Lung Rumble- Should I take Prednisone?

Posted by fracturedd @fracturedd, Nov 23, 2020

I've been dealing with this lung rumble/congestion for a couple months. I'm definitley not as active since the begining of the pandemic. Over the summer I went on prednisone which cleared up the lung congestion. Started at 15mg for 1 week,10 1 week, 5 1 week, 2.5 1 week and then 2.5 every other day for 2 weeks. For the most part my lungs felt pretty clear. Now I'm about 3 weeks no prednisone and this darn left lung is rumbling. It's driving me crazy because I have so much time to think about it. I'm trying everything alternative-- and it seems to help-- a bit, but it's still there on and off throuhout my day. My pulmonoligist said maybe i should just stay on a low dose long term- but I'm scared that will be the begining of the end... I hate taking medicine. Anyone on long term prednisone? Should I throw the towel in and start the prednisone again or any other suggestions? (I haven't been able to go see my doctor because I have trouble wearing a mask for extended time)

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@spudmato

I don t recommend the use of plastic shields vs face masks; is is stipulated that the face mask offers superiors protection. The infectious particles are forced upwards from the plastic mask; STILL it is a better choice that nothing.
Since it was indicated that wearing masks were a problem for fractured, my intent was to offer the best worst solution rather that another unsuitable one.

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I understood, I would never risk just wearing a shield. But it's an alternative for some. Thank you @spudmato

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@colleenyoung

@fracturedd, I agree with @merpreb. You don't want to delay follow-up or medical care because of a mask.

Facemasks are recommended over face shields. Facemasks fit snugly against the face and provide better protection to prevent respiratory droplets from leaving your mouth and nose and potentially infecting another person nearby. See more from American Lung Association here: https://www.lung.org/blog/covid-19-masks-and-shields

Mask brackets are cage-like frames you wear under your mask. Their effectiveness hasn't been tested, but proper fit (like with any mask) is important. See more info here: https://health.clevelandclinic.org/do-face-mask-brackets-work-and-are-they-safe/

Have you considered contacting the hospital to find out what accommodations may be possible for you?

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@colleenyoung I'm sure they will accomodate me, however it is still an obstacle course of a hospital and very busy. I just don't feel comfortable. If my doctor said she wanted me to,, then of course I would. She said- she is ok with holding off as of right now. However I'm going to try those plastic inserts, maybe I will feel more confident in be able to keep my mask on. Fingers crossed 😉

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@fracturedd

@merpreb Thank you! I will defenitly give it a try. I'm sure the hospital will let me come in super early, but it is still a very busy hospital. My blood tests were all perfect, my walk test is good... I don't know,, I really hate to expose my self to germs right now. I think the lung rumble is a side effect of going on and off prednisone this past year. I've never taken prednisone in the past. I selpt all night without my chest rumbling and woke up clear lungs- so this is good. Hopefully I will keepp improving. I'm going to place the order now for the mask inserts, I'm excited to try them!

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@fracturedd - I understand completely how you feel. It's a very scary time. And it's certainly your choice whether you continue your scans or not. My thinking on this, when I had to make this same decision was to weigh the benefits of having my scan with the chance of contracting COVID-19 in a hospital or clinic setting. My experience has been that hospitals are very clean and very sanitary. Part of COVID-drain and fatigue is all the extra energy that hospital workers feel with cleaning so often. I have had several tests. The reason why I haven't delayed all of my scans is explained very well in this article:
https://www.hopkinsmedicine.org/health/conditions-and-diseases/coronavirus/tests-and-screenings-during-the-covid19-pandemic
Please give this more thought and let me know what your decision is?

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This is probably a stupid question, but does a CT scan show what's causing the rumblings or crackling in the lungs? The doctors could never have figured out my problem with a paralyzed left diaphragm without the various xrays I had, and I should think they would be really important for diagnosis and monitoring purposes for everyone with lung problems. I've been postponing getting a mammogram and going to the dentist because I'm in three high risk groups for COVID and the people doing the procedures are right in your face. I know they are important but not life threatening. I didn't even consider not doing the xrays and tests to get to the bottom of my breathing issues, because they might have been life threatening. I hope you will think about getting the CT scan now if your doctors need the results to evaluate what's really going on with your lungs. A lot can change in a year. The x-ray technicians are masked and can stay several feet away from you; and the hospital where I had them done required masks and made every effort to allocate safe distancing between patients and clean surfaces. Good luck! Nancy

