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dark viscous phelgm
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dark viscous phelgm

by AESW, Jan 08, 2005 12:00AM
Does dark phlegm always indicate a sinus infection?  Does it mean something different if it's the color of dried blood, as opposed to a green color?

by National Jewish, Feb 14, 2005 12:00AM
The best way to identify a sinus infection is with a sinus CT scan, although sinus x-rays are a decent alternative.  A sinus CT scan will also identify if any of the openings that drain your sinuses are blocked.

Sinusitis is an inflammation of the mucous membranes that line the sinus cavities.  Inflammation of the sinuses could be due to an allergy, an infection, or ongoing exposure to an irritant, such as pollution or smoke.  The most common cause of sinusitis is an infection, especially when the phlegm is green.  Sinus infections can be difficult to treat since they respond slowly.  When any of the openings that drain your sinuses are blocked it will take longer to clear a sinus infection.  If a viral infection is the cause it’s a matter of time until the sinusitis clears on its own.  When a bacterial infection is the cause you may need to take an antibiotic for at least 3 weeks.

This inflammation can block sinus drainage, cause increased mucus production, and bleeding that may mix with the mucus.  The mucus may “sit” there, especially when it is thick, and become dark in color.  As the sinus infection clears, this mucus drains from the nose and sinuses down the back of the throat causing a constant or intermittent postnasal drip that can be irritating to the throat.  Typically this is worse at night when you lay down to sleep.  Generally this irritation feels the worst when you wake up and gets better as the day goes on.  This mucus can fester sinusitis.  Symptoms can include a headache or pressure in the area of the sinuses, a stuffy nose, achy teeth, an odor coming from the nose, cough, laryngitis, lightheadedness, and constant low fever.

If your symptoms are due to sinusitis, they will last as long as the inflammation continues.  Please read our Sinusitis MedFact at http://www.nationaljewish.org/medfacts/sin.html for more information about ways to clear up the inflammation.  Please check with your doctor to see which of these would work best for you and to be sure that your sinuses are the cause of your phlegm.
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