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Nasal Lavage

MAC & Bronchiectasis | Last Active: 4 hours ago | Replies (28)

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@coachcal
Yes, to bronchiectasis, sinus issues due to allergies, and also asthma.

I take a daily Allegra (single tablet split into a.m. and p.m. doses). Once I started this regimen the chest phlegm decreased. I am also on Brinsupri, which has also decreased chest phlegm (but it's still there, most prominently in the morning).

Before starting Allegra I did not *think* I had allergy symptoms but once I started it was clear that I did indeed have symptoms. My nose was much clearer, eyes felt better. Any mucus I ever blew out of my nose was clear. Apparently when you have allergies or sinus issues a good bit of mucus drips down the throat during sleep. Nasal saline rinses were not enough in my case, which I had been doing 2x day.

My doctor and I choose Allegra because it is the least anticholinergic of the OTC allergy meds. Too much anticholinergic meds can interfere with productive airway clearance.

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Replies to "@coachcal Yes, to bronchiectasis, sinus issues due to allergies, and also asthma. I take a daily..."

@scoop did Xyzal and Zyrtec not work for you before trying Allegra? What about azelastine? Interesting about Brinsupri too.

And interesting what you said about choosing Allegra because it’s the least anticholinergic. My situation may be a little different -- a lot of my thick sinus mucus (and apparently lung mucus too) seems to either be produced or mobilized after I eat, and I’m still trying to figure out which. I suspect there may be a cholinergic/gustatory component because anticholinergic inhalers have significantly reduced the amount of post-meal mucus/wheezing for me in my lungs.

Normally I have to use a Neti pot after almost every meal, and I’ll get a surprising amount of thin + very thick mucus out. If I don’t rinse, I can actually feel mucus accumulating in both my sinuses and lungs afterward. Do you ever notice your sinus/chest mucus changing specifically after meals?