Average sputum measurement from one nebulizing treatment 7% saline

Posted by healthybon @healthybon, Sep 20, 2023

I am wondering how much on the average you all cough up during one nebulizing treatment using 7 % saline. Approximately! Thks for the info. Bon.

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Hi Linda,
I have little yellow globs sometimes….There is a lot written about that’s here in the blog! Type in search “yellow globs in mucus, nebulizing…..” or something like that!
From what I know, and have learned so far (just diagnosed a year ago); Many people get yellow balls/globs…etc. I did at first…but mostly now, my stuff is clear.
I don’t think that yellow necessarily means infection. Sometimes, it’s little plugs, debris…..etc.
Ask your pulmonologist…….is your dr familiar with MAC/Bx?
You can start a chat by typing the question also…regarding the yellow blobs…….I have learned most of what I know from this Mayo blog…..the members are wonderful and helpful!

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@dispatchpat

Like you said, the not knowing, the uncertainty = anxiety! I want to share a recent emotional breakthrough. It may support you in getting on with living! Which has not been the case for me as well! During a second opinion pulmonologist appointment with a leader in the field (Mac/Bx) I was hearing the oft repeated suggestion that I NOT go on the Big 3 Treatment which at this point is worse than the disease. (I'm very lucky to have caught this disease early) Wait and monitor. When I told him my family who are MDs are going to be dismayed that we aren't going straight for treating this infection, he said, "tell them you are treating. Airway clearance is the frontline treatment." 2/3 will have progressive MAC disease, worsening of bronchiectasis due to the infection. 1/3 will remain stable with a sliver of that spontaneously converting to negative MAC infection. We will monitor intensively. When worsening occurs it is immensely slow and if there is a whisper of worsening we start antibiotic treatment.
I hope you might be in a similar place and can take heart with this pulmonologist's confident suggestion which landed so well with me. I think there is a hesitancy or lack of skill by some doctors to communicate confidently and clearly about ways forward.

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Dispatch….I like what you shared!
I couldn’t handle the antibiotics (side effects)….so for now I am getting sputum tests every 3 to 5 months and a yearly ct scan, airway clearance, mucinex, exercise, autogenic drainage……….

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@lilianna

Of course. We just share our experiences and I always follow my docs instruction. But I also learned a lot from this forum . When I was diagnosed I had no idea about Mac or bronchiectasis. If I had known I would ask doctors more about my treatment. I have a feeling that most doctors do not like patients who explore and ask at least mine. I am trying NJ but it takes time and at mayo they do not accept my advantage plan. Thanks for all your time and input

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I agree..a lot of doctors egos get in the way, and I run from those types. I’m a “question asker” and never the Twain shall meet!🤗

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In reply to @healthybon "NAC.?" + (show)
@healthybon

Hi Bon:
It is an antioxidant that helps lung function. There is a lot of info online. Here is one article: https://www.healthline.com/nutrition/nac-benefits

I get mine from Amazon.
https://www.amazon.com/gp/product/B00OA6NLG0/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1

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@healthybon

Dispatch….I like what you shared!
I couldn’t handle the antibiotics (side effects)….so for now I am getting sputum tests every 3 to 5 months and a yearly ct scan, airway clearance, mucinex, exercise, autogenic drainage……….

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Sounds about right! Me too. + this GERDS connection which I never would have imagined might apply to me. So ok ✅ Hope for staying stable - minimize stress and anxiety and in the meanwhile, there is a study for an anti-inflammatory drug that was so successful they are running a follow-up study with an expanded reach specifically to admit larger cohorts to the benefits of this drug. I asked about this and was told It will be fast tracked and available in about a year. I’ll post as I hear more. Stay hopeful! Thanks for sharing

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@sueinmn

Bon - Have you considered adding guaifenesin (plain Mucinex 600mg LA) or NAC (Nacetyl cysteine 600mg twice a day) to help thin your mucus? I need to use BOTH to get anything up otherwise it stays stuck in my airways.
I probably only expectorate 1 tsp a day unless...I skip the saline for more than 2 days, it is allergy season, I have a cold or I am getting sick with a respiratory infection.

With that comes my reminder - I have been "stable" for 45 months, and have reached the point where I use my long-acting inhaler twice a day, do airway clearance every day, but only use saline every 2-3 days (3X/week) and only neb levalbuterol or other meds if I have a cold or exacerbation. When that happens I up saline to daily, airway clearance twice a day, and add the drugs if it doesn't begin to clear in 2 days.

So far this year I have only had ONE exacerbation - my personal best record in at least 10 years - even before I was diagnosed in 2018!

Remember, each of us is different. When I was (very) sick with MAC, I probably had 4 oz or more of mucus every day.
Sue

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Sue @sueinmn I have started used BING AI (artificial inteligence) instead of GOOGLE, a much better search engine on medical stuff. Anyway I found this info on using Mucinex and NAC for bronchiectasis.

