Metallic Taste When Coughing: Causes, Symptoms, and Treatment
Published on September 9, 2024
Key Takeaway
A metallic taste when coughing is often caused by upper respiratory infections or blood in the phlegm, but can also be a side effect of certain medications or medical conditions.
Introduction
Have you ever noticed a metallic taste in your mouth when coughing? This peculiar sensation can be both surprising and concerning. While it's often harmless and temporary, understanding its potential causes can help you determine whether it's time to consult a healthcare professional.
Common Causes of Metallic Taste When Coughing
Several factors can contribute to experiencing a metallic taste when coughing:
1. Upper Respiratory Infections
One of the most common reasons for a metallic taste when coughing is an upper respiratory infection, such as a cold or sinus infection. According to Healthline, these infections can cause inflammation in your nasal passages and throat, leading to changes in taste perception. The phlegm produced during these infections may contain small amounts of blood, which can contribute to the metallic taste.
2. Blood in the Phlegm
Sometimes, the metallic taste is due to the presence of blood in your phlegm. This can occur when frequent coughing irritates the throat or respiratory tract. While a small amount of blood is usually not cause for concern, persistent or significant bleeding should be evaluated by a doctor.
3. Medication Side Effects
Certain medications can cause a metallic taste as a side effect. For example, metronidazole (Flagyl) is known to leave a bitter, metallic taste in the mouth. If you're experiencing this symptom and have recently started a new medication, consult your healthcare provider or pharmacist.
4. Sinus Drainage
Post-nasal drip from sinus issues can sometimes cause a metallic taste when coughing. The mucus draining down the back of your throat may contain substances that alter your taste perception.

Associated Symptoms and When to Seek Medical Attention
While a metallic taste when coughing is often benign, it can sometimes be accompanied by other symptoms that warrant medical attention. Healthline advises seeking medical care if you experience:
- A fever of 103°F (39.4°C) or higher
- A fever lasting more than 5 days
- Coughing up large amounts of blood
- Difficulty breathing
- Chest pain
These symptoms could indicate a more serious condition that requires prompt medical evaluation.
Treatment Options
Treatment for a metallic taste when coughing depends on the underlying cause. For common colds and upper respiratory infections, over-the-counter medications can help manage symptoms:
- Pain relievers like acetaminophen or ibuprofen for aches and fever
- Decongestants to reduce congestion
- Cough suppressants to manage persistent coughing
For medication-induced metallic taste, your doctor may adjust your dosage or prescribe an alternative. In some cases, simply staying hydrated and practicing good oral hygiene can help alleviate the metallic taste.

Prevention and Management
While you can't always prevent a metallic taste when coughing, there are steps you can take to manage it:
- Stay hydrated to help thin mucus and reduce irritation
- Use a humidifier to moisten the air and soothe your respiratory tract
- Practice good oral hygiene to minimize taste disturbances
- Avoid smoking and exposure to secondhand smoke
Conclusion
A metallic taste when coughing is often a temporary symptom associated with common conditions like colds or sinus infections. However, if the taste persists, is accompanied by concerning symptoms, or significantly impacts your quality of life, it's important to consult a healthcare professional. They can help identify the underlying cause and recommend appropriate treatment options to address both the metallic taste and any associated health issues.