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Bronchiectasis: Is nebulizing helpful?

MAC & Bronchiectasis | Last Active: Oct 21, 2021 | Replies (76)

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@toni1132

I was diagnosed in 2017 with Bronchiectasis MAC. I do not nebulize. I have discussed this with my pulmonologist several times and he says the same thing every time....... it isn't necessary. He states as long as I use my inhaler prior to using my Smart Vest and doing my lung clearance, it results in the same as using a nebulizer. Clearing the lungs. I've questioned this theory myself, however. Most people I've read on this post uses nebulizing as part of their keeping MAC at bay and also keeping lungs clear. So...... I'm confused, too!

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Replies to "I was diagnosed in 2017 with Bronchiectasis MAC. I do not nebulize. I have discussed this..."

Toni - Every time I think "I don't need to neb" reality smacks me on the head with increased fatigue, coughing or other symptoms. I find that nebbing does a far better job of loosening secretions than the inhaler, and I bring up more "junk." This is obvious when I skip nebbing for a few days (still doing inhalers and airway clearance) and I cough up thick clots after each of the first few nebs, then the secretions thin again.
Sue

Toni, the overarching issue here is “does your inhaler deliver a vapor which includes 7% saline? (which I suspect is unlikely.) If it doesn’t the vapor is almost surely impotent against Mycobacterium Avian Complex (MAC) infections. Investigate “nebulizing 7% saline solution elsewhere on this forum. Don