Symptoms A-Z
Cough With Bloody-streaked Phlegm Symptom, Causes & Questions
Understand your cough with bloody-streaked phlegm symptoms, including 6 causes & common questions.
This symptom can also be referred to as: coughing up streaks of blood
Updated on
Reviewed by the Buoy Medical Review Team

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Contents
6 Possible Cough With Bloody-Streaked Phlegm Causes
The list below shows results from the use of our quiz by Buoy users who experienced cough with bloody-streaked phlegm. This list does not constitute medical advice and may not accurately represent what you have.
Bronchitis
Acute bronchitis is an inflammatory reaction to an infection in the airways. Most cases of acute bronchitis are caused by a viral infection, although some cases may be due to a bacterial infection.
Symptoms include an acute-onset cough with or without sputum production, low-grade fever,(https://www.buoyhealth.com/symptoms-a-z/shortness-of-breath/), and noisy breathing.
The diagnosis is made clinically, although testing may be ordered to rule out other conditions.
Treatment focuses on alleviating symptoms and may include over-the-counter painkillers, cough suppressants, and expectorants. Although antibiotics are often prescribed, antibiotics have been shown to provide no benefit in most cases of acute bronchitis and are associated with an increased risk of side effects.
Rarity: Common
Top Symptoms: cough, productive cough, sore throat, wheezing, coughing up green or yellow phlegm
Symptoms that always occur with bronchitis: cough
Symptoms that never occur with bronchitis: nausea or vomiting
Urgency: Self-treatment
Bacterial pneumonia
Bacterial pneumonia is an infection of the lungs caused by one of several different bacteria, often Streptococcus pneumoniae. Pneumonia is often contracted in hospitals or nursing homes.
Symptoms include fatigue, fever, chills, painful and difficult breathing, and cough that brings up mucus. Elderly patients may have low body temperature and confusion.
Pneumonia can be a medical emergency for very young children or those over age 65, as well as anyone with a weakened immune system or a chronic heart or lung condition. Emergency room is only needed for severe cases or for those with immune deficiency.
Diagnosis is made through blood tests and chest x-ray.
With bacterial pneumonia, the treatment is antibiotics. Be sure to finish all the medication, even if you start to feel better. Hospitalization may be necessary for higher-risk cases.
Some types of bacterial pneumonia can be prevented through vaccination. Flu shots help, too, by preventing another illness from taking hold. Keep the immune system healthy through good diet and sleep habits, not smoking, and frequent handwashing.
Rarity: Common
Top Symptoms: fatigue, cough, headache, loss of appetite, shortness of breath
Symptoms that always occur with bacterial pneumonia: cough
Urgency: In-person visit
Tuberculosis
Tuberculosis, or TB, is a lung infection caused by the bacteria Mycobacterium tuberculosis. In some cases, it can affect other organs such as the brain or kidneys.
The disease spreads when an infected person exhales, speaks, or coughs and someone else inhales the bacteria. Tuberculosis is not transmitted any other way. Some patients carry TB without ever showing symptoms, though the disease may become active if something happens to weaken the immune system.
Most susceptible are those with weakened immune systems; infected with HIV; living or working in homeless shelters, correctional facilities, or nursing homes; and children under age 5.
Symptoms include severe cough that may bring up sputum and/or blood; chest pain; weakness; weight loss; fever; chills, and night sweats.
Diagnosis is made through skin tests, blood tests, sputum tests, and chest x-ray.
Treatment involves a course of specialized antibiotics under close medical supervision, along with rest and supportive care.
There is a vaccine for tuberculosis, but it is not entirely effective and not routinely given in the United States.
Rarity: Rare
Top Symptoms: fatigue, cough, shortness of breath, rib pain, dry cough
Urgency: In-person visit
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Congestive heart failure
Heart failure is a condition in which the heart is no longer able to effectively pump blood to the rest of the body. Heart failure can affect the right side, left side, or both sides of the heart. It can be subcategorized as "heart failure with preserved ejection fraction (HFpEF)" or "heart failure with reduced ejection fraction (HFrEF)." The ejection fraction is the portion of blood in the heart that gets ejected through the blood vessels to the rest of the body with each pump. HFpEF is a condition in which the fraction of blood in the heart that is pumped with each beat is normal but the ventricle, one of the chambers of the heart, has been stiffened so does not fill with blood as effectively. HFrEF is a condition in which the fraction of blood ejected from the heart with each beat is reduced.
Rarity: Uncommon
Top Symptoms: cough, fatigue, shortness of breath, cough at night, shortness of breath on exertion
Urgency: Primary care doctor
Bronchiectasis
Bronchiectasis is destruction and widening of the large airways. Mucus builds up in these airways and can get infected, causing a pneumonia.
Rarity: Rare
Top Symptoms: cough, shortness of breath, wheezing, runny nose, mucous dripping in the back of the throat
Urgency: Primary care doctor
Lung abscess
A lung abscess is a large collection of pus in the tissue of the lungs that results from a bacterial infection. Bacteria that should not normally be found in the lungs causes inflammation that leads to a breakdown of the lung tissue, thus producing the pus.
Symptoms vary depending on whether the abscess is acute or chronic. They may include fever, night sweats, fatigue, weight loss, a cough with mucus or blood, and chest pain when breathing.
Once a diagnosis has been made by an X-ray or further imaging, the main method of treatment is antibiotics to rid the body of infection. Surgery is rarely required.
Rarity: Rare
Top Symptoms: coughing up green or yellow phlegm, rib pain that gets worse when breathing, coughing, sneezing, or laughing, night sweats, unintentional weight loss, coughing up a lot of fluid
Urgency: In-person visit
Questions Your Doctor May Ask About Cough With Bloody-Streaked Phlegm
To diagnose this condition, your doctor would likely ask the following questions:
- Have you experienced any nausea?
- Any fever today or during the last week?
- Do you currently smoke?
- Have you been feeling more tired than usual, lethargic or fatigued despite sleeping a normal amount?
The above questions are also covered by our A.I. Health Assistant.
If you've answered yes to one or more of these questions
Take a quiz to find out why you're having cough with bloody-streaked phlegm
Cough With Bloody-Streaked Phlegm Symptom Checker Statistics
People who have experienced cough with bloody-streaked phlegm have also experienced:
- 8% Cough
- 5% Sore Throat
- 4% Coughing Up Green Or Yellow Phlegm
People who have experienced cough with bloody-streaked phlegm were most often matched with:
- 45% Bacterial Pneumonia
- 45% Tuberculosis
- 9% Bronchitis
People who have experienced cough with bloody-streaked phlegm had symptoms persist for:
- 45% Less than a day
- 29% Less than a week
- 12% Over a month
Source: Aggregated and anonymized results from visits to the Buoy AI health assistant (check it out by clicking on “Take Quiz”).
Cough With Bloody-Streaked Phlegm Symptom Checker
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