases of the cardiovascular system or organs of the gastrointestinal tract.

- Abscess of the lung.When coughing, it is also possible to give sputum with blood, but with this disease the patient has a stench from his mouth, fever, weakness, lack of appetite and sweating.

Purulent sputum when coughing

Cough with purulent sputum is typical for a number of diseases and in itself is not sufficient reason for setting any definitive diagnosis. Everything is determined by an additional consideration of the side symptoms characteristic of a particular disease. In particular, purulent sputum during coughing takes place with chronic bronchitis. Such a cough can manifest itself in damp and cold weather and have a paroxysmal character. The mucous sputum emitted during cough with pus contaminants contains a diverse microbial flora. Sometimes purulent sputum appears only in the mornings, during the rest of the day the cough is convulsive and dry. In other cases, coughing attacks occur around the clock all the time, accompanied by shortness of breath with vomiting. The temperature keeps at a normal level, rising only during a period of exacerbation of the disease.

Against the background of chronic bronchitis is often the appearance of bronchiectasis - accumulating pus, pathological expansions of the lungs. In the event that a cough with purulent sputum is caused precisely by bronchoectatic disease, the course of it is more painful and prolonged, it is not always possible for a patient to clear his throat to the end.

A prolonged cough with the release of purulent sputum in the mornings is typical for smokers with a long history. Bronchi are exposed to the harmful effects of tar and nicotine contained in cigarette smoke, and the impact is many times superior to the harmfulness of the action of pathogenic bacteria, constantly found in the bronchi. Prolonged smoking decomposes bronchi, wears out the respiratory system and often causes lung cancer.

Thick sputum on coughing

Abundant accumulations of thick sputum may contribute to a significant difficulty in the respiratory process. Dense sputum during coughing is typical for diseases such as infectious respiratory tract infections, it can be caused by inhalation of contaminated air and smoking. In this case, the cough carries a purifying function, facilitating the withdrawal of clots of sputum from the respiratory system.

However, not only smoking can cause the appearance of thick sputum in the respiratory tract, which is necessary expectorate, the cause of its appearance can become many diseases, such as asthma, tuberculosis, chronic forms bronchitis. For example, asthma, developing from a dry cough and light hoarseness, reaches the form of a cough with a large amount of expectorated thick sputum, which has the form of dense mucous secretions. When a tuberculosis disease occurs, a person who is ill often coughs up phlegm, which has a dense consistency, often containing impurities of pus and blood. Moreover, thick sputum when coughing can take place and with an ordinary cold. Therefore, we can conclude that, in itself, expectorated during coughing, thick sputum is not a symptom of any one specific disease, but only indicates that the body has a problem that requires intervention and permission. The diagnosis should be carried out individually and, depending on it, treatment should be prescribed. In any case, the excretion of sputum is facilitated by the diluting agents that make the consistency of sputum secretory less dense, thereby facilitating its expectoration.

Salty phlegm on coughing

Salty sputum when coughing is typical for such a disease as allergic bronchial asthma. With this disease, brackish sputum often appears together with blood veins, there may be a rise in temperature to 37 degrees or higher, but normal temperatures can also be observed. Another symptom of allergic bronchial asthma is stuffiness in the chest - as if there is not enough air. Appetite thus does not suffer - its loss does not occur. In the treatment of the disease, the agents that dilate the bronchi, such as ventolin and berodual, are of great help.

Sputum color when coughing

The color of sputum when coughing can not be linked to any particular disease. However, you should definitely consult a doctor when you get sputum yellow, green, brown, and also rusty, especially if any sputum of the specified colors is observed for more than a week. Especially if it takes place against a background of fever, chills, dyspnea.

Green sputum when coughing

Green mucous sputum when coughing is typical for many inflammatory diseases, affecting the lungs and bronchi. The causative agents of such diseases are various allergens, infections and catarrhal conditions. It can be bronchitis of every possible etiology, croupous pneumonia, tuberculosis, bronchial asthma, cancer and the like.

In addition to cough, there may be other symptoms, such as difficulty breathing, chest pain, fever. In order to accurately identify the causes of the disease, sputum examination in the laboratory, lung X-ray, magnetic and computer tomography is carried out. If it is a question of suspicion of an oncological disease, a thoracoscopy is performed - a certain amount of affected tissue is taken for histological examination.

