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Do you have increased coughing at night?

MAC & Bronchiectasis | Last Active: Jul 4, 2023 | Replies (74)

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@sueinmn

A sputum culture would not have come back so quickly - I hope it is being held for further culturing. So if it is back already they probably for something else, like pneumonia.

Bronchitis is what I consider an exacerbation. My ID doc, pulmo & primary have worked out a plan for me ( I also have asthma.) With an exacerbation like bronchitis, I start daily budosenide (a steroid) & levalbuterol nebs before airway clearance. If I'm not improved in 5 days, we go to oral steroids plus an antibiotic. I'm sure your ID doc will work have a plan for you.

I am used to communicat+ing through the respiratory therapist at my pulmonologist, except during my appointments, so it doesn't really upset me. My ID doc is the one who referred me to my current pulmo - that's where you could start to find a new doc.

Holding good thoughts for you. It is great that you recognize the differences between your symptoms.
Sue

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Replies to "A sputum culture would not have come back so quickly - I hope it is being..."

Thanks for your reply. I ended up in the ER on Friday night because of the amount of wheezing and mucus I was experiencing. It was a tough night. I wasn't seen for about 4 hours after arriving , After bloodwork and an Xray, I was discharged about 10 hours with the xray being clear...no pneumonia and the bloodwork was ok.
I coughed and wheezed all night last night and brought up copious amounts of clear mucus. I see an ID doctor on WEdnesday and I have placed a call today to the pulmonologist. I have no appetite as I am afraid to eat that I will start coughing.
The ER doctor told me he could not give me a steroid since I have MAC lung and I am still on 3 antibiotics.
Wondering again if nebulizing hypertonic saline twice a day is creating too much mucus. I am beyond frustrated and can't believe that the way I wheeze and cough all day is part of bronchiectasis and MAC lung.
Thanks for listening to me. I just don't feel like I am being heard by doctors.

Hi Sue
I finally was able to see my pulmonologist this past Tuesday. I am on several medications. He prescribed an oral antibiotic, Ceftin, albuterol/ipatrium, prednisone and budesonide in addition to my normal morning routine of 7% saline and 3% in the evening.
I have been trying to research the right order to take all of these inhaled medicines, but get conflicting information on the COPD Foundation website. Since staring the Budesonide there has been a considerable improvement in the wheezing and coughing.
Is there an order in which to nebulize the budesonide and the albuterol/ipatrium? The pulmonologist did not give me any directions in that regard. Thank you, JoAnn