Help Getting Sputum Sample
First time posting here, although I have been reading the daily updates for several months. I’ve found this support group to be incredibly informative and helpful. Thank you all!
I am a 79 year old female with no major health issues until last year when I had a dry unproductive cough that just wouldn’t quit. GP tried all the usual things (Claritin and Flonase, then an albuterol inhaler, Singulair followed by Advair and eventually albuterol in a nebulizer. Shortness of breath was never an issue and none of these medications helped the dry could. After a chest xray (negative) he ordered a CT scan which showed “Biapical subpleural lung scarring. Mild bronchiolitis right middle lobe with mild bronchiectasis.” He then ordered a lung function test where the results were in the low normal range. Referred to a pulmonologist.
In the meantime, I asked about airway clearance using hypertonic saline. Now using 3% twice a day which helps loosen the mucus making the cough at least a little productive.
Yesterday, after a six month wait, I got to consult with the pulmonologist. Their practice sees 200 to 300 bronchiectasis patients which I took as an encouraging sign. He took a thorough medical history and spent a good bit of time explaining the details of the CT scan. I felt encouraged. The next step is taking a sputum sample for three days. There’s my problem: I can’t bring up enough to spit in the cup! I’ve always swallowed whatever I coughed and coughing anything out doesn’t seem to work. Any suggestions to help me get those samples would be much appreciated.
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N-acetylcysteine
What a helpful tip! I'm currently prescribed 3% but will ask about upping to 7% saline. And who knew? The "ho ho" does feel different. Really appreciate everyone's tips here. (and love your handle "coffcoff")
I’m having difficulty finding that link. But basically, the procedure is : use a nebulizer to inhale a vial of albuterol, then one of 7% saline. While doing so, every five minutes, do some “huff” breathing and then cough up whatever you can into the sterile container. Do this a couple of times, until you have 3-5 ml of product that shows some strands or evidence of something other than saliva.
Thanks!
Thank you for the procedure. I have never been given a target minimum quantity or description of what to look for.