If the green sputum has a viscous consistency and is characterized by an unpleasant smell - it can be a question of stagnant processes in the lungs. This is a rather dangerous sign, especially if it's a child. The treatment process consists in taking antibiotics and strong-acting drugs. Bronchitis can be treated with mucolytic drugs and means that enhance expectoration. With regard to tuberculosis, lung cancer and pulmonary hemorrhage, these diseases should be treated in a hospital hospital.

Yellow sputum when coughing

Yellow sputum when coughing is allocated with the following diseases: sinusitis, bronchitis, pneumonia.

The greatest danger is a cough that starts suddenly, in which the allocation of yellow sputum is accompanied by the presence of blood and pus, which gives prominent sputum characteristic color tone. The presence of blood enzymes in the yellow sputum indicates an urgent need to see a doctor, since it is very likely that there is a tubercle bacillus. According to the color shades of excreted sputum, you can determine the cause of the bronchitis that has begun. If the sputum released during coughing has a yellow tinge, it means that a bacterial infection was found in the lower parts of the respiratory tract.

In order to conduct a diagnosis of the disease, it is necessary to make an analysis of sputum cough. To conduct it, sputum is collected on an empty stomach in a glass jar, specially prepared and washed for this purpose. In this case, immediately before expectoration of the sputum, the patient is recommended to wash the mouth with an antiseptic solution, and zatey with ordinary boiled water.

However, not always yellow sputum when coughing indicates a serious illness, often it is a companion of smokers with a long history.

When coughing white sputum

The appearance of white sputum when coughing (as, indeed, and some other) indicates the accumulation of excess mucus in the respiratory tract, the development of which is caused by various diseases.

Coughing white, clear sputum, which has a thick consistency, indicates the presence of a cold in the body. The development of such mucus is provoked by the course of allergic reactions, bronchitis, asthma and inflammation of the lungs. Categorically it is not recommended to restrain cough or swallow sputum. Slime in this case accumulates, it stagnates, which can result in poisoning the body. These factors necessitate the use in the treatment of drugs that provide mucus liquefaction and facilitate expectoration.

Sputum, which has a gray tinge and is endowed with odor, characteristic of decay, indicates the development of advanced stages of oncological diseases of the respiratory system. At the initial stages of the development of cancer, sputum is transparent, white with impurities of blood veins. Slime can be gray as a result of subsidence in the respiratory tract of tobacco burning products and be characteristic of heavy smokers. In people suffering from cardiac asthma, sputum may also have a serous color and a liquid consistency.

Brown sputum when coughing

As already mentioned above, there is no such color of sputum, according to which it would be possible to determine with certainty the onset of the disease. This is why the patient is forced to undergo a long series of examinations and take numerous tests to accurately diagnose a medical diagnosis. However, if the sputum produced during coughing is brown, this may indicate a viral or bacterial infection that occurs with inflammation. It can be an ordinary cold, pneumonia or bronchitis. With the onset of internal bleeding, the appearance of expectorated sputum is also possible.

When brown sputum appears when coughing, self-medication should not be dealt with, since this can provoke the appearance of more serious diseases. In view of this, you should, without delaying, seek help from a doctor. In order to maximize the effectiveness of the treatment process, it is desirable to take as much fluid as possible. In this case, the likelihood that the sputum, having a brown tinge, is diluted and as soon as possible will be removed from the lungs. In no case should you take drugs that suppress cough, because when it is suppressed, there is no output of sputum from the body.

Pink sputum when coughing

The pink color of sputum when coughing indicates the presence of bleeding, not so, however, abundant, as in the case of red sputum. It is also possible to change the color of the mucus secreted and display blood in the form of spots and veins. If the process of blood coagulation has already begun, sputum may have a rusty shade, indicating that red blood cells have already disintegrated.

The presence of blood in the sputum may indicate such diseases as:

- pneumococcal pneumonia:sputum in this case has a red-rusty color;

- lungs' cancer:The color of phlegm varies from pink to red, turning into brown and black;

- tuberculosis:in this case there are bright red bands in the sputum;

- Embolism of the lungs:blood is bright red.

The presence of blood in the expectoration of a coughing sputum indicates a danger, so that you should immediately go to a doctor.

