Constant "Sputum" Possible Fungul Infection Thrush

I googled: Do some people lose there voice with coughing or clearing their throat.
I did so because a R Therapist and doctor said that one needs to correctly clear mucus so not to damage or lose one's voice.
This is what came up: "Yes, some people can experience hoarseness or even lose their voice due to coughing or throat clearing, especially if it's frequent or forceful, as these actions can strain and damage the vocal cords. " There is greater explanation in detail with that statement, under the statement.
Something to think about with your question.
I don't think it is GERD itself causing the hoarse voice, don't know for sure.
Barbara

With going on the medications we are told to have baseline tests before starting medications, such as hearing and eye tests and probably other tests to have a baseline so one would know ones condition before the meds and then after the meds started to know if the meds are causing problems. So baseline tests and follow-ups if one feels things are changing.
Barbara

Does the white bubbly stuff mean infection in the lungs from the MAC or bronchiactasis? I fill up two urine specimen cups a day, 8 ounces, with that white foamy stuff. The odd thing for me is I never had symptoms like coughing, wheezing or sputum production until I started nebulizing. Makes me wonder if nebbing that liquid down into my lungs has had this negative impact.

My understanding is that what we are doing by nebulizing is working moisture into our lungs to help loosen the mucus. I believe that what does come up as white foamy bubbly is the moisture we put into the lungs to loosen the mucus and hopefully also mucus with it. I maybe wrong but we are probably bringing up some mucus and moisture at the same time. An infectious disease doctor did say to me, when I showed him the urine specimen cup I carry around with me in case I have to clear my throat, the white, foamy, bubbly, "is moisture". So for me my conclusion is/was mucus and moisture that comes up is due to the nebulizing to bring up the sputum/mucus with our huff coughing to clear it out immediately after nebulizing and/or during the day. Yes, for me it is an almost all day thing of having to clear my throat of sputum/moisture/mucus.
Had you asked your pulmonologist what he/she thinks it is? Other than the Infectious Disease doctor no pulmonologist doctor indicated or informed me that it is "moisture" when I showed them the same thing, they had no comment. Go figure.
Barbara

So true! Really complex what we are dealing with and short of our very own Dr. House to put all the pieces together we are hammering together a combo of self directed care with the best medical experts we can find, plus compounded interests from fellow patients in support groups, phew! it's a lot!! Oh, and all the myriad differences of how these diseases present in so many different individuals. You bet, I'll circle back to you. Generosity of sharing experiences makes this group valuable. I was able to identify most closely with your descriptions and it feels like a missing piece of my puzzle. Let's definitely stay in touch.

This is one of my problems in that I CANNOT reach my pulmonologist. I go to Northwestern and both the pulmonologist and infectious disease doctors are useless. MyChart messages and phone calls are ignored. Always. I previously posted that unfortunately for my own health I am going to have to start over at the University of Chicago.

I just read again what you said above.
I have come to understand that doctors are so busy with all that is required of them that in many cases they rely on their nurse(s)/staff to respond to most types of questions. My doctor does respond to me on MyChart, my local PCP, after each test result and the nurse(s) most often with my general questions.
You might make an appointment with both doctors to ask your questions and then approach the subject of communication and ask about what one should expect in an answer to your questions asked on MyChart. It may be that the staff is not doing what the doctor expects of them. ?????
One needs to know why no responses...... is it our approach and types of questions, amounts of questions or is it that they are not doing their part.????
I know that my local pulmonologists office, that I quit going to and seeing, was bad about answering my MyChart questions when I sent messages and as well other types of communications I gave to the office to give to him.
Barbara

If you are noticing this when you take in protein powder, is it possible that you have low stomach acid? It is not uncommon as we get older, and taking a well-rounded digestive enzyme with meals keeps the bacteria count down in your gut and also ensures good digestion and nutrient absorption. It is also recommended to drink very little with meals. We should drink more before and after, rather than during meals. The liquids dilute the stomach acids. It is just a thought.

Regarding the above posts about protein drinks and mucus.
For me I began making my own protein shake with purified water that I had previously boiled and cooled, pumpkin protein powder, banana and maybe blueberries and finally some Greek yogurt. With doing it that way I do not have the same problem of heavy thick mucus.
Regarding low stomach acid. I am 82 and 6 months, so up there. I wanted a test to see if I had low stomach acid after doing much reading and the nurse practitioner that apparently is in charge in the department I was referred to for such a test.....said: "I have not know anyone to have low stomach acid." She denied the test.
When I was up at NJH having the battery of tests they due for those with Bronchiectasis and their belief that acid reflux plays a part with Bronchiectasis they did not mention the possibility of low stomach acid. Going to rethink about all that and possibly bring it up to the right medical person who will be more open minded.
I do Kombucha, Greek yogurt, and probiotic/prebiotic supplement. So hopefully I'm O.K. in that area. You did say taking a digestive enzyme, I do that also.
Yes, true not good to drink while eating....before and after best.
Thanks for reading and replying the post(s).
Barbara