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Anxiety and stress with Bronchiectasis

MAC & Bronchiectasis | Last Active: Nov 2 7:07am | Replies (28)

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@pacathy Interesting that your doctor said 1x a day would be O.K. because you do not have an infection. Do you do your nebulizing/therapy in the evening or morning the 1x a day.
I would think we still have the same amount of mucus to get up and out each day infection or no infection????? I thought that the 2x a day was to get all up that accumulated during the day with eating etc. etc. and the morning for all that build up in the lungs at night???? Have you noticed no mucus plugs, less mucus plugs or more mucus plugs. I call the mucus plugs the specs that come up that are soft and colored....yellow/yellow green tinge.
Just wondering.
Barbara

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Replies to "@pacathy Interesting that your doctor said 1x a day would be O.K. because you do not..."

@blm1007blm1007 People don't have the same amount of mucus. The body secretes more when there's inflammation, especially in the setting of infection. Think about having a cold-there's much more mucus is present. Google inflammatory cascade. With an infection in lungs, more mucus is produced, especially colored mucus. Some people's immune systems overreact, causing chronic inflammation and even more mucus.

About 25 percent of us have dry bronchiectasis with little sputum production. Since my sinuses are under control, I have very little sputum. It's why some of us need sputum induction or bronchoscopies to get specimens.

Personally, I wouldn't call soft mucus a plug. A plug is usually mucus that is drier and harder than regular mucus and "plugs" airways. I had a few on CT's.
I do clearance in the morning. I figure it helps lungs stay clearer. Expanding lungs is easier and happens more naturally when upright during day. I'm also less likely to get busy and skip it.
Btw, it was the Mayo doc I asked about cutting it back 2 years ago. She called to tell me bronchoscopy culture for MAC was negative, a surprise to them. My Penn doc agrees it's ok.