Treatment for cough with phlegm

In the treatment of cough with sputum, an abundant drink that includes phytopreparations is effective. It is appropriate to use plant components that have anti-inflammatory, expectorant, The bronchodilator and enveloping action, thus reducing the irritation of the mucosa bronchi.

In the absence of contraindications, inhalations with sodium chloride and benzoate, extracts of plants, soda, ammonium chloride are allowed. As a result of this procedure, the mucous membrane of the respiratory tract is moistened, decreases the excitability of the reflex cough center, sputum liquefaction and smooth muscle relaxation bronchi. In addition, all of the above medicines play the role of anesthetics and analgesics.

Cough sputum diffusion

Long-term medical practice was used to develop methods that promote a speedy recovery by diluting cough sputum. This can be folk recipes and proven facts.

- The maximum increase in liquids drunk during the day. Drinking normalizes the water balance of the exhausted organism, while the sputum produced acquires a liquefied consistency. With a hard cough, alkaline nutrition is acceptable. The chemical composition of mineral water contributes to an easier release of sputum and the subsequent disposal of it. It is also very important to include fruits and vegetables in the daily diet.

- Carrying out inhalations. These procedures, conducted with a solution of medicinal herbs also have a liquefaction effect. The composition is as follows: one tablespoon of sage, thyme, mother-and-stepmother and chamomile. Everything is poured with boiling water, after which it is infused for an hour, after which one tablespoon of soda and eucalyptus oil is added. Inhalation should be carried out twice a day

- Dissemination of sputum with medical preparations. Effective use of the following means: lazolvan, ambroksol, ATSTS. All of them are appointed by the attending physician and are indicated for tracheitis and bronchitis, when it is difficult to get the sputum out.

- Broth pigeon pigeon. This is an old folk remedy that greatly facilitates the process of liquefying sputum. Moisturizes the mucous membrane of the bronchi, makes it possible to simplify the withdrawal of phlegm by softening the dry cough.

- Figs. It is quite good when it comes to bored cough or stiff sputum. The fig should be cut into two halves and placed in a glass of milk. The appearance of the desired shade indicates that the composition is ready.

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Yellow sputum when coughing

Often during a disease that is accompanied by a cough, many notice spitting. Can this be considered normal? What should be sputum and are its characteristics so important? For example, yellow sputum when coughing - what does it mean? Let's briefly answer all such questions.

Sputum is a secretion produced in the bronchi and trachea. Such discharges are not always considered a sign of the disease, since respiratory organs regularly produce a small amount of mucus. This is necessary in order to create an obstacle for penetration into the lungs of foreign particles (for example, dust or chemicals) together with air at the right time. In addition, in the mucus there are special cells that help fight bacteria. Normally, sputum can only be transparent.

Sputum is considered pathological when its characteristics change - color, composition, quantity, etc. Particular importance of the doctors attached to the color of bronchial secretions.

Causes of yellow sputum when coughing

Sputum can be released from various respiratory tract diseases and removed from them during coughing and expectoration. The number of secretions can also be different, from a single occurrence in the initial stage of bronchitis or pneumonia to one and a half liters in purulent pulmonary pathologies.

The degree of expectoration depends on how penetrated the bronchi, as well as on the position of the patient's body (excretions can be amplified in a horizontal position, lying on the healthy side).

Expectoration of discharge in most cases indicates the presence of the disease, especially if the sputum differs in any characteristic color. For example, yellow sputum when coughing can go away with pneumonia, with viral infection and bronchitis, with purulent processes in the lungs (abscess, bronchiectasis).

However, yellow discharge is not always a sign of the disease. For example, it can be a characteristic symptom of a cough in malicious smokers. Sometimes yellow sputum appears due to the use of foods or beverages of yellow color (for example, citrus, carrot juice, etc.).

Who to contact?

Pulmonologist Family doctor General practitioner

Diagnostics

Sputum is the pathological secret of the bronchi and trachea, which is excreted through coughing movements. These discharges are a very important diagnostic material. They are collected in a special container of clear glass: usually it is done in the morning, before eating, after cleaning the teeth and washing the throat.

Also a good material for diagnosis can serve as a liquid after bronchoscopy (flushing of the bronchi).

The study of bronchial secretion can be carried out in several ways. Let's consider each of them separately.

