Problema de escarro na bronquiectasia

Olá,

Acabei de ser diagnosticado com bronquiectasia leve. Fiz todos os exames etc. e vi um fisioterapeuta, mas ainda tenho dificuldade em expelir o escarro. Percebo que, quando faço todas as técnicas de respiração, sinto vontade de vomitar. Alguma sugestão?

Hi.

The nausea feeling is probably the amount of coughing. That happens.

Your physio or specialist should give you as Airway clearance devices and exercises.

This basically helps you move the phlegm from the airways.

Ask lots of questions.

Stix

Do you do the exercises standing or lying down? 

I use lying down. Sitting makes me lightheaded.

Anyone else got any suggestions?

Thanks 

john

Olá Violet, tenho bronquiectasia há 16 anos e só recentemente (no último ano) consegui expulsar o escarro. Agora estou usando salina hipersônica pelo nebulizador duas vezes ao dia e depois uso o dispositivo AcuPella para soltar o muco dos pulmões. Essas duas coisas melhoraram muito a minha fisioterapia e sei que não consigo imaginar tentar expulsar qualquer coisa sem elas. Beijos.

I, too,  have  Bronchiectasis. with Pulmonary Fibrosis, Pseudomonas Aeruginosa. Mycobacterium abscessus complex and  Alpha and Gamma Streptococcus.with the latest find of Bronchitis.  The infections I got in hospital, from surgery for a fractured wrist.  Pulmonologist gave me Levofloxicin for the infections and I thought it would kill me.  It ruptured my left knee and destroyed the meniscus in my right knee, left me with horrific pain all night and days after.  Don't let them give you those antibiotics, (Cipro (levofloxicin, Levaquin)  if you have painful knees to begin with.  There is a warning about that doctors often ignore..  Getting the sputum up can be difficult and unpleasant to be in ear shot of..   I start with the inhaler (2 rounds) and the flutter (a few times) in the morning and it can take sometimes hours later before I feel it coming up.  I then, lay down (best position to get this stuff up) press my knees up to my chest and push firmly exhaling from my mouth until I hear the wheezing.   After that It usually starts coming up.  If not, another couple of rounds of the inhaler. If  I let it go a day or two or more I start feeling really sick and have severe back pain.  I always feel much, much  better after the clearing, so it's very important to do so.   In the beginning when first diagnosed 9 years ago, it was mild and the sputum came up without too much effort, but always it would come up when I was horizontal.   Love and Luck with this.   Hope this helps a little.

The sickness you feel is the sputum being activated.   Don't give up on it.

Thank you for that detailed description of your attempts to get up sputum and for your advice. I have never written but have followed the site for about 5 months. Frankly, I have received more helpful information and advice from this wonderful site than any doctor! I was diagnosed a year and a half ago. I have been sick for years before the diagnosis but my doctor didn't look into the reason for it until I kept pushing,

My problem is being unable to get any sputum up. When first diagnosed I had no problem without the aid of anything. I was very fluid, Now, however, my chest is usually tight and I find it hard to project my voice. I try and try but very little, if anything comes up. I am currently on 3-7 percent saline in nebulizer. Sometimes I can't tolerate the 7 percent. Every day I go through my ritual, including the flutter valve but it gets exhausting when nothing comes up.

I appreciate your description of how you do it and am hoping for the best! I am continually off and on different antibiotics because I feel like Im coming down with something after Ive been off of them for only a few days, I typically start first with drainage down my throat, achy, chills and then the even an tighter chest and congestion begins.

When you say you get pain in your back do you mean upper back. Ethernet shoulders. My tight chest radiates straight through yo my back but the doctor never comments when Zi tell him they. Fir years I blamed it on my Fibromyalgia but now I can tell it's from my lungs.

If you ircsnuine else had any advice Id be forever grateful.

Robyn

Insista com o departamento de fisioterapia e exija consultas repetidas até que funcione.

Estou exatamente na mesma situação e ainda não cheguei lá.

Mas ajuda ser escrupuloso com as técnicas de respiração. Eu costumo fazê-las quando me sinto mal, mas deixo de lado quando me sinto bem (e se meu fisioterapeuta estiver acompanhando isso, vou negar quando nos encontrarmos novamente!)

Eu SEI que isso não é útil... e estou tentando.

Também estou vomitando, se necessário...

(desculpe, talvez seja informação demais...)

Hi Robyn,

There are days I, also, have when nothing comes up so I don't worry

about it until I feel that tightness in my chest, have not enough breath to finish a sentence,  and have that upper and mid back pain then I know it's time to get that stuff up.   It may take several hours and it can be

 painful but I also feel better after  I have Fibromyalgia as well but the pains from that are much different.

Kagan

are much different.  I can't take the antibiotics that prescribe for this

so I'm doing other things too long to mention here with natural remedies.

This has worked for me for year.  Fill bathtub with very warm water, close the shower curtain, lay flat in tub with knees bend, lift and lower back inhale on lifting expell on lowering.   After a very short time I bring up mucus .  I also take on mucinex daily.