What is considered successful Airway clearance?

Posted by ClaireW @katlan, Feb 13, 2022

I was diagnosed with severe bronchiectasis last May; and subsequently MAC in October. I’ve had no PT for airway clearance; but purchased an areobica on my own, after researching the importance of this when googling the disease. I did have a pulmonary specialist; but he referred me to an Infectious Disease doctor who is still to start me on the big 3..I have appointment 25th as they are awaiting sensitivity tests. So; I’ve been doing airway clearance once a day. I did try a couple of times a day; but with nothing productive when I’d try it a second time later in the day. I apologize ahead of time if the question I’m about to ask is a bit gross. How much stuff that I’m able to hock/huff/cough up is sufficient in a session? I can usually get between 2 to 4 tablespoons. With both clear, and thick yellow stuff. Is it okay that I’m only doing it once a day? Should I keep trying sessions at different times throughout the day to try to get more out?? I had watched a video from I don’t recall the source; but it said that with bronchiectsis you bring up cups and cups of fluid from the lungs when you have bronchiectasis.

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@bluesplashgirl

After all these years struggling with MAC and never knowing about chest clearance I found this helpful video.


I also use a dry salt inhaler throughout the day, NealMed with sterile water to keep away from nasal drip, and I elevated the head of my bed 4" since I have GERDS. The last two sputum test are finally clear (off the meds). Fingers crossed.
Best to stay clear in any way that helps you to do so.
Good luck!

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I would like to know more about dry salt inhalers such as type and effectiveness. Thank you.

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@sharcros

I was diagnosed 5 years ago with Bonchiectisis/MAC and opted to hold off on the 3 medications. It’s been a journey of ups and downs with alternative options but my health has improved. I have not had positive sputum tests for MAC in the last few years. Sometimes I wonder if the first test was a mistake but looking back I’m glad I continued to ask for sputum tests to see what was happening.

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Hi sharcros,
What a success story. Good news for all the people who have MAC.
What are the alternative options you took?
Thanks for sharing! Best luck!

Ling

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Claire if you really have severe level of Bronchiectasis then I would nebulize with Saline twice a day routinely and not worry about how much mucus comes up each time. My second nebulizing usually brings up very little but I still think it is important to do it routinely. I am not sure what video you watched but I have never heard of bringing up cups and cups of mucus! I have heard that 5 ounces is considered a sign of more severe Bronchiectasis. But my pulmonologist says the best measure of how severe is to do a Pulmonary Function Test.

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@dlynn1210

I would like to know more about dry salt inhalers such as type and effectiveness. Thank you.

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I used to use one before I learned about Nebulizing Saline. It was not all that effective and no way to keep it sterile.

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@irenea8

I used to use one before I learned about Nebulizing Saline. It was not all that effective and no way to keep it sterile.

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Thank you!

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@dlynn1210

I would like to know more about dry salt inhalers such as type and effectiveness. Thank you.

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Dry salt inhaler is made by Nevelers. You can see it on their website and on Amazon. The results are strictly anecdotal and not medically supported. With that said, I quit nebulizing when a cavity was found in my right lobe and was growing. I switched to dry salt. My cavity collapsed within 3 months and the surgery was canceled. Coincidence? Maybe. I just didn’t feel that cold, wet mist inhaled into my lungs was doing me any good. So read about it and make your own decision. Best of luck to everyone.

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