• Macroscopic analysis determines the main characteristics of sputum: volume, hue, odor, density, composition. For example, yellow color is explained by the presence of a purulent component in the secretions, and the more the percentage of pus, the more the yellow color changes toward the greenish one. Yellow-green sputum when coughing - the index of a purulent process in the respiratory system. Sometimes pus is present even in the form of clots or lumps.
• Microscopic analysis of sputum is carried out with staining of the preparation and without staining. In the secretions, cells of flat and cylindrical epithelium, macrophages, siderophages, conyophages, atypical cells, blood cells can be detected. In some cases, a number of fibrous formations (elastic, fibrous fibers, Kurshman spirals), as well as Charcot-Leiden crystals, cholesterol, fatty acids can be detected.
• Bacteriological seeding on nutrient media - helps identify the causative agent of the disease, assess its sensitivity to antibacterial drugs.

In rare cases, additional types of diagnostics can be prescribed, such as luminescence microscopy, flotation and electrophoresis (as a means of accumulating microorganisms).

Treatment of yellow sputum when coughing

To effectively treat yellow sputum during cough, the following points should be considered:

• treatment is prescribed only after determining the cause of the disease;
• medicines and doses can be prescribed only on an individual basis, taking into account the underlying disease, accompanying pathologies, the patient's response to medications.

If there are excrements during coughing, it is recommended to take a large amount of liquid, preferably in the form of warm tea or infusions of herbs. Use herbs with expectorant, anti-inflammatory, enveloping action - it's sage, chamomile, St. John's wort, marshmallow, etc.

In the absence of contraindications, inhalations with sodium hydrogencarbonate, essential oils are carried out.

The following medicines are shown:

• means with expectorant action, which reduce the concentration of bronchial secretions and facilitate its excretion (ammonium chloride, thermopsis);
• means with mukoreguliruyuschim action (carbocysteine, ambroksol) - promote the expulsion of sputum from the bronchi, help antibacterial drugs get into the bronchi;
• mucolytics (ATSTS) - normalize the cough secretion from the bronchi;
• antihistamines (for allergic etiology of coughing).

Antibiotics are taken only if necessary, and only after an accurate diagnosis of the cause of cough.

Prevention

Prevention of yellow sputum during coughing is determined by the prevention of complications of inflammatory diseases of the respiratory system. What needs to be considered in order to prevent the development of purulent processes in the lungs?

It must be remembered that the inflammatory process in the bronchi most often occurs as a result of incorrect or insufficient treatment of acute respiratory disease or ARVI. Therefore, a cold or flu should be treated, rather than expecting that the disease "will pass" on its own.

Regardless of the presence of respiratory system diseases, the following rules can be adhered to as a preventive measure:

• Smoking is harmful, even if you are not smoking, but someone is nearby. Inhalation of nicotine increases the risk of developing chronic bronchitis or emphysema;
• In the period of epidemics of cold and viral diseases, it is necessary to avoid crowded public places;
• it sometimes makes sense to get vaccinated against influenza or pneumonia, especially if you have low immunity or a tendency to respiratory diseases;
• do not forget about personal hygiene, wash your hands after coming from the street, and before each meal;
• include in the diet more fresh fruits and vegetables. It is useful to drink infusions and fruit drinks from berries, dog rose, citrus, mint;
• Eat fully, because in the cold season it is highly not recommended to adhere to "strict" and even more "hungry" diets, as this significantly weakens immunity;
• dress on the weather, do not allow the body to overcool and overheat.

When you have a cough, it's best to postpone all the cases for a while and go to the doctor: timely treatment is often the best prevention of complications and undesirable consequences.

Forecast

Often a wet cough seems to us an ordinary and non-serious disease, however, this is not the case, especially since yellow sputum when coughing is not a harmless symptom. If you ignore the disease, then without the necessary treatment, serious health consequences can arise. Inadequately cured cough with ARD or ARVI, as well as with acute bronchitis or tracheitis may contribute to the development of pneumonia. Inflammation of the lungs is quite a dangerous and insidious disease, which requires compulsory treatment in the hospital with the use of antibacterial potent drugs.

The acute form of bronchitis, which many prefer to carry "on their feet," without adequate therapy can get a chronic course. The chronic form of bronchitis may require long and difficult treatment. Improper treatment of chronic inflammation of the bronchi can serve as a factor in the development of abscess, bronchial asthma or pneumonia.