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@nla4625

This is probably a stupid question, but does a CT scan show what's causing the rumblings or crackling in the lungs? The doctors could never have figured out my problem with a paralyzed left diaphragm without the various xrays I had, and I should think they would be really important for diagnosis and monitoring purposes for everyone with lung problems. I've been postponing getting a mammogram and going to the dentist because I'm in three high risk groups for COVID and the people doing the procedures are right in your face. I know they are important but not life threatening. I didn't even consider not doing the xrays and tests to get to the bottom of my breathing issues, because they might have been life threatening. I hope you will think about getting the CT scan now if your doctors need the results to evaluate what's really going on with your lungs. A lot can change in a year. The x-ray technicians are masked and can stay several feet away from you; and the hospital where I had them done required masks and made every effort to allocate safe distancing between patients and clean surfaces. Good luck! Nancy

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@nla4625 - There are no stupid questions on Connect. Crackles are caused by the "popping open" of small airways and alveoli collapsed by fluid, exudate, or lack of aeration during expiration.
https://en.wikipedia.org/wiki/Crackles
I do believe that most scans would show the reason for cracklings but if you have a left paralyzed diaphragm then it most likely would not show up. You will need to ask your doctor why.
.

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I don't have crackling, thank goodness. I was just wondering about the crackling @fracturedd was experiencing.

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@fracturedd

@colleenyoung I'm sure they will accomodate me, however it is still an obstacle course of a hospital and very busy. I just don't feel comfortable. If my doctor said she wanted me to,, then of course I would. She said- she is ok with holding off as of right now. However I'm going to try those plastic inserts, maybe I will feel more confident in be able to keep my mask on. Fingers crossed 😉

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I share your concern about exposure.
I rely on my doctors advice on this one. If a "virtual" is reasonable she opts for that, but in certain situations a "face to face" is called for.
It a RBA, (risk benefit analysis). Do a degree, it is also a measure of your risk tolerance.

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@merpreb

@nla4625 - There are no stupid questions on Connect. Crackles are caused by the "popping open" of small airways and alveoli collapsed by fluid, exudate, or lack of aeration during expiration.
https://en.wikipedia.org/wiki/Crackles
I do believe that most scans would show the reason for cracklings but if you have a left paralyzed diaphragm then it most likely would not show up. You will need to ask your doctor why.
.

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Maybe I should clarify my "cracklings" Most people with lung diesease will have cracklings heard only with a stethoscope, very common. Which I have always had in the base of my lungs, but only with stethoscope listening, I have never felt it just with an inhale. The crackling I am complaining about ---- I'm able to clear with a "cough attack" which will allow me to rid my lungs of clear mucus. But it would return at least twice daily, that was not normal for me, I never felt rumbling before. It was driving me crazy because I'm constantly anticipating the next rumble and cough attacks are not pleasant. The past 3 days I have had less mucus and have not felt the crackling, hence I'm able to clear my lungs with just a normal throat clear (like a post nasal drip type feeling). So I'm not sure if any of this makes sense, everyones lung disease is different.

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@spudmato

I share your concern about exposure.
I rely on my doctors advice on this one. If a "virtual" is reasonable she opts for that, but in certain situations a "face to face" is called for.
It a RBA, (risk benefit analysis). Do a degree, it is also a measure of your risk tolerance.

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Yes, like I said if my doctor said i need you to get the scan- I would go without hesitation. She said the blood work was necessary- so I went for that. We have a pretty good relationship. I trust her for the most part.

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@fracturedd

Maybe I should clarify my "cracklings" Most people with lung diesease will have cracklings heard only with a stethoscope, very common. Which I have always had in the base of my lungs, but only with stethoscope listening, I have never felt it just with an inhale. The crackling I am complaining about ---- I'm able to clear with a "cough attack" which will allow me to rid my lungs of clear mucus. But it would return at least twice daily, that was not normal for me, I never felt rumbling before. It was driving me crazy because I'm constantly anticipating the next rumble and cough attacks are not pleasant. The past 3 days I have had less mucus and have not felt the crackling, hence I'm able to clear my lungs with just a normal throat clear (like a post nasal drip type feeling). So I'm not sure if any of this makes sense, everyones lung disease is different.

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@fracturedd- I have a lot of mucus, somedays more than others. I find that if I don't drink enough water the next day is worse. Have you found this to be true?

I'm glad that you trust your doctor and by all means follow her advice. Please let me know how the cages work!

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