<s>[INST] Hello I am Julie YYYY@YYYY I am Julie Anna Sparks was born June 4, 1981 in Prestonsburg Kentucky and well now I am currently living in West Liberty Kentucky and I have Asthma and a form of COPD but never smoked, but have been around a great deal of second hand smoke. But here is my problem I cough but when I cough I bring up worm like stuff really thick but not big hunks just small worm like junk. Some yellow, some white, but on some times it has a hint of blood. I don t travel I know it isn t Ebola, and I haven t been around others in that area I know that but what the heck is this goop? [/INST] Thanks for your question on Chat Doctor. I can understand your concern. You are having thick mucus plugs. And this is sign of uncontrolled asthma and COPD (chronic obstructive Pulmonary disease). Treatment for This is 1. Inhaled bronchodilators and inhaled corticosteroid (ICS). 2. Oral bucolic, expectorant and antioxidants to clear this thick mucus plugs. 3. Enroll yourself in Pulmonary Rehabilitation center where chest physiotherapy and deep breathing exercises are done. These will also improve plugs and lung function. 4. Vaccinate yourself with adult Pulmonary vaccines like pneumococcal and Influenza vaccines to prevent recurrent respiratory tract infection. So consult pulmonologist, discuss all these and start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. </s>