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enormous sputum clearance all the time

MAC & Bronchiectasis | Last Active: Nov 1 9:23am | Replies (33)

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@label6

I have a question for Sue about your previous post. You said not to clear secretions by coughing through your vocal cords or clearing your throat. Can you explain that more? I’m doing both of those all day long as well as when I’m deliberately doing airway clearance. Am I damaging my throat and vocal cords?

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Replies to "I have a question for Sue about your previous post. You said not to clear secretions..."

I would say you may be irritating your throat and vocal chords, probably not actually damaging. But then the irritation causes more of a sensation, and you clear again... My original pulmonologist's nurse - back when each doc had one who worked for them for years and got a lot of experience taught me the following tricks. (At the time I had bronchitis, pseudomonas, MAC, and it felt like I was coughing half the day, and clearing my throat the other half.)

Keep water with me all the time. When the urge to cough hit, swallow, take a sip of water, and see if it went away. If not, take 3-4 breaths, then huff cough 3-4 times. At first I was lucky if I could take ONE breath before trying a huff cough. Eventually (measured in months) I was able to manage, and my throat was a lot less sore.

Clearing my throat was a years long habit, and harder to break. At first I did the sip, breathe, cough as above. Even after my cough eased (over a year) I still found I habitually cleared my throat. Since I was no longer leashed to my water bottle, I needed a new strategy. So over time I learned to do this - when I get that feeling that I need to clear my throat, I swallow. If the sensation doesn't go away, I stop, take a breath or two and huff cough once or twice. It usually does the trick. I still find I clear my throat when under stress.

Sue