Confused about saline
I was diagnosed with bronchiectasis and MAC and am relatively new to this whole battle. I have a constant cough which is much worse at night but no shortness of breath. The mucus I cough up is pretty thin. I have ordered a wedge to elevate my upper body at night and am praying it will help. I was also told I am allergic to dust mites. My nasal drip is pretty bad at times. I am taking an antihistamine.
I repeatedly see mention of 7% saline nebulizer treatment. Does this help with controlling the MAC bacteria and curbing cough? I have asked my pulmonologist about saline with this response: "I don't generally use 7% saline. I use mucomsyt mixed with albuterol to thin the mucus, along with the vest. If this does not work, then I use dornase. "
I am not asking for medical advise but am curious to get your take on this.
At the present time I am using the compression vest 2x per day.
I have a Rx for Albuterol Sulfate, 0.083% for nebulizer. A respiratory therapist (who taught me how to use the compression vest) who said it would not help with cough and she did not think it was necessary.
I am confused and trying to keep the faith that I will find what works. I appreciate your feedback.
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That is great Arlo! I'm glad to hear it is working and helping you improve!!
I would just like to add to this thread that doing aerobic exercise or yoga before I do my airway clearance routine (nebulizing saline, using the aerobica, tapping with cups and postural drainage) really really helps. I couldn't clear my lungs very well until I started exercising daily.
May I know how do you tap with cups? Are they plastic cups?
Is it the same as cupping with your hands? Please tell
Thank you
Do you have a lot of mucus which you couldn’t cough up and now you can because you exercise before clearing session? No matter what I do I produce little and only during 7% saline nebulizing.
Yes, I use the rubbery cups for tapping. I learned a routine with a respiratory therapist. I lie in different positions and tap different parts of my lungs and also use the aerobika while I'm in these positions. I go back and forth between the aerobika and the tapping and different breathing patterns. And then I huff cough
I think it is the same as with hands but I can't do it without the cups. I'm not sure how much the cups help. I feel like the most helpful things are exercising, lying in positions with my head lower than my body, and nebulzing saline
Initially (I've had NTM for about 15 years), I would try to do clearance first thing when I got up and I would clear nothing. Eventually, I figured out that I could clear mucus if I did it later in the day (11 AM or later) after exercising. Also, I need to do the airway clearance routine for a long time (45+ minutes) in order for it to work and even then, sometimes there is nothing. My symptoms improved a lot from this routine (cough went away, more energy).
can you please describe your routine, what sepecifically you do and for how long. What are those cups;
thank you- I am searching for other people experiences to clear mucus if you have little
Lilianna
When you finally get to the huff cough, is it one time or do you keep trying the huff cough?