Sore throat for 2 weeks coughing up mucus

Medically Reviewed by Jennifer Robinson, MD on April 08, 2022

A cold can sometimes turn into bronchitis. It's important to know what to expect and when something more serious is going on.

Should I Call My Doctor About a Cough?

A cough is a common cold symptom. Your lungs may be irritated, or your body might be trying to get rid of phlegm or mucus. But if you’re still coughing after the cold is gone, call your doctor.

Tell them how long you’ve had the cough. Also note whether anything seems to make it worse, any other unusual feelings, and whether you cough up mucus.

A new cough, fever, or shortness of breath could be a sign of COVID-19, the illness caused by the new coronavirus. Call your doctor to talk about your symptoms and whether you need to come into the office.

Go to the doctor if you’re coughing up thick green or yellow phlegm or if you’re wheezing, running a fever higher than 101 F, having night sweats, or coughing up blood. These may be signs of a more serious illness that needs treatment.

A long-lasting cough may be a sign of asthma. Sometimes, doctors call this "cough-variant asthma." Triggers include respiratory infections like a cold or flu, dust, cold air, exercise, and allergens. Asthma may be responsible for up to 25% of all long-term coughs.

See More: A Visual Guide to Bronchitis

What Is Bronchitis or a Chest Cold?

Bronchitis happens when the airways in your lungs are inflamed and make too much mucus. There are two basic types of bronchitis:

  • Acute bronchitis is more common and usually is caused by a viral infection. Acute bronchitis may also be called a chest cold. Episodes of acute bronchitis can be related to and made worse by smoking. People often describe this type of bronchitis as worse than a regular cold but not as bad as pneumonia.
  • Chronic bronchitis is a cough that lasts for 2 to 3 months each year for at least 2 years. Smoking is the most common cause of chronic bronchitis. Other causes include exposure to second-hand smoke, air pollution, dust and toxic gases.

What Are the Symptoms of Bronchitis?

Symptoms of bronchitis include:

  • Coughing a lot, with mucus
  • A lack of energy
  • A wheezing sound when you breathe
  • A fever

Should I Call the Doctor About Bronchitis?

See your doctor if you have any of these symptoms:

  • A cough that lasts more than 2 to 3 weeks
  • A fever
  • A cough that produces blood or thick or colored mucus
  • Shortness of breath or wheezing

Can I Treat Bronchitis at Home?

If you have bronchitis, you should:

  • Drink fluids every 1 to 2 hours unless your doctor limits your fluid intake.
  • Rest.
  • Don't smoke.
  • Ease body aches by taking a nonsteroidal anti-inflammatory drug (NSAID), such as ibuprofen or naproxen, or another painkiller such as acetaminophen (Tylenol). (If you’re taking any other drugs, talk to your doctor to make sure they won’t interact with painkillers.)
  • Follow your doctor's directions on ways to clear your mucus.
  • If you cough up mucus, note how often you cough as well as the color and amount of mucus. Report this to your doctor.

If you have a dry cough with little to no mucus, your doctor may prescribe cough medicine. They may also recommend an expectorant to help loosen mucus so you can cough it up more easily.

Because viruses cause most cases of bronchitis, antibiotics usually don’t help. But you might take them if you have a bacterial infection or if you have other lung problems.

How Can I Avoid Getting Bronchitis?

  • Don't smoke.
  • Don't allow others to smoke in your home.
  • Stay away from or reduce your time around things that irritate your nose, throat, and lungs, such as dust or pets.
  • If you catch a cold, get plenty of rest.
  • Take your medicine exactly the way your doctor tells you.
  • Eat a healthy diet.
  • Wash your hands often.
  • Don’t share food, cups, glasses, or eating utensils.

What is acute bronchitis?

Bronchitis is inflammation of the breathing tubes. These airways are called bronchi. This inflammation causes increased mucus production and other changes. Although there are several different types of bronchitis, the most common are acute and chronic. Acute bronchitis may also be called a chest cold.

Most symptoms of acute bronchitis last for up to 2 weeks. The cough can last for up to 8 weeks in some people. Chronic bronchitis lasts a long time. It is more common among smokers.

What causes acute bronchitis?

Acute bronchitis is usually caused by a viral infection. This is most often the same viruses that cause colds and the flu. It may also be caused by a bacterial infection, or by physical or chemical agents that are breathed in. These may include dusts, allergens, and strong fumes, including those from chemical cleaning compounds or tobacco smoke.

Acute bronchitis may come after a common cold or other viral infections in the upper respiratory tract. It may also occur in people with chronic sinusitis, allergies, or those with enlarged tonsils and adenoids. It can be serious in people with lung or heart diseases. Pneumonia is a complication that can follow bronchitis.

What are the symptoms acute bronchitis?

The following are the most common symptoms of acute bronchitis. However, each person may experience symptoms differently. Symptoms may include:

  • Back and muscle pain
  • Cough, first dry (non-productive), later, a lot of mucus is produced
  • Chest soreness
  • Chills
  • Feeling tired and achy
  • Headache
  • Runny nose
  • Slight fever
  • Shortness of breath
  • Sore throat
  • Watery eyes
  • Wheezing

The symptoms of acute bronchitis may look like other conditions or medical problems. Talk with a healthcare provider for a diagnosis.

