Anyone with asthma taking Symbicort have choking problems?

Posted by narelled23 @narelled23, 2 days ago

I have a combination of asthma and bronchiestases along with grass allergies. After resisting Symbicort for many years I have had to acquiess because of an asthma flare. I have heard that Symbicort can thicken mucus and cause other immune problems.

I have found myself waking in the middle of the night choking on thick mucus at the back of my throat. Scary. Have been sipping on warm water to clear it.

Does anyone else have this issue and can anyone add to this/have found a solution?

I am wondering if cutting the Symbicort down a little might help?

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

Profile picture for narelled23 @narelled23

@sueinmn

Oh...I also have severe Sleep apnoea for which I had a dental splint made earlier this year...but have not been using it recently. Any thoughts?

Jump to this post

@narelled23 I use mine every night. I skipped a few nights recently, and felt a lot worse. I soak daily in 1/4 denture tablet & scrub. I soak in 70% alcohol weekly. The dentist said do not boil or stem!

REPLY
Profile picture for narelled23 @narelled23

@sueinmn

Sue I am worried all the throat clearing and coughing has damaged my throat and causing narrowing of airways.

I know you trained yourself out of it...did they say what damage it could cause? Or what could be done to check the area out?

Many thanks. 🙏

Jump to this post

@narelled23 First I saw an ENT to rule out permanent throat damage, then I went to a speech therapist in my pulmonologist's practice to work on coughing.
As for throat clearing, years ago, I realized it was a habit, and I needed to break it. I was taught to sip a little water or use a lozenge (Throat Calm or SoothEez). Or I do a little huff cough or some deep breathing. I'm not perfect, but try to be very aware of it, and if the above techniques don't work, I may need Mucinex, or more airway clearance.

REPLY
Profile picture for Sue, Volunteer Mentor @sueinmn

@narelled23 First I saw an ENT to rule out permanent throat damage, then I went to a speech therapist in my pulmonologist's practice to work on coughing.
As for throat clearing, years ago, I realized it was a habit, and I needed to break it. I was taught to sip a little water or use a lozenge (Throat Calm or SoothEez). Or I do a little huff cough or some deep breathing. I'm not perfect, but try to be very aware of it, and if the above techniques don't work, I may need Mucinex, or more airway clearance.

Jump to this post

@sueinmn I just picked up some Sootheez to try. Glad I did as it contains about 4-5 times the amount of pectin as Ludon's. I remember you writing that one of your care givers said the key to reducing coughing was pectin. The flavors are a bit wacky - birthday cake, berry lemonade, and not cheap. I will save them for times when I really need to prevent a cough.

REPLY
Profile picture for Sue, Volunteer Mentor @sueinmn

@narelled23 First I saw an ENT to rule out permanent throat damage, then I went to a speech therapist in my pulmonologist's practice to work on coughing.
As for throat clearing, years ago, I realized it was a habit, and I needed to break it. I was taught to sip a little water or use a lozenge (Throat Calm or SoothEez). Or I do a little huff cough or some deep breathing. I'm not perfect, but try to be very aware of it, and if the above techniques don't work, I may need Mucinex, or more airway clearance.

Jump to this post

@sueinmn

Thank you so much.. will need to investigate this I think. 🙏

REPLY
Profile picture for Sue, Volunteer Mentor @sueinmn

@narelled23 First I saw an ENT to rule out permanent throat damage, then I went to a speech therapist in my pulmonologist's practice to work on coughing.
As for throat clearing, years ago, I realized it was a habit, and I needed to break it. I was taught to sip a little water or use a lozenge (Throat Calm or SoothEez). Or I do a little huff cough or some deep breathing. I'm not perfect, but try to be very aware of it, and if the above techniques don't work, I may need Mucinex, or more airway clearance.

Jump to this post

@sueinmn
Unfortunately my airway clearance consists of nebulising hypertonic, coughing and throat clearing. 🙄 Am going to find it very difficult to break these habits.

REPLY

In case it may help others, I am pasting below a Lung Clearance technique a physio gave me 8 years ago...and which I wish I had continued with, as the focus is on stopping coughing, but it is also a very effective clearance process.

PULMONARY REHABILITATION MANAGEMENT

AIMS
To increase lung volume, increase effectiveness of cough, decrease need to cough and ultimately
decrease rate of ongoing chest infections.
ACTIVE BREATHING CYCLE
 Perform 1 – 2 cycles, three times a day.
 1 cycle = 4 breaths.
 Try to limit coughing between breaths.
 Aim to cough at the end of 1 cycle.
1. Breathe in slowly and deeply into your lungs as much as you can, breathing right down to
the base of your lungs, trying to fill them with as much air possible.
2. When you cannot take in another inch of air, exhale through your mouth.
3. As you exhale, squeeze your hands onto your ribs and “vibrate” vigourously.
4. Perform this 4 times as one cycle.
5. At the end of a cycle, try a cough or huff to expel any phlegm.
HUFF
Instead of a cough, a huff is an effective way of expelling phlegm that is less tiring, can be more
effective, and less violent.
 Make an O shape with your mouth
 Leave the back of your throat open
 Take in a large breath
 Quickly and forcefully exhale through your open mouth as if you were trying to fog up your
glasses.
 This may cause you to cough up phlegm.
 Try to huff as much as you can, rather than cough.
HYDRATION
Staying hydrated is an important way to thin out the phlegm that is stuck in your lungs, making it far
easier to cough or huff out.
 Drink plenty of water daily
 Take warm showers with the exhaust fan off, to steam your lungs
 Use a warm steam bowl
 Having a shower or steam bowl before your active breathing cycle makes the cycle more
effective.

REPLY
Please sign in or register to post a reply.