First Aid/Blood in saliva?


Hi there! Well about two days ago I caught a cough (nothing major) from someone. I don't cough very hard or very often- it's just there, but today it's beginning to go away. Yesterday, though, when I went to spit out some flem in the sink (charming, huh?) I saw a speck of blood. Just a speck and I thought it might be food, but this morning I spat into the sink and one or specks were in my saliva. I have spat a few times into the sink today but my saliva was clear till just now when I saw one or two specks again. Now, these 'specks' are bright red, and not runny or anything. It doesnt hurt to breath, but when I swallow or cough I can feel an area in my windpipe? Or whatever that thing is running down your throat, in my upper chest, but below my collarbones. It doesn't hurt- I can just feel it...  And I really don't know why the specks are there! I am a 16yr female and I obviously don't smoke or drink, I eat fairly healthy and I am active. So what do you think? I am hesitant to see a doctor because it could be food?? Thanks for your time :)

Hello Kira,

It's not uncommon to have as little bleeding, especially if you have coughed rather hard a few times. after your cough subsides any blood in your phlegm should disappear as well. This is nothing serious unless you are coughing up large amounts of clotted blood.

Get well soon,


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Marcus LaBarbera


I am available to answer most questions related to: first aid, pre- hospital medicine, EMT and Paramedic questions, medical transport, critical care transport, ICU/CCU care, sedation, and medicine in general.


I have worked as a NYS Paramedic since 1993 for both community based ambulance companies and large commercial agencies. I Have experience as bike team commander, and shift supervisor for a commercial ambulance. As a member of the Disaster team I was deployed to Louisiana for 20 days following hurricane Katrina. I worked along side the county Haz-Mat team as a "Tox-Medic" with advanced training in treating injuries from chemical agents. Besides my experience on the on the ambulance I have worked in a number of hospital based offices including dialysis and a sleep lab.

I started my EMS career as a NYS CFR (Certified First Responder)in 1989, an EMT in 1991, a Paramedic since 1993, and a CCU transport paramedic since 2005. I currently hold certification as a: NYS Paramedic, Critical Care Transport Paramedic, ACLS/CPR/PALS certified. Advanced Haz-Mat Life Support certified (AHLS). In the past I have taught CPR and ACLS to my coworkers and the local community.

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