7% and excessive phlegm

Posted by ritapearl @ritapearl, Sep 9, 2022

I have been using 3% saline for years for bronchitis and MAC.I am adjusting to 7% slowly since I had bleeds in the past.I know the positives of bringing up the phlegm but now it never stops.It is making me weak and I am having trouble gaining weight.It seems one step forward and then back

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@irenea8

Sally were you ever told to nebulize hypertonic saline? That would help you a lot. Maybe i missed something but i do not see you mention using saline. Airway clearance refers to various techniques used to get the mucus out such as using an Aerobika flutter device and or different positional and coughing techniques or wearing a vest that vibrates to help bring up the mucus. When you have Bronchiectasis you not only loose the ability of normal airway secretions but you also produce a lot more mucus. So you have to use various things to get it out every day usually twice a day. How is the silver helping? It is controversial but some people swear by it. I also have intestinal issues IBS-D or some bacterial imbalance or? I wonder how many people with Bronchiectasis have Intestinal issues also. I believe the two are very connected in my case.

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Irene,
I was never told to do anything but take antibiotics. I am going to Mayo here in Jacksonville on Thursday for a sputum test( never had one before), breathing test, and CT scan.
My naturopathic Doc had me start nebulizing with colloidal silver but I do not think I am sterilizing the mouth piece correctly. When I see my new Doc at Mayo, I will ask about the saline solution and a good nebulizer.
I have learned more from you and this website regarding Bronchiectasis and airway clearance. I have a video by a Doctor explaining airway clearance and all the different techniques. I am through the slide presentation and now in the question and answer portion.
Thank you your support and information.

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@irenea8

Sally were you ever told to nebulize hypertonic saline? That would help you a lot. Maybe i missed something but i do not see you mention using saline. Airway clearance refers to various techniques used to get the mucus out such as using an Aerobika flutter device and or different positional and coughing techniques or wearing a vest that vibrates to help bring up the mucus. When you have Bronchiectasis you not only loose the ability of normal airway secretions but you also produce a lot more mucus. So you have to use various things to get it out every day usually twice a day. How is the silver helping? It is controversial but some people swear by it. I also have intestinal issues IBS-D or some bacterial imbalance or? I wonder how many people with Bronchiectasis have Intestinal issues also. I believe the two are very connected in my case.

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Irene,
I also wonder about the connection with IBS-D, Bronchiectasis and macular degeneration. I think many health issues can be linked to the intestines.
My IBS is pretty well under control. I take Enteragam daily. It is a prescription drug authorized by my naturopath from Transition pharmacy. If I take Enteragam, probiotics and am careful with my diet ( no gluten or dairy), I am in good shape.
I no longer eat raw vegetables. Everything has to be well cooked. After two days in the fridge, food is either put in the freezer or thrown out.

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@irenea8

Sally were you ever told to nebulize hypertonic saline? That would help you a lot. Maybe i missed something but i do not see you mention using saline. Airway clearance refers to various techniques used to get the mucus out such as using an Aerobika flutter device and or different positional and coughing techniques or wearing a vest that vibrates to help bring up the mucus. When you have Bronchiectasis you not only loose the ability of normal airway secretions but you also produce a lot more mucus. So you have to use various things to get it out every day usually twice a day. How is the silver helping? It is controversial but some people swear by it. I also have intestinal issues IBS-D or some bacterial imbalance or? I wonder how many people with Bronchiectasis have Intestinal issues also. I believe the two are very connected in my case.

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Irene,
Are you taking the three antibiotics for MAC?

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I do not have MAC (as far as I know) but if I did I know the three antibiotics would be impossible for me. I have Bronchiectasis and chronic Pseudomonas. I struggle with other health issues that are preventing me from taking antibiotics and am trying to find out why but thus far Drs have not given me the answers I need. I nebulize 7% saline followed by Aerobika flutter device twice a day. It takes me an hour the first time and maybe 40 minutes the second time.

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@sallyb827

Irene,
I also wonder about the connection with IBS-D, Bronchiectasis and macular degeneration. I think many health issues can be linked to the intestines.
My IBS is pretty well under control. I take Enteragam daily. It is a prescription drug authorized by my naturopath from Transition pharmacy. If I take Enteragam, probiotics and am careful with my diet ( no gluten or dairy), I am in good shape.
I no longer eat raw vegetables. Everything has to be well cooked. After two days in the fridge, food is either put in the freezer or thrown out.

