How to manage eosinophilic asthma for best quality of life?

@jwool89 I know I don’t need 10 days of using Mupiroicin for my sinuses. I treat a day or 2 past when my lungs are clear and I’m not building more phlegm. I also have to make sure it’s not allergies because I am very affected by molds. If any food goes bad or there is mold in the kitchen sink, I have asthma issues. The symptoms overlap. I live near a river and wetlands so I think there is more mold in this area outdoors . Usually I only need about 3 to 4 days max when I use the Mupiroicin and often just 2 days if it’s minor, Your doctor would be best to answer what is best for you.

@orangetiger What the pulmonologist was referring to was probably a condition called atelectasis, collapse of multiple alveoli usually caused by infection or persistent airway inflammation.
You can read about it here:
https://share.google/olr0zhrqRsOmqiVfr

@jenniferhunter This is great advice. I have this med from post sinus surgery so I will get more and try it. Is it like an oral antibiotic where you do it ten days and stop to prevent antibiotic resistance?

@orangetiger let me clear up my answer to you. What the Pulmologist actually said after reviewing the CT was “reversible collapse of the tiny air sacs in left lung”.

@marciaalongworth This was something my Mayo surgeon requested before surgery to proactively prevent a post surgical infection. I was to place a pea sized glob in each nostril twice a day. I can't remember if it was for 10 days. It tends to want to run out, so now I just do this when going to bed so I can lay down and I treat for a day past when my symptoms are gone. I have found that if there is an infection present, it may burn a little bit, but when the infection is gone, it does not when applying. I had tried this and it worked. I then discussed it with my primary care doctor and was given a prescription so I can use this when I need it. I notice that my allergy treatments are not as effective, and my resting heart rate goes up a little bit because of trapped phlegm. I am using a generic Mucinex and allergy/asthma medication.

@jenniferhunter
Interesting. I have Mupiroicin here at home. I'll try that. The sinus infection is what does me in. Thank you!

@marciaalongworth I have allergic eosinophilic asthma. I also get sinus infection involvement that moves down to my chest. When that happens and my lungs start building phlegm that I'm not clearing, I know it's time to treat this. I have antibiotic ointment Mupiroicin (generic for Bactroban) that I use in my nostrils at night for a few days. That cleans up the infection, and I will be clearing phlegm after using it. My dentist also recommends a particular type of coffee as a daily way to combat chest infections. I haven't tried that yet.

Fasenra was the key for me. I have Alpha-1 Antitrypsin which caused me to develop emphysema. Since I am now in a clinical trial I had to quit Fasenra. I also have terrible sinus issues. The way I manage it is first with a triple ingredient nasal spray compounded at Mayo’s pharmacy. I keep my allergies under control by adding Xyzol nightly to daily Zyrtec during allergy season. My daughter also has Alpha-1 and our pulmonologist at Mayo put her on Dupixent to prevent infections. She didn’t have to go on antibiotics once last year and the two infections she got cleared up quickly before becoming bacterial. I highly recommend Dupixent.

That is what Pulmologist said.

@mth13 I don't have any nasal issues-at all. Knock on wood!! It's my lungs that have chronic inflammation and histamines Also, antihistamines don't work on me. It's all so bizarre. I remember years ago when I was patient of Dr Ellis at NJH, he diagnosed me with reactive airway disease and told me that allergy shots would not work on me since my breathing problems are not due to histamines. We are all so different. Having a combination of asthma, bronchiectasis, and reactive airways is like being on a seesaw. Throw in the M. Abscessus (watch in wait) is horrible.