How much mucus are you clearing with each nebulising/airways clearance

I just finished 5 yrs of allergy shots and no obvious improvement! Will get retested probably in a few months. There was blood work improvement - lower IGE scores etc. We had a horrible oak pollen season here this year because we never had a frost and my asthma was off the charts and I am not fully recovered yet. I can truly say at this point there is no guaranteed rhyme or reason to the mucus production. Some times I have what I call a "storm" which causes massive coughing mucus and nose blowing then it stops after about an hour. Other times it's all day long. Night thank God is quiet.

Has your doctor mentioned a biologic yet? And have you tried singular? It helped my asthma a lot but gave me terrible body aches so I had to stop it (rare side effect). Spiriva dried up mucus way too much making airway clearance next to impossible. Now I take albuterol inhaler before clearance and symbicort twice a day. An allegra only before allergy shot, which is too drying to chest also. No easy answers.

Such a good point about other airway diseases contributing to symptoms! It's a mystery to me how much asthma contributes to the mucus. I know COPD contributes from what I've read.

I'm taking allergy shots, 1st out of 5 years on maintenance. I also did shots in my 20s. Honestly, so far I don't notice a huge difference but was in my son's apartment with a cat and did not sneeze. Lately I've noticed wheezing after levalbuterol, which is weird. So I started using albuterol inhaler and not as much wheezing. I might be among few who cannot tolerate levalbuterol.

Changes in barometric pressure are a trigger for me too!

Has your doctor mentioned a biologic yet? And have you tried singular? It helped my asthma a lot but gave me terrible body aches so I had to stop it (rare side effect). Spiriva dried up mucus way too much making airway clearance next to impossible. Now I take albuterol inhaler before clearance and symbicort twice a day. An allegra only before allergy shot, which is too drying to chest also. No easy answers.

I just finished 5 yrs of allergy shots and no obvious improvement! Will get retested probably in a few months. There was blood work improvement - lower IGE scores etc. We had a horrible oak pollen season here this year because we never had a frost and my asthma was off the charts and I am not fully recovered yet. I can truly say at this point there is no guaranteed rhyme or reason to the mucus production. Some times I have what I call a "storm" which causes massive coughing mucus and nose blowing then it stops after about an hour. Other times it's all day long. Night thank God is quiet.

I have just measured the cup I use and it is 7 oz. I produce this much at least twice a day. It is always light, foamy and white...with occasional heavier white aspects.

I don't recall being tested for Pseudo. It is only in the last 18 months since nebulising that I was in a position to measure it and have been producing that much for 6-9 months. Not sure how much beforehand. Never thought to mention it to anyone. I have only ever been asked once years ago and then I estimated a tabsp.

Thank you so much for answering my question. It seems so many don't produce much I am just learning.

Perhaps I should be tested for Pseudo too.

Thank you so much. I probably need to try again to find a GP (Australia) who has more experience in airways disease. Difficult to find a good reliable person.

I am not sure to what degree asthma plays into my symptoms but the treatments I used to be on (Symbicort) didn't seem to do anything for my cough which was my principal complaint...and this seems to be connected to mucus. So I was often non compliant with Symbicort.

However since stopping the PPIs (very bad reflux and hiatus hernia) and Spiriva and taking on the LM protocol I am producing sooo much mucus. Have also been diagnosed with MAC recently. The mucus production is becoming worse still.

I have a specialist appointment this month so will see what they recommend. However i am concerned by using drugs with bad side effects.

Yes as Irene said "glad you posted this question".
I myself also have white, foamy, bubbly with Nebulizing. I have a good amount each time I nebulize and as well during the day. I have to stop every fiftth breath and clear it out into the Solo Cup I keep close by to place it in. I have shown it to at least three pulmonologists and they say they don't know what it is. I think I read, hopefully others may know if this is so, nebulizing brings moisture into the lungs. That doesn't seem right but an infectious disease doctor referred to what I showed him as moisture when I showed him it via the picture I took of the solo cup with the white, foamy, bubbly susbtance in it. I have a hiatal hernia and it is my understanding that we should follow the acid reflux diet etc. with a Hiatal Hernia. I believe it is the silent reflux they speak of. Acid relux can cause a back flow of substances and the constant clearing of the throat. It is so hard to tell what the real source is or if it is multiple problems....including drainage into the throat???? It is also worse after eating. I read on another forum a person speak of the constant 24/7 mucus and they had either acid reflux or the hiatal hernia. I was taken liquid guaifenesin until the other day when I read that it should not be taken with having GERD and probably therefore with a hiatal hernia. I am testing how I do without the guaifenesin along with doing my best efforts with airway clearance. As yet I have only been on the 7% saline solution without any doctor prescribed medications....I feel fine but I am beginning to have soreness at what appears to be the area just above my waist. Probably from trying to release all in my throat and airways and maybe not doing the huff coughing just right? For me I'm not the best at the huff coughing technique as yet. Hope we can keep this question going to see what those of us who have the white , foamy, bubbly and constant need of clearing of the throat have in common as medical problems. My definitive diagnosis is Bronchiectasis, Hiatal Hernia and a supposed small amount of MAI. No antibiotics prescribed as yet.

Regarding medications, it's basically a risk benefit calculation as all medications have risks. Perhaps you could take a short term (2-4 week) PPI to see if it makes a difference in your cough/sputum. People who can go off a PPI are those who eliminate all triggers and pay close attention to eating alkaline food. In other words, they eliminate acidic foods. I am not that person. That is some serious time and work to figure out. Plus I have a husband to feed!

COPD includes chronic bronchitis and emphysema. Bronchiectasis is not considered COPD, nor is asthma. My understanding is that one is considered to have COPD if the FEV₁ / FVC ratio is less than 70. Many people's spirometry changes throughout the year, sometimes improved sometimes worse, so take the ratio of 70 with a grain of salt and have a discussion with your doctor.

Do you know about the Bronchiectasis Toolkit? It was created in Australia! Maybe you could contact them for info on doctors who treat bronchiectasis and MAC. There's also NTM.org to check out.
https://bronchiectasis.com.au

I have just measured the cup I use and it is 7 oz. I produce this much at least twice a day. It is always light, foamy and white...with occasional heavier white aspects.

I don't recall being tested for Pseudo. It is only in the last 18 months since nebulising that I was in a position to measure it and have been producing that much for 6-9 months. Not sure how much beforehand. Never thought to mention it to anyone. I have only ever been asked once years ago and then I estimated a tabsp.

Thank you so much for answering my question. It seems so many don't produce much I am just learning.

Perhaps I should be tested for Pseudo too.