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Mucoid impactions-clearing?

MAC & Bronchiectasis | Last Active: Mar 22 11:53am | Replies (15)

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@pacathy

Thank you, Sue. Their capacity for breeding bacteria is my concern also. The radiologist commented on those areas of mild bronchiectasis and mucoid impactions and said unchanged from CT in Jan 2023 (pre Mayo visit). The report wasn’t available prior to my appointment with Penn pulmonologist and he didn’t comment on those. He was pleased that CT was stable.

I haven’t had MAC, but thought I did for 8 months. While I waited for culture done at Mayo, they had me doing quite aggressive airway clearance including postural drainage 2x/day. Since I didn’t clear the areas at that point, I wonder if it’s possible. Mayo doc decreased AC frequency to daily when cultures came back negative and postural drainage was stopped due to reflux. I’m just doing neb, Aerobika and huffing. I’m doing quite well except when g-kids bring viruses home..

I think when I get back from an upcoming trip, I might try NAC (will be new) and do airway clearance 2x/day for a month again. Can’t hurt, right?

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Replies to "Thank you, Sue. Their capacity for breeding bacteria is my concern also. The radiologist commented on..."

@pacathy Mucoid impaction is the same as mucus plugging. It seems that we all have some degree of mucus plugging. My understanding of the disease process is that mucus plugging/mucoid impaction can lead to bronchiectasis. Airway clearance as you suggested cannot hurt and it can only help with the mucus plugging/mucoid impaction.

Regarding NAC, Mucinex, I've read research articles that show benefit, and research articles that show no benefit. My take: NAC, mucinex break apart the mucus in our lungs and seemingly make it easier to expel. In that breaking apart process does it leave behind some of the broken apart mucus (phlegm) leading to further mucus plugging? Without NAC Mucinex the phlegm globs remain in tact and in theory can be huffed out all in one piece. Still, I would like a pulmonologist with knowledge, training and experience to explain it all to me. Until then do what you feel works for you!