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