When do you do your airway clearance treatments?

Posted by deestrada @deestrada, Jun 16 12:23pm

I do two airway clearance treatments a day. My pulmonologist told me to do the first one when I first got up. I'm finding that this often delays or inhibits any appetite I might have in the morning, which affects my whole day. When do you do your treatments, morning when you first get up, after breakfast, etc?

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First thing in the morning for me. Afterwards, I cannot wait for coffee and breakfast!

It's advised to leave at least 2 hours after eating before airway clearance to help avoid reflux. If this weren't the case I'd put off clearance until after breakfast.

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Thank you! Makes sense.

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I do mine first thing in the morning before breakfast (but I admit I have coffee first), then again before I start dinner. I also do autogenic drainage in the evening before I go to bed.

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Thank you! What is autogenic drainage?

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@deestrada

Thank you! What is autogenic drainage?

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It's an app that coaches deep breathing, holding, huff cough, etc. I also find it helpful.

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@pacathy

It's an app that coaches deep breathing, holding, huff cough, etc. I also find it helpful.

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There is an app that coaches this? I am having a hard time learning on my own.

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@payette78

There is an app that coaches this? I am having a hard time learning on my own.

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Yes. Search you App Store. Mine is just "Autogenic Drainage. "

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@deestrada

Thank you! What is autogenic drainage?

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In your readings of areas of Mayo Clinic Connect you will hear the words "We are all different.
For myself it has taken me quite a while to understand everything. The key is to learn as you go by finding the information you need and the routine that is best for YOU.
Nebulizing by itself is not Air Way Clearance. There are different things one can do that fall under what Air Way Clearance Techniques are. Autogenic Drainage is one, Active Cycle Breathing is another and Postural Drainage is another. Some people do certain Yoga postions to help with air way clearance, clearing the lungs of the mucus and mucus plugs.
However with Postural Drainage people must be aware of the fact that it is not best for people with Acid Reflux.
As you are probably realizing, much of the information on this thread can be found by searching the internet.
Hope you are finding all you need. There is much on all of this information on other threads on this Mayo Clinic Connect and hope you are able to find them. It does take time and that is a precious commodity.
Barbara

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Ok, @deestrada I have a slightly different issue, I wake up dehydrated and hungry, and I just don’t want to wait to eat/drink until after A/C, it’s too uncomfortable for me, and so it is not something I will stick long term. So, I eat/drink when I rise, then I wait two hours and do my morning airway clearance. I do my second A/C around 9 pm, a couple hours after dinner, and a couple hours before bed. I think for all of us, we have to find a schedule that makes sense for us long term. If doing A/C first thing in morning doesn’t work for you, experiment with other options. There is scant data on A/C so no one can really tell us (with any certainty) what is optimal, even 2x a day is not something all NTM experts advise (McShane suggests once a day A/C with a session of exercise) so while A/C is important and something we should all be doing, there is no one way to do it. Experiment, how can you best accomplish getting a morning A/C session in without disrupting your appetite. Maintaining your weight is key, and I would not want to see you eating less to do A/C first thing in the morning, when there is nothing to support that doing it later in the morning isn’t just as effective. I do think it is important not to eat or drink 2 hours before A/C so for those having coffee, etc. right before (hopefully not during) A/C, I would recommend rethinking that approach, @mjb24.

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I was recently at NJH and their recommendation was on an empty stomach, before breakfast and dinner. Due to my daily schedule, I usually do at least 2 hours after both meals.

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