I believe also that exercise is the key...and probably nebulising hypertonic saline/airway clearance for mucus clearance, although I have reduced that lately because i seemed to be in a reactive airways loop.

I was diagnosed with Bronchiectasis and small airway disease over 10 years ago and recently the small airway disease was termed at Moderate/Mild COPD. I was prescribed a LAMA/LABA inhaler which kept me awake at night, so I dropped that...was then given Spiriva...however I have not taken it regularly, partly because of (maybe unreasonable) fear of side effects, and because I generally now don't feel the need.

However, I am wondering if I am causing potential damage or progression by not taking the inhalers. What do people think? I have taken many over the years and Symbicort for years without any apparent effect, Spiriva for a couple of years but stopped because of my concern for the drying of mucus and potential for plugging. Didn't notice too much difference off it.