Meaning of cough out

1. He tried to cough out the piece of food stuck in his throat.
2. The child coughed out a cloud of dust after playing in the sandbox.
3. I had to cough out the phlegm that was making it hard for me to breathe.
4. The cat coughed out a hairball onto the carpet.
5. She coughed out a laugh when she heard the funny joke.
6. The smoker coughed out a lungful of smoke.
7. He coughed out the words, struggling to speak with his sore throat.
8. The old man coughed out a raspy sound, signaling his need for water.
9. The runner had to stop and cough out a stitch in her side.
10. She coughed out a confession, unable to keep the secret any longer.