In addition to lab tests, sputum or mucus from a cough can be visually examined to determine whether bronchitis is viral, bacterial, or both. Clear or white mucus often indicates a viral infection, while yellow or green mucus may suggest a bacterial infection.
Small amounts of white mucus may be coughed up if the bronchitis is viral. If the color of the mucus changes to green or yellow, it may be a sign that a bacterial infection has also set in. The cough is usually the last symptom to clear up and may last for weeks.
The likelihood ratio of a positive test would indicate how likely it is that a yellowish or greenish sputum will be found among people with a bacterial infection compared with those without.
Bacterial Infections
Symptoms persist longer than the expected 10-14 days a virus tends to last. Fever is higher than one might typically expect from a virus. Fever gets worse a few days into the illness rather than improving.
After 2 or 3 days, mucus may change to a white, yellow, or green color. This is normal and does not mean you need an antibiotic. Some symptoms, especially runny or stuffy nose and cough, can last for up to 10 to 14 days. Those symptoms should improve over time.
Signs and symptoms of a chest infection
coughing up yellow or green phlegm (thick mucus), or coughing up blood.
Red or pink phlegm can be a more serious warning sign. Red or pink indicates that there's bleeding in your respiratory tract or lungs. Heavy coughing can cause bleeding by breaking the blood vessels in the lungs, leading to red phlegm. However, more serious conditions can also cause red or pink phlegm.
Changes in mucus color, from clear to white to yellow to green, are part of the normal course of an illness. It's a sign that your immune system is fighting to get better. Pink, red, orange, or brown snot, on the other hand, is typically not from an illness.
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. Drink plenty of fluids to help thin the mucus.
In addition to lab tests, sputum or mucus from a cough can be visually examined to determine whether bronchitis is viral, bacterial, or both. Clear or white mucus often indicates a viral infection, while yellow or green mucus may suggest a bacterial infection.
Coughing up phlegm is a symptom of infections like the flu and common cold. Phlegm is a specific type of mucus that originates in your lungs and throat. It's slightly thicker than the mucus that's produced in your nose and sinuses. Another name for phlegm is sputum.
Common symptoms of pneumonia include: a cough – which may be dry, or produce thick yellow, green, brown or blood-stained mucus (phlegm)
Even if you're coughing up yellow or green phlegm, you might not need antibiotics. Your mucus color alone can't tell you if a virus or bacteria is causing your cough. If your cough lasts longer than 3 weeks, it's time to see a healthcare provider. You may need an X-ray or antibiotics.
Diagnosing the infection can involve imaging to examine the sinuses and a mucus culture. Taking a sample of mucus from the nose or sinuses will help your surgeon determine if a bacteria is to blame and, if so, what type of bacteria is responsible.
Your doctor may prescribe antibiotics if the symptoms are severe and include high fever along with nasal drainage and a productive cough. Antibiotics may also be necessary if you feel better after a few days and then your symptoms return or if the infection lasts more than a week.
Green and cloudy: viral or bacterial infection
A lot of the symptoms of viral infections – fever, cough, headache, loss of smell – overlap for COVID-19 and other viral infections like the flu, respiratory syncytial virus and the common cold. That's why COVID-19 testing and seeing a doctor is so important.
Clear snot is in the normal range, while white mucus can mean you're congested and yellow or green mucus can sometimes mean that you have an infection.
Green or Yellow Mucus
It's no reason for concern, and in fact, it means your body is working extra hard to fight off infection. White blood cells rush to battle infection, and when they've done their job, they get flushed out of the body along with the virus.
Early symptoms are similar to influenza symptoms: fever, a dry cough, headache, muscle pain, and weakness. Within a day or two, the symptoms typically get worse, with increasing cough, shortness of breath and muscle pain. There may be a high fever and there may be blueness of the lips.
Bronchitis is an infection of the main airways of the lungs (bronchi), causing them to become irritated and inflamed. The main symptom is a cough, which may bring up yellow-grey mucus (phlegm).
Cough. Production of mucus (sputum), which can be clear, white, yellowish-gray or green in color — rarely, it may be streaked with blood. Fatigue. Shortness of breath.
But unless you've got other symptoms like aches or fever, get dressed and go to work! If you've been sick for a few days and you now cough up darker yellow mucus, it's still probably just a cold. But if it goes on this way for more than a week, it's a good idea to see your doctor.
If you have a bacterial chest infection, you should start to feel better 24 to 48 hours after starting on antibiotics. You may have a cough for days or weeks. For other types of chest infections, the recovery is more gradual. You may feel weak for some time and need a longer period of bed rest.
See a GP if you have a chest infection and:
you feel very unwell or your symptoms get worse. you cough up blood or blood-stained mucus. you've had a cough for more than 3 weeks.