Constant "Sputum" Possible Fungul Infection Thrush

Posted by blm1007blm1007 @blm1007blm1007, Feb 8, 2024

"I have what I believe is called catarrh, the build-up of mucus that is constantly in my throat and especially worse after I eat and almost too thick, and lots more of it, after each sip of a protein powder drink. I have tried all types of protein powder to see what might not cause it. All cause the same thing.
I am going to try different amounts of the protein powder to place in the shake to see if that will help and maybe more liquid. Any thoughts?
Does anyone else have this problem after eating...... and more so when sipping a protein powder shake?"

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Profile picture for blm1007blm1007 @blm1007blm1007

My understanding is that what we are doing by nebulizing is working moisture into our lungs to help loosen the mucus. I believe that what does come up as white foamy bubbly is the moisture we put into the lungs to loosen the mucus and hopefully also mucus with it. I maybe wrong but we are probably bringing up some mucus and moisture at the same time. An infectious disease doctor did say to me, when I showed him the urine specimen cup I carry around with me in case I have to clear my throat, the white, foamy, bubbly, "is moisture". So for me my conclusion is/was mucus and moisture that comes up is due to the nebulizing to bring up the sputum/mucus with our huff coughing to clear it out immediately after nebulizing and/or during the day. Yes, for me it is an almost all day thing of having to clear my throat of sputum/moisture/mucus.
Had you asked your pulmonologist what he/she thinks it is? Other than the Infectious Disease doctor no pulmonologist doctor indicated or informed me that it is "moisture" when I showed them the same thing, they had no comment. Go figure.
Barbara

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@blm1007blm1007 Can you ask your GP if you can do a sputum sample test to check for any lung bacteria or infection because of your ongoing symptoms?

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Profile picture for blm1007blm1007 @blm1007blm1007

Hi- I have known this and again the more I read the more it confirms, it appears, our stomach and gut health is related to the lungs as well as our overall health. It does make sense to me.
I very much do stay away from the foods and treats we are told to avoid if we have Acid Reflux. I'd rather do that since it isn't that hard for me to do. Now, having said that, I do have a small piece of chocolate once in a blue moon.
The one thing I was told at NJH in Denver after the gastroenterologist tests is that I have a small hiatal hernia but not Acid Reflux. It appears, from my reading and information I have listened to, that the hiatal hernia can also cause one to have an overproduction of mucus and cause one to want to and have to constantly clear the throat of sputum/mucus. I hesitate but I would like to possibly have all the same tests done again but no matter what the cause there is no good true fix and cure just avoidance of certain foods and PPI's that cause other problems and can actually worsen the problem if you have acid reflux.
So far for me, also, the MAI infection is staying at a low level. I believe I have had the infection for at least two to three years before I found out about having BE and then the infection. My Oct. 2024 tests showed I had some improvement, as shown on the last CScan, with the BE, less inflammation in one area of the lungs but new plugging in the lower lung. Somewhat the case of "Can't win for losing".
I keep having to talk to myself and encourage myself because this is so frustrating and life changing. I truly am fortunate and tell myself constantly, "At least I have no aches and pains."
I really have no answers for you or I except keep clearing it with all we know to do. What fun! I am trying to help myself to do as Sue suggested and as well as my pulmonologist said, swallow it. So when I can I will swallow but I psychologically feel better when I get it up and out and can see what I am bringing up. I use a clear Solo cup to see what it is that comes up and is somewhat encouraging when I do see mucus and mucus plugs. Much also appears to be moisture in the way of white foamy, bubbly coming up and out....the moisture in the lungs.
Hope this was not too long of sharing "thoughts and experiences".
Barbara

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@blm1007blm1007 Hi, what is the BE diagnosis that you mention (it's probably on the thread but I can't seem to find it)? Many thanks

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Profile picture for dispatchpat @dispatchpat