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I have also had gastrointestinal issues for the last 1.5 years. I’ve had numerous tests but unable to get a diagnosis, treatment or even establish a connection to Mac. I did get some help from a naturopath and I have changed my diet and started taking supplements (I will ask her about Enteragam if you feel that it’s helpful).

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@irenea8

I do not have MAC (as far as I know) but if I did I know the three antibiotics would be impossible for me. I have Bronchiectasis and chronic Pseudomonas. I struggle with other health issues that are preventing me from taking antibiotics and am trying to find out why but thus far Drs have not given me the answers I need. I nebulize 7% saline followed by Aerobika flutter device twice a day. It takes me an hour the first time and maybe 40 minutes the second time.

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Hello. I have Bronchiectasis, diaphragm paresis , with FSH muscular dystrophy. Mac degeneration severe in rt eye. Geographic Atrophy. Interesting that you talk about connecting Bronchiectasis and MAc degeneration. So far no doc has linked them other than opining FSH causing diaphragm bi lat paralysis .

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@jack3t

Hello. I have Bronchiectasis, diaphragm paresis , with FSH muscular dystrophy. Mac degeneration severe in rt eye. Geographic Atrophy. Interesting that you talk about connecting Bronchiectasis and MAc degeneration. So far no doc has linked them other than opining FSH causing diaphragm bi lat paralysis .

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Hi Jack, I see you have been around for a while, but have never posted before. You certainly have a lot to deal with.

I would like to clarify something though, when we talk about "MAC" in this group, we are generally referring to an infection in our lungs called "Mycobacterium Avium Complex" or MAC for short. This is unrelated to Macular Degeneration in the eye. As far as I know we are not at higher risk of macular degeneration with bronchiectasis, though one of the antibiotics we are sometimes prescribed, Ethambutol, can cause sudden onset vision loss (but not MD.)

Can you tell us a little about what led to your diagnosis of bronchiectasis?
Sue

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@raney

I was wondering if I was the only person in the world with the mucus that never ends. I am still spending 5 to 6 hours EVERYDAY doing airway clearance and standing over the bathroom sink and the mucus just keeps on coming. I never seem to get it all out. Twice a day airway clearance with Levalbuterol, followed by 7% saline and sometimes I use 2 vials of 7% one behind the other because of so much think mucus. Percussion Vest and Aerobic and active breathing. I also inhale budesonide when I am not being treated for Oral Thrush. It seems that 3 or 4 consecutive days of budesonide and then bad case of oral thrush, so I stop for about 2 weeks and take the prescription meds, and then try again.
I have explained this to every doctor for the past 2 years and they listen but I don't think they even understand how much it is . Like a faucet not being turned off!!
I am NOT on oxygen at night now AFTER a year of being on it.
I started with CPAP in June. I would have tossed it also if I had kept the same head set and face mask. I changed to a different make and company and now I am able to tolerate the CPAP. No sores on my face and I sleep well at night. It has been a blessing but different head gear and mask made the difference.

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Hello, you are not alone in terms of excessive mucus that never stops. I too am spending about 3 hours a day doing airway clearance along with sinus rinses for the non stop mucus production. My Doctors at National Jewish do not even think it is coming from my lungs, they referred me to a neurologist. I went to 3 different neuros and they looked at me like I was crazy, like I don’t need a neuro. I have gone to 3 ENT’s and 2 allergists who don’t know so they look at the first report from NJH which says go see a neuro so they just say the same thing. I use 7% saline and do try to cut it back to 3% sometimes and even go down to 0.09% just to get something into my lungs, and it all still just comes up into my throat. I honestly think it is coming from my sinus’s along with lungs. I did have my RML removed in 2022 to get the Bronchiectasis out and that has helped my lungs immensely however this chronic phlegm is such a daily drain on my life as I am coughing it up all the time. I do not have a solution yet. Something changed for me with using the vest and using the aerobika with 7% saline at the same time. I felt something was not right. Now I do not combine the vests with the saline as it seems counterproductive to compress your chest with the vest and breath in at the same time. I am convinced that started this whole hyper salivation and excessive phlegm issue. Yes, hyper-salivation for me is involved as well.

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Did you ever try going off of dairy products?

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Yes I have tried going off dairy and doesn’t make a difference. Just drinking water starts the phlegm and eating food makes it worse. After dinner is the worst time of the day. Tongue feels like allergic to something. I am negative on all allergy testing. I am currently negative for NTM due to taking the Big 3 twice. Sputum samples sometimes shows respiratory bugs, sometimes not.

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