Mucus Clearing

I have severe Gerd and LPR an am taking two Nexium and 3 Famatidine. The condition leaves me drowning in clear frothy liquid.

You might be able to purchase saline on Amazon. Honestly, I could not manage my bronchiectasis without hypertonic saline. I am not sure why saline is not recommended in Canada. In bronchiectasis our secretions are dehydrated, which is why they are thick and sticky. Saline helps re-hydrate secretions so that it can be coughed up and out.

Newly diagnosed Bronchieactasis and Sjogrens My treatment 3 times per day is 2 ventolin puffs then Aerobika device huff breathing and Autogenic draining breathing I don’t cough up anything. Approx 3 hours later I start coughing and either I swallow or the mucous just gets stuck in the airways or throat. I was thinking it’s because I was also diagnosed with Sjogrens and there is a lack of saliva to transport and expel spit out the mucous. I live in canada and in general we cannot get a treatment plan that includes hypertonic saline and can’t buy it.

They only sell it on Amazon USA and the message comes up doesn’t ship to Canada.

In general the hypertonic saline if at all is only used in the hospital for inpatients.

Similarity there are no respiratory physiotherapists you can see as an out patient from the hospital.

No respirology nurses to ask questions of.

Hello hockeygirl771 - Interesting that you are using both medications, PPI's. I take it you have researched all with regard to the PPI's.??? It is such a hard call when it comes to taking medication.
I, 99% of the time, follow the diet suggested for Acid Reflux due to what I read about Hiatal Hernia's and knowing many people with BE, Bronchiectasis have Acid Reflux, per NJH belief and findings. For me if I find I slide down at night from the wedge pillow as I sleep and am nearly flat on my back I wake up with a burning tongue. I believe it is acid causing it...I don't have heartburn or food regurgitation during the day just this feeling of a lump in my throat.
From what I read a good while ago and just again now with posting this..."If you have water brash, your salivary glands work overtime producing excessive saliva (spit) while the acid rises. While there isn’t a set amount of spit, some people with water brash salivate up to 10 milliliters (2 teaspoons) per minute." Apparently the body overproduces saliva to help protect the system with the harm acid can do. As stated it is called Water Brash per Cleveland Clinc, info is on line. Long before I was diagnosed with my Hiatal Hernia and BE I researched and researched knowing something was wrong with me and I did come up with the possibility of Water Brash but my Primary Care Doctors response was, "I don't know what that is, never heard of it"
When I do the nebulizing and even without nebulizing and coughing up what appears to want to come up and out I have a white bubbly frothy amount at the top of a clear liquid. In it also can be saliva, mucus plugs that mostly float to the bottom of the clear solo cup in the clear moisture/liquid.
I consider the white bubbly frothy as the moisture/ liquid coming from the lungs filled with air. What I bring up in between nebulizing when I have that feeling of needing to clear my throat, is a feeling of a lump in my throat and it does appear to be saliva with clear bubbly liquid/moisture that comes up.
So all in all with all I have listened to and read and with what I came up with a good couple of years ago in my self diagnose it is probably water brash. Don't truly know For now to give myself an answer I am going with Water Brash until I can get a doctor to confirm what I need to know.
Barbara

Thanks for that mention of " In bronchiectasis our secretions are dehydrated,". Had not heard that or thought of that.
I think dehydration has played a huge role in the multiple of possible reasons why I finally came down with BE, Bronchiectasis. I had been diagnosed with being dehydrated for years and still have a hard time getting to the point where the doctor doesn't have to say "Your dehydrated."
Every time I drink water I immediately afterwards have that feeling of a lump in my throat needing to be cleared. I try so very hard to get enough water in but it ain't that easy considering multiple of factors, but I am not giving up.
Thanks for your replies Scoop.
Barbara

Perhaps LPR? Classic symptom is lump in throat sensation.

Have you tried a pillow under your bum to keep from sliding down the wedge? It works for me and hope it might for you.

I have a "recipe" from another group for inhaled saline. I am happy to share with you. It needs to be made and stored under sterile conditions.

You may already do this but are you drinking enough water and is the water that you drink warm water....not scalding hot etc. Sad to say my local pulmonologist, when I was first diagnosed, implied water doesn't help....shameful....and one of the reasons I took myself to NJH.
Paxmundi on this "blog" finds the warm water helps a great deal and I do also. Warmth, in general, loosens things including the mucus. I put a touch of honey in my warm water a couple of times during the day. It does seem to help... much of the time after doing that I bring up mucus/mucus plugs......and that often happen a good while after my nebulizing.
Barbara

Hello hockeygirl771 - Interesting that you are using both medications, PPI's. I take it you have researched all with regard to the PPI's.??? It is such a hard call when it comes to taking medication.
I, 99% of the time, follow the diet suggested for Acid Reflux due to what I read about Hiatal Hernia's and knowing many people with BE, Bronchiectasis have Acid Reflux, per NJH belief and findings. For me if I find I slide down at night from the wedge pillow as I sleep and am nearly flat on my back I wake up with a burning tongue. I believe it is acid causing it...I don't have heartburn or food regurgitation during the day just this feeling of a lump in my throat.
From what I read a good while ago and just again now with posting this..."If you have water brash, your salivary glands work overtime producing excessive saliva (spit) while the acid rises. While there isn’t a set amount of spit, some people with water brash salivate up to 10 milliliters (2 teaspoons) per minute." Apparently the body overproduces saliva to help protect the system with the harm acid can do. As stated it is called Water Brash per Cleveland Clinc, info is on line. Long before I was diagnosed with my Hiatal Hernia and BE I researched and researched knowing something was wrong with me and I did come up with the possibility of Water Brash but my Primary Care Doctors response was, "I don't know what that is, never heard of it"
When I do the nebulizing and even without nebulizing and coughing up what appears to want to come up and out I have a white bubbly frothy amount at the top of a clear liquid. In it also can be saliva, mucus plugs that mostly float to the bottom of the clear solo cup in the clear moisture/liquid.
I consider the white bubbly frothy as the moisture/ liquid coming from the lungs filled with air. What I bring up in between nebulizing when I have that feeling of needing to clear my throat, is a feeling of a lump in my throat and it does appear to be saliva with clear bubbly liquid/moisture that comes up.
So all in all with all I have listened to and read and with what I came up with a good couple of years ago in my self diagnose it is probably water brash. Don't truly know For now to give myself an answer I am going with Water Brash until I can get a doctor to confirm what I need to know.
Barbara