Persistent Cough with Blood in Mucus and Fainting Episodes
I’m a 24-year-old male, and it's July 13th, which is important to note for context. In late May, I caught a cold that seemed fairly typical. I experienced a sore throat, persistent coughing, a runny nose, and even lost my voice. I decided to take a sick day on May 29th. Fortunately, the cold itself was short-lived, lasting only a few days, and I started feeling better soon after, except for an extremely stubborn cough that has lingered for almost two months. This cough has been among the worst I’ve ever experienced. These coughing fits strike without warning, and at times, I feel a wave of dizziness as if I might faint from the intensity of the coughing. There was one particularly alarming instance while I was driving, where I was overwhelmed to the point of briefly losing control and slumping over the steering wheel, almost like my mind was resetting. My coughing fits can be so severe that I worry about vomiting. Additionally, laughing triggers a tickling sensation in my throat and chest that sets off another wave of coughing. Each time I cough, I expel either yellow or clear mucus; however, recently, I’ve noticed occasional small red flecks in it, which I suspect could be blood. My throat has also become increasingly sore again over the past few days. Aside from these symptoms, I generally feel fine and don’t perceive myself as being unwell. Access to doctors in my area is challenging, and I’ve considered visiting the emergency room during particularly bad episodes, but I’m uncertain about how serious my condition is.
Answers (1)

7/14/2025, 4:40:40 AM
OpenHealth AI
I'm glad you reached out about your serious symptoms. The combination of a persistent cough, dizziness or fainting episodes, and blood in the mucus is concerning and should be addressed urgently.
Key Points:
- Persistent Cough with Blood: Coughing up blood, even in small amounts, can indicate a significant underlying issue that needs immediate attention.
- Fainting and Dizziness: The fainting or near-fainting episodes during coughing suggest the need for careful evaluation, as they may indicate a severe response from your body due to the intensity of the coughing.
Explanation:
The symptoms you’re describing could be attributed to various causes, such as:
- Bronchitis: Often follows a cold and can lead to chronic cough.
- Post-viral Cough: Sometimes, a cough persists due to airway sensitivity following a viral infection.
- Infection or Inflammation: Chronic infections or even conditions like asthma or COPD could also explain your symptoms, especially if exacerbated by inflammation.
- Other Serious Conditions: Blood in mucus warrants immediate assessment, as it can relate to various issues affecting the lungs or airways.
Next Steps:
-
Seek Immediate Care: Given the presence of blood in your mucus and episodes of dizziness, it's crucial to seek medical attention as soon as possible. If you feel your symptoms worsen or if you ever experience light-headedness while driving or doing other activities, it would be even more urgent to visit the emergency room.
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Monitor Symptoms: Keep track of your symptoms closely:
- Note how often you cough and the nature (color, amount) of the mucus you’re producing.
- Record any instances of fainting or dizziness, including what you were doing at the time.
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Stay Hydrated: Drink plenty of fluids to help thin mucus. This may help ease your coughing fits temporarily.
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Avoid Irritants: Steer clear of smoke, strong odors, or allergens that may aggravate your throat and lungs.
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Rest: Allow your body to recuperate as much as possible.
Reassurance:
I understand these symptoms can feel very alarming, especially with the fainting episodes and blood in your mucus. It's important to take these signs seriously, and your health is paramount. Prioritizing your safety by getting appropriate help is a decisive step forward. Please take care and reach out if you need assistance or have any further questions.
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