Mucinex and NAC are both mucus-thinning medications (known as mucolytics) that can help people with bronchiectasis clear their airways and reduce the risk of infections and exacerbations.
Mucinex is the brand name of guaifenesin, an oral expectorant that loosens and thins mucus in the lungs. It is available over-the-counter and should not be combined with dextromethorphan, a cough suppressant1.
NAC stands for N-acetylcysteine, a mucus-dissolving and anti-inflammatory agent that can be taken orally or inhaled using a nebulizer. It is usually prescribed by a doctor and may have additional benefits such as antioxidant and anti-bacterial effects23.
A randomized trial in China showed that NAC reduced the frequency of acute worsening episodes (exacerbations) and improved the quality of life of patients with bronchiectasis compared to as-needed therapy2.
Both Mucinex and NAC can be used as part of a bronchial hygiene routine that may also include other medicines such as saline solutions, albuterol, or mannitol, as well as non-medical therapies such as hydration, exercise, and chest physiotherapy13.
The best choice of medication for bronchiectasis depends on the individual’s condition, symptoms, preferences, and doctor’s advice. Some people may benefit from using both Mucinex and NAC, while others may find one more effective than the other. poodledoc

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@poodledoc

Sue @sueinmn I have started used BING AI (artificial inteligence) instead of GOOGLE, a much better search engine on medical stuff. Anyway I found this info on using Mucinex and NAC for bronchiectasis.

Mucinex and NAC are both mucus-thinning medications (known as mucolytics) that can help people with bronchiectasis clear their airways and reduce the risk of infections and exacerbations.
Mucinex is the brand name of guaifenesin, an oral expectorant that loosens and thins mucus in the lungs. It is available over-the-counter and should not be combined with dextromethorphan, a cough suppressant1.
NAC stands for N-acetylcysteine, a mucus-dissolving and anti-inflammatory agent that can be taken orally or inhaled using a nebulizer. It is usually prescribed by a doctor and may have additional benefits such as antioxidant and anti-bacterial effects23.
A randomized trial in China showed that NAC reduced the frequency of acute worsening episodes (exacerbations) and improved the quality of life of patients with bronchiectasis compared to as-needed therapy2.
Both Mucinex and NAC can be used as part of a bronchial hygiene routine that may also include other medicines such as saline solutions, albuterol, or mannitol, as well as non-medical therapies such as hydration, exercise, and chest physiotherapy13.
The best choice of medication for bronchiectasis depends on the individual’s condition, symptoms, preferences, and doctor’s advice. Some people may benefit from using both Mucinex and NAC, while others may find one more effective than the other. poodledoc

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Thanks for the affirmation. I have been using them together for nearly 2 years, as well as Symbicort for my asthma, and have had one asthma flare and one bronchiectasis exacerbation in that whole time! Life has really improved. Now if I could find something for the shortness of breath, so I could run with my grandsons, life would be perfect. Or maybe the fountain of youth? As long as it doesn't mean I must un-retire!

Do you have a citation for the article?

I am trying to get into the habit of using Bing AI too but old habits...

I have also switched saline nebs to every other day.
Sue

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@wsbme74

Hi. Do you know why your doctor is against 7%? I am starting to introduce 7% (newly-diagnosed and have been building up a tolerance to saline) and so I am curious about their concerns. Thanks!

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Hi wsbme74. My pulmolnary doc would not prescribe me 7% rather than 3% even with me asking on 2-3 separate visits. His comment is, "The studies does not support that it works better." Because of the amount of feedback from all the folks on this forum I purchased 7% from Amazon. I have been using half 3% and half 7% with AM nebbing and full 7% in the evening. Prior to getting the 7% I was not coughing up anything but feeling OK. When I began using 7% I occasionally (about once a week) cough up dark brown sticky stuff. That tells me that I've still got the Pseudomonas in there and the 7% is helping bring it out. I've only used Mucinex off and on but I think now I need to use it more regularly. I'm convinced it helps.

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@lindac1208

I have sticky mucus with Bx. Sometimes I see yellow globs. Could that be an infection?

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So after a few years of dealing with this I have come to realize that MAC can come and go for those of us with bronchietasis. This is why the daily routine to keep our lungs clean is so important; because we don't clean mucous like the rest of the world and this will cause MAC to come back. Things like indoor swimming pools, hot tubs, and gardening are likely triggers for me to get reinfected. Not to mention lack of sleep, and getting off my daily exercise plan and good eating. So I do my daily routine: 7% saline nebs with my aerobica ( by the way I often do my neb in my car on the way to work for convenience and consistency); vest therapy when I feel tight; and intermittent sputum sampling via my pulmonologist to keep monitoring. And thank you for the dry bronchiectasis comment; because thinking I lean more that way. Hope this helps.

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