Hi Lorraine, I don’t personally use albuterol. I was tested several times during pulmonary function testing, and it didn’t make a measurable difference for me. That said, for many people living with bronchiectasis, albuterol is a critical part of their airway clearance routine. It helps open the airways, can make breathing feel easier, and often supports more effective clearance.

There is an important nuance that doesn’t always get discussed. In some individuals, bronchodilators like albuterol may worsen reflux. And reflux, even without classic heartburn, can quietly affect lung health over time.

Albuterol works by relaxing smooth muscle in the airways. That same type of smooth muscle exists in the lower esophageal sphincter, the valve that helps keep stomach contents from moving upward. In susceptible people, studies suggest albuterol can reduce sphincter tone, making reflux more likely.

This does not mean albuterol is harmful or should be avoided. It simply means that awareness, timing, and posture around its use can matter, especially for those who notice reflux or coughing patterns afterward.

I’ll also add that I tend to follow the belief “if it ain’t broken, don’t fix it.” I don’t take additional medications or supplements beyond what I truly need, even though I know they can be very effective for others.

Like so much with bronchiectasis, it’s about understanding how your own body responds and working with your care team to fine-tune what works best for you.

Warm regards,
Linda Esposito