What to do if you can’t spit out spit can’t be generalized, first of all, you have to find the reason why you can’t spit out spit. After bacteria, virus, mycoplasma, chlamydia and other pathogenic microorganisms infect the respiratory system, if the sputum is sticky, there will be coughing and spitting out symptoms. At this time, the main thing is to treat the cause, such as viral infection, you can give anti-viral treatment, or Chinese herbal medicine evidence-based treatment. If it is caused by bacterial infection, antibiotic anti-infection treatment can be given, commonly used are amoxicillin for penicillin, cefuroxime for cephalosporin, azithromycin for macrolide, etc. In the case of adults over 18 years old, anti-infective treatment can also be given with antibiotics of the quinolone class, such as levofloxacin mesylate. If the infection is caused by atypical pathogens such as mycoplasma and chlamydia, anti-infective treatment can be given with antibiotics of macrolides or quinolones. Of course, if coughing and sputum cannot be spit out, you can also give some phlegm-suppressing drugs, such as aminoglutethimide hydrochloride and acetylcysteine, which are taken orally and have the effect of diluting sputum and promoting sputum discharge. Of course, it is also possible to directly nebulize the phlegm with phlegm-dissolving drugs, such as acetylcysteine, which can be used to dilute phlegm and promote the discharge of phlegm through nebulization.