← Return to small study: high dose NAC might help bronchiectasis patients

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Profile picture for Sue, Volunteer Mentor @sueinmn

@narelled23 Here is a lengthy discussion from last year on the topic of too much clearance.
https://connect.mayoclinic.org/discussion/is-too-much-airway-clearance-damaging/
Remember, our airways are meant to be ''bathed'' in mucus for lubrication, trying to eliminate all of it means the body will rebel and produce even more mucus, setting up a vicious cycle. The goal of airway clearance is to remove some of the excess mucus, making it easier to breathe and giving bacteria less of a breeding ground.

I am glad you finally got respiratory therapy help. It was very valuable to me. What suggestions do you have for others at this point?

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Replies to "@narelled23 Here is a lengthy discussion from last year on the topic of too much clearance...."

@sueinmn Thank you Sue.

I had been using hypertonic nebulising only once a day for the last year or so, but seem to have gotten into a long term habit of coughing/feeling the need to cough. I always produced something...but the physios felt that that 'something' was not coming from the lungs I guess. I am not sure how this is going to pan out longer term - it has only been a week now, but I have had little problem not coughing now that I am not doing much nebulising...and even in the mornings I am not producing endless mucus. I believe I hadn't heard that coughing could create more mucus. I was worried about it causing damage to throat/lungs and remember we had discussed it before. However in the last 4 years that I have been nebulising regularly I have gradually produced more and more mucus - not less! I started nebulising after consulting the LM Facebook page and while I am sure it helped me avoid infections it appears to have become a vicious circle for me. Thank you for being the one who originally mentioned that it was ok to cut the nebulising back.

For the rest, it is a watch and see what happens. I would probably nebulise more with an infection or where I felt the need to, but for the moment I don't seem to need it thankfully. My Bronchiectasis is mild...along with mild COPD.

Other than that, I keep pretty active generally, gym 4 times a week, walking once or twice a week around 8klms.

I have had shallow breathing most of my life and at times have attempted to change to diaphragmatic breathing, and will persevere with the exercises recently given...at least I have become more aware of that as an issue.

Wishingt everyone all the very best.