How is acute bronchitis diagnosed?

Healthcare providers can often diagnose acute bronchitis by taking a medical history and doing physical exam. Tests may be done to rule out other diseases, such as pneumonia or asthma. Any of these tests may be used to help confirm a diagnosis:

  • Chest X-rays. A test that uses invisible radiation beams to make images of internal tissues, bones, and organs, including the lungs.
  • Arterial blood gas. This blood test is used to analyze the amount of carbon dioxide and oxygen in the blood.
  • Pulse oximetry. An oximeter is a small machine that measures the amount of oxygen in the blood. To get this measurement, a small sensor is taped or clipped on a finger or toe. When the machine is on, a small red light can be seen in the sensor. The sensor is painless and the red light does not get hot.
  • Cultures of nasal discharge and sputum. Testing the sputum you cough up or swab from your nose may be done to find and identify the microorganism causing the infection.
  • Pulmonary function tests. These are tests that help to measure the ability of the lungs to move air in and out of the lungs. The tests are usually done with special machines that you breathe into.

How is acute bronchitis treated?

Acute bronchitis is usually mild and does not cause complications. The symptoms often resolve on their own and lung function goes back to normal.

In most cases, antibiotics are not needed to treat acute bronchitis. That’s because most of the infections are caused by viruses. Antibiotics are not effective against viruses. If it has progressed to pneumonia, then antibiotics may be necessary.

Treatment is aimed at treating the symptoms, and may include:

  • Avoiding exposure to secondhand smoke
  • Cough medicine
  • Humidifying the air
  • Increased fluid intake
  • Pain relievers and fever reducers, such as acetaminophen (Tylenol)
  • Quitting smoking

Avoid antihistamines because they dry up the secretions and can make the cough worse.

What are the complications of acute bronchitis?

Acute bronchitis can worsen and progress to chronic bronchitis or pneumonia. If this happens, a different treatment may be necessary.

Can bronchitis be prevented?

Acute bronchitis can’t always be prevented. However, there are shots you can get to prevent its complications, such as pneumonia.

Check with your healthcare provider about getting the flu and pneumococcal shots. Getting a flu shot every year can help prevent both the flu and pneumonia. The pneumococcal shot can protect you from a common form of bacterial pneumonia.

Anyone can get pneumococcal disease. However, children younger than age 2, adults ages 65 and older, people with certain medical conditions, and smokers are at the highest risk.

When should I call my health care provider?

Most often, bronchitis resolves on its own. If your symptoms worsen or don’t get better over time, call your healthcare provider.

Key points

  • Bronchitis is inflammation of the breathing tubes. These airways are called bronchi. There are several different types of bronchitis. The two most common are acute and chronic.
  • Acute bronchitis is usually caused by the same viruses that cause colds and the flu. It may also be caused by a bacterial infection, or by physical or chemical agents that are breathed into the lungs.
  • The most common symptoms for acute bronchitis include cough, chest soreness, runny nose, feeling tired and achy, headache, chills, slight fever, and sore throat.
  • Healthcare providers can often diagnose acute bronchitis by taking a medical history and doing physical exam. Blood tests, breathing tests, and imaging tests may also be used.
  • In most cases, antibiotics are not needed to treat acute bronchitis. If it progresses to pneumonia, then antibiotics may be necessary. Treatment is aimed at managing the symptoms.

Next steps

Tips to help you get the most from a visit to your healthcare provider:

  • Know the reason for your visit and what you want to happen.
  • Before your visit, write down questions you want answered.
  • Bring someone with you to help you ask questions and remember what your healthcare provider tells you.
  • At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your healthcare provider gives you.
  • Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
  • Ask if your condition can be treated in other ways.
  • Know why a test or procedure is recommended and what the results could mean.
  • Know what to expect if you do not take the medicine or have the test or procedure.
  • If you have a follow-up appointment, write down the date, time, and purpose for that visit.
  • Know how you can contact your healthcare provider if you have questions.

Is it normal to have a mucus cough for 2 weeks?

Two-plus weeks of coughing is quite common in most cases of viral respiratory infections such as mine, says Matthew Mintz, an internist with George Washington Medical Faculty Associates. The average duration of cough, according to a recent study, is 18 days. If you think that seems like a long time, you're not alone.

Do you need antibiotics if your coughing up phlegm?

Avoid cough medicines, as there's little evidence they work, and coughing actually helps you clear the infection more quickly by getting rid of the phlegm from your lungs. Antibiotics aren't recommended for many chest infections, because they only work if the infection is caused by bacteria, rather than a virus.

What does a sore throat and coughing up mucus mean?

Cough and excess mucus production are common symptoms of upper respiratory tract infections. These illnesses will typically also cause: sore throat. runny nose.

Does coughing up mucus mean your getting better?

However, if you have other respiratory illnesses such as bronchitis or pneumonia with COVID-19, you may have a wet cough that contains mucus. Does coughing up mucus mean you're getting better? In most cases, coughing up mucus means your body is working to fight off an infection, and it is in the healing stages.