Why do I cough up mucus at the end of every meal?

Posted by vmorton @vmorton, Mar 30, 2024

I have researched, but failed to find out why at the instant I complete any meal, I begin to cough up mucus. Most embarrassing!

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Profile picture for coachcal @coachcal

@vmorton have you ever tried Spiriva Respimat (inhaler), Glycopyrrolate (oral), or Breztri (inhaled glycopyrrolate)? Since you're producing mucus directly after meals (same thing I'm experiencing), it has to be a "cholinergic" response or from acid reflux/GERD/LPR/etc. I've basically fully ruled acid reflux in my case (Bravo pH test, endoscopy, tried all medications, OTC drugs, etc.). Glycopyrrolate oral 2mg/day + Spiriva Respimat (2 inhalations, 2.5mcg/day) has helped reduce my post-meal secretions immensely, but I'm switching to trying Breztri since glycopyrrolate is systemic (and has other side effects) and Breztri is more targeted on the lungs. I also have very mild bronchiectasis but I'm convinced that post-meal symptoms are a separate issue.

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@coachcal I do have acid c reflux and my pulmonologist recently recommended taking famitodine (pepcid) right after eating. It works really well. As soon as the last bite is taken I take a 20 mg tablet pepcid and I'm good.

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Has anyone with BE taken Ohturvayre? I would be intetested in your experience nebulizing it twice a day as recommended.

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Profile picture for vmorton @vmorton

@coachcal I do have acid c reflux and my pulmonologist recently recommended taking famitodine (pepcid) right after eating. It works really well. As soon as the last bite is taken I take a 20 mg tablet pepcid and I'm good.

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@vmorton so you don't have post-meal wheezing/mucus really anymore after famotidine, but you still have other BE symptoms and still need hypertonic saline nebulizer, etc.? Would you mind mentioning everything you're taking that's helped the most with BE? It sounds like you've been dealing with it for 45 years... so it sounds like you've been doing something right to deal with it for this long.

I'm also curious to see if anyone else has tried Ohturvayre.

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