Barbara, my mind is blown. This - “hiatal hernia can also cause one to have an overproduction of mucus” - is an incredible insight. This morning I have been reading about this and I will now pursue remedies for this.
I have an upcoming NJH visit and have "MyChart" talked to my gastroenterologist. I thought that because I had the Bravo capsule test with result = No GERDS that I would let him know. This is what I wrote to him today. (below) And, please know how grateful I am for your further discussion with me! ----
Dear Doctor,
I’m coming to NJH for the team approach to help me and I really want to just put myself in your investigative hands. This morning in my Mayo Clinic BX/MAC support group I read - "hiatal hernia can also cause one to have an overproduction of mucus". A year ago pulmonology considered my annual CT scan and it revealed "small hiatal hernia" it was 100% skipped over as a contributing factor. So, please forgive me for second guessing what I need. After discovering this hiatal hernia link this morning, I'm hopeful that my excessively productive mucus might not all be due to BX/MAC.
I'm hopeful that you will be able to investigate/diagnose and treat! Minimally invasive hernia repair? or, therapeutic exercise to strengthen the specific muscles of the diaphragm? I appreciate your attention to my case! Sincerely, Pat

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@dispatchpat Looking for something else I came back to this thread I started.
Regarding your April 6, 2025 posts.
Would you have time to tell me......
What was the outcome for you after contacting, and your visit, with NJH about the hiatal hernia, mucus production and the NHJ doctor discussion about hiatal hernia....and or fungal infection since my thread post mentioned fungal infection.???
My last sputum test came back stating fusarium and also Yeast, Not Cryptococcus.
How are you doing?
Barbara

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Profile picture for lindawellness @lindawellness

@blm1007blm1007 Hi, what is the BE diagnosis that you mention (it's probably on the thread but I can't seem to find it)? Many thanks

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@lindawellness When I started this thread I was thinking of Candida, thrush since I had had that in the mid 80's.
I have a sputum in and waiting on final results. The early results of the sputum test showed Yeast (Not Cryptococcus) Fusarium species. Until the last two, to my knowledge, my sputum had not been tested for Fungus. The last two involved OU Medical Center lab and then NJH.
I do not believe, until the last two, that my sputum was being tested for fungus. It is a new system that I have recently had visits with, a new pulmonologist I decided to see.
I have sent a message to the Tyler lab, where I had been sending my sputum for testing before these last two.....I want to confirm fungus testing or not when sending in sputum for testing at the Tyler lab.
BE stands for Bronchiectasis, of which I was diagnosed for in Oct. of 2023.
At this point in time I feel fine, but!
Barbara

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Profile picture for lindawellness @lindawellness

@blm1007blm1007 I'm just trying to find out about the bacteria after reading your comments, I guess the bacteria can be found via a sputum sample? Also, I'm just guessing - perhaps coughing up the mucus caused by the lung bacteria caused the hiatus hernia, and the bacteria need to be treated. Do you have any experience of this? Aside from the Diaphragmatic Breathing Technique to treat hearburn and reflux (see youtube), there is a new keyhole surgery for treating hiatus hernia called the LINX procedure, but I wonder if treating the bacteria instead would resolve the symptoms.

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@lindawellness I believe I had the hiatal hernia before my needing to clear the mucus and or cough out the mucus.
Barbara

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Profile picture for lindawellness @lindawellness

@blm1007blm1007 I'm just trying to find out about the bacteria after reading your comments, I guess the bacteria can be found via a sputum sample? Also, I'm just guessing - perhaps coughing up the mucus caused by the lung bacteria caused the hiatus hernia, and the bacteria need to be treated. Do you have any experience of this? Aside from the Diaphragmatic Breathing Technique to treat hearburn and reflux (see youtube), there is a new keyhole surgery for treating hiatus hernia called the LINX procedure, but I wonder if treating the bacteria instead would resolve the symptoms.

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@lindawellness Welcome to Mayo Connect, and to our MAC & Bronchiectasis (aka BE) support group. We are all people trying to live our best lives with these conditions, and to help one another on the journey.

Let's try to answer your questions one-by-one.
First, what is BE? It is Bronchiectasis, a chronic lung disease with widened, inefficient small airways, that clear mucus poorly, leaving us susceptible to a variety of infections. Here is a description:
https://my.clevelandclinic.org/health/diseases/21144-bronchiectasis
Have you been diagnosed with this?

Next, what causes a hiatal hernia? Mayo Clinic says:
https://www.mayoclinic.org/diseases-conditions/hiatal-hernia/symptoms-causes/syc-20373379
So, in answer to your question about whether an infection cause the hernia, than answer is that it is likely that it was the other way around - hard coughing can cause tears in a weakened diaphragm.

Finally, it seems that you came looking for answers about diagnosing a specific infection, maybe in your lungs? Can you tell us a little more?

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