Our Services
Medical Information
Helpful Resources
Published on: 2/27/2026
Constant phlegm usually signals airway irritation or inflammation from things like viral infections, bronchitis or COPD, allergies, asthma, postnasal drip, reflux, or smoking. There are several factors to consider; see below for the full list of causes, why phlegm color alone does not diagnose the problem, and the warning signs that mean you should seek care promptly.
Treatment depends on the cause and can include evaluation tests, inhalers or antihistamines, reflux therapy, selective antibiotics, mucolytics, airway clearance, hydration, and lifestyle changes like quitting smoking, with step by step next medical steps and red flags explained below.
If you constantly feel like you need to clear your throat, cough something up, or deal with thick mucus in your chest or throat, you're not alone. Ongoing phlegm can be uncomfortable, frustrating, and sometimes embarrassing. But it's also your body's way of protecting you.
Understanding why your body is producing excess phlegm can help you decide what to do next — and when it's time to see a doctor.
Phlegm is a type of mucus made in your lungs and lower airways. It's different from the thinner mucus in your nose.
Your body produces mucus to:
In normal amounts, mucus works silently in the background. But when production increases or thickens, you notice it.
Excess phlegm usually happens when your airways are irritated or inflamed. This inflammation signals your body to produce more mucus as a defense mechanism.
Here are the most common causes.
Viral infections often cause:
Phlegm may start clear and become yellow or green. Color alone does not always mean a bacterial infection — it simply reflects immune activity.
Bronchitis is inflammation of the bronchial tubes. It often follows a cold and causes:
If your cough with phlegm lasts more than 3 weeks, you can use Ubie's free AI-powered Acute / Chronic Tracheitis / Bronchitis symptom checker to get personalized insights about what might be causing your symptoms and whether you should seek medical attention.
If you have a daily productive cough with phlegm for at least 3 months per year for two consecutive years, doctors may diagnose chronic bronchitis.
It is commonly linked to:
Symptoms may include:
This condition requires medical care and monitoring.
Sometimes the phlegm sensation isn't coming from your lungs at all.
Postnasal drip happens when excess mucus from your nose drips down the back of your throat. Causes include:
You may notice:
Allergic reactions can trigger excess mucus production in both the upper and lower airways.
Common triggers:
Allergy-related phlegm is often:
Managing the trigger often reduces symptoms significantly.
Asthma causes airway inflammation and narrowing. In some people, phlegm overproduction is a major symptom.
You might notice:
Asthma-related phlegm often worsens with exercise, cold air, or allergens.
Gastroesophageal reflux disease (GERD) can irritate the throat and airways when stomach acid flows upward.
This can lead to:
Many people don't realize reflux can present without heartburn.
Smoke irritates airway lining and damages cilia — tiny hair-like structures that clear mucus.
As a result:
Quitting smoking is one of the most effective ways to reduce chronic phlegm production.
Phlegm color alone rarely gives a full diagnosis, but it can provide clues:
If you notice blood in phlegm, even small amounts, speak to a doctor promptly.
Most causes are treatable and not life-threatening. However, seek medical care if you have:
These symptoms need medical evaluation without delay.
Treatment depends on the underlying cause. A doctor may recommend:
Depending on the cause:
Avoid self-medicating with antibiotics — most phlegm-producing illnesses are viral.
Doctors may suggest:
Water helps thin phlegm, making it easier to clear.
Small changes can reduce ongoing phlegm production:
In most cases, constant phlegm is uncomfortable but manageable. It is often linked to:
However, persistent symptoms deserve attention — not panic, but evaluation.
If you are unsure what is causing your symptoms, Ubie's free AI-powered symptom checker for Acute / Chronic Tracheitis / Bronchitis can help you understand your condition better and determine whether professional medical care is needed.
Phlegm is not the enemy — it's a protective tool your body uses. But when production becomes excessive or persistent, it usually signals inflammation or irritation somewhere in your airways.
Common causes include:
Most cases improve with proper treatment and lifestyle adjustments. But if your symptoms last longer than a few weeks, worsen, or include warning signs like blood, fever, or chest pain, you should speak to a doctor promptly.
Do not ignore symptoms that feel serious or life-threatening. Early medical evaluation can rule out dangerous conditions and provide peace of mind.
If you're experiencing constant phlegm and aren't sure why, take action — monitor your symptoms, consider a structured symptom check, and speak to a doctor about the next best step for your health.
(References)
* Choi SM, Lee J, Lee CH. Airway Mucus Hypersecretion in Chronic Airway Diseases: Pathogenesis and Therapeutic Perspectives. Allergy Asthma Immunol Res. 2018 Nov;10(6):592-601. doi: 10.4168/aair.2018.10.6.592. PMID: 30342930.
* Rogers DF. Mucus hypersecretion and goblet cell hyperplasia in airways. Pulm Pharmacol Ther. 2012 Jun;25(3):214-8. doi: 10.1016/j.pupt.2012.03.004. Epub 2012 Mar 27. PMID: 22469446.
* Wood E, Bozzella MJ. Management of Chronic Airway Mucus Hypersecretion. J Pharm Pract. 2020 Dec;33(6):830-842. doi: 10.1177/0897190019899388. Epub 2020 Jan 31. PMID: 32014065.
* Poole P, Sathananthan A, Fortescue R. Mucolytic agents in chronic obstructive pulmonary disease: a systematic review. Cochrane Database Syst Rev. 2015 Nov 24;2015(11):CD001287. doi: 10.1002/14651858.CD001287.pub5. PMID: 26602371.
* Fahy JV, Dickey BF. Pathophysiology and management of mucus hypersecretion in chronic airway diseases. Am J Respir Crit Care Med. 2017 Aug 15;196(4):422-432. doi: 10.1164/rccm.201611-2234SO. PMID: 28552631.
We would love to help them too.
For First Time Users
We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.
Was this page helpful?
Purpose and positioning of servicesUbie Doctor's Note is a service for informational purposes. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.