The ‘Brown Phlegm’ Warning: Why UK doctors are issuing an immediate 24-hour alert for over-60s.

January 26, 2026

It is a symptom many of us might dismiss as a lingering winter cold or “smoker’s cough,” but British health experts are now warning that the colour of what you cough up could be a critical clock-starter for your health. For those over the age of 60, noticing a distinct brown or rust-coloured tint in phlegm is no longer something to “wait and see” about. New guidance suggests that failing to act within 24 hours could lead to complications that are far harder to treat.

The 24-hour window: Why timing is everything

When phlegm turns brown, it often indicates the presence of old blood or significant inflammation deep within the bronchial tubes. For the over-60 demographic, whose immune systems may respond more slowly to respiratory threats, this change in colour is a major red flag. Doctors are now advising patients to monitor this symptom closely; if it persists for more than a single day, an immediate consultation is required to rule out more serious underlying conditions such as chronic obstructive pulmonary disease (COPD) or acute bacterial infections.

Decoding the colours of your health

While clear or white mucus is generally considered normal, the shift to darker shades signals that the body is struggling. Brown phlegm, specifically, can be a sign of “rusty” sputum, which is a classic clinical indicator of certain types of pneumonia. Understanding these signals is the first line of defence in maintaining long-term lung health.

  • Clear/White: Usually normal or a viral cold.
  • Yellow/Green: Suggests the immune system is fighting an active infection.
  • Brown/Rust: A high-priority warning sign that requires medical review, especially in seniors.

The role of environmental factors

It isn’t just internal infection that causes these changes. UK doctors point out that poor air quality and damp housing conditions—common issues during the British winter—can exacerbate respiratory issues in older adults. If you live in an area with high pollution or have recently been exposed to dust or smoke, your lungs may be working overtime to clear out debris, resulting in discoloured mucus. However, the 24-hour rule still applies: if the colour doesn’t clear up, the cause is likely medical rather than environmental.

How technology is helping seniors monitor symptoms

Modern health apps and remote GP services are making it easier than ever to get a second opinion without leaving the house. Many NHS-linked apps now allow patients to upload descriptions of their symptoms for rapid triage. This “digital-first” approach is saving lives by catching respiratory distress before it reaches a crisis point. For those over 60, staying tech-savvy could be the most important health tool in their arsenal.

Precaution is your best protection

The message from the medical community is clear: don’t be embarrassed to contact your GP over “just a cough.” It is far better to have a false alarm than to ignore a symptom that indicates a serious shift in your respiratory health. Staying hydrated, using a humidifier if necessary, and keeping up to date with seasonal vaccinations are all vital steps in keeping your lungs clear.

Take action today

Take a moment to check in on your respiratory health and that of your loved ones. If you or someone you know over 60 has noticed a change in phlegm colour, don’t wait for the weekend to pass. Contact a healthcare professional or call NHS 111 for advice. Sharing this information with friends and family could help someone catch a problem before it becomes an emergency. Your health is worth the 24-hour alert!—

Sources: This guidance aligns with respiratory health protocols established by the NHS (National Health Service) regarding sputum colour and the British Lung Foundation’s advice for chronic cough management in the elderly. Always consult a qualified medical professional for a formal diagnosis.

Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always seek the advice of your GP or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read online.