Yellow sputum when coughing is more than sufficient reason to call a doctor. Purulent processes in the airways can not be triggered in any way, otherwise the consequences can be unpredictable.

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What can be a strong cough with sputum

A strong cough with phlegm is always unpleasant, constant attempts to clear throat, secretion of a badly smelling liquid irritate the patient and surrounding, a similar condition occurs in different diseases, but in order for the treatment to be effective, it is necessary to accurately determine the cause disease.

Cough with phlegm is a syndrome of inflammatory diseases of the respiratory tract, in which purulent or serous discharge accumulates in the bronchi and lungs.

Causes of cough with phlegm

1. The most common cause is viral diseases in the resolution stage, cough is not too strong, there is little sputum, it is clear and liquid, in case of bacterial infection, sputum becomes more abundant, thick, yellow or greenish in color, with an admixture pus. If after an acute respiratory viral or cold the cough has increased in the child, and there is abundant sputum, then you should carefully monitor its condition: increase body temperature, severe deterioration of the condition, frequent, severe cough suggest the spread of inflammation in the lower parts of the bronchi and lungs.

2. Sinusitis and sinusitis - inflammatory diseases of the nasal sinuses are often accompanied by a strong moist cough due to the flow of fluid in the respiratory tract. In this case, the patient has a cough without raising the body temperature, increasing in the morning hours. In such a situation, you need to treat the underlying disease, and not a symptom.

3. Bronchitis is a strong moist cough with hard-to-separate sputum, the main symptom of progressive inflammation bronchus, as the disease develops, cough becomes more severe, and sputum is released in more quantity.

4. An excruciating frequent cough with hardly-detachable sputum in a child occurs with such an infectious disease as whooping cough, This disease is characterized by very strong, painful attempts to clear the throat, possibly the occurrence of vomiting, loss of consciousness and dyspnea. If the child has an increase in body temperature, wheezing and frequent coughing attacks, it is necessary to urgently consult a pediatrician, since it is necessary to treat whooping cough in the hospital.

5. Pneumonia - frequent and severe cough, accompanied by the release of a large amount of purulent sputum, occurs with pneumonia, in In this case, a child or an adult has a sharp increase in body temperature to 39-40, weakness, chest pain and general worsening state.

6. Chronic diseases - a constant cough with phlegm, without raising the body temperature, may be a symptom of such chronic lung diseases, such as: tuberculosis, bronchiectasis, cystic fibrosis, oncological processes in lungs.

7. Allergic diseases - constant irritation of the mucous membranes with allergies can trigger the appearance of a moist cough that intensifies in the morning hours with a scant separation of a transparent "glass" phlegm.

Treatment

To treat a moist cough you need to start by determining the cause of its appearance. Most often it occurs due to a viral or bacterial infection, in this case, the main purpose of treatment is the removal of microorganisms from the respiratory tract, their purification and regeneration.

1. Mucolytic and expectorant drugs - dilute sputum and promote its excretion from the bronchi and lungs. In the treatment of a child most often used: Bromhexin, Ambro (Ambroxol, Ambrobene), licorice syrup, ACC, Lazolvan and other expectorant sprays or syrups.

2. It is necessary to drink a few liters of alkaline liquid per day, this will help to avoid dehydration and facilitate the excretion of phlegm.

3. Very useful physiotherapy procedures - especially when treating a child of the first years of life, consult your doctor about the possibility of prescribing physiotherapy or spend it at home - for this use warming ointments and compresses on the chest, mustard or just dry heat on the neck and breasts.

4. Folk methods - "grandmother's recipes" can be used as an additional treatment or mild forms of the disease, but, in any case, it is necessary to consult with your doctor doctor.

• lemon with honey - mix 100 grams of honey and 1 mashed lemon, use 1 teaspoon before eating,
• sage infusion - a full tablespoon of dry leaves pour 200 ml of boiling water, insist, dilute with the same amount of warm water or milk and drink during the day. Infusion is contraindicated in pregnant and lactating mothers,
• juice of black radish with honey - mix 100 g of honey with the juice of 1 black radish, the dose for an adult patient - on a half-spoonful of the composition 2-3 times a day.

Treatment for a wet cough should be done under the supervision of a doctor, since only a qualified specialist can determine the cause of the disease precisely.

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