Advice on chest clearance please !

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as a newly diagnosed sufferer, I am keen for advice !

i do the daily Huffs & breathing exercises but they are not always that productive , yet sometimes , when I breathe in deeply I feel the odd crackle . Do you think I'm doing these Huffs correctly? 

Also , do people find the Acapella & or Flutter devices proactive ?

thank you in advance ! 

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10 Replies

  • Posted

    I have not used those devices but i do my physio and postural drainage also get someone to bang the lung areas to dislodge any stubborn mucus videos are on u tube i also tske mucodgne which thins and loosens mucus but i am currently doing a trial of nebulising using ventolin followed by a hypertonic saline this is working really well sometimes worth getting in touch with your specialist or gp to discuss as clearance means lesss infections

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    • Posted

      Hi Kathleen just reading your pot my husband takes ventolin and saline togther are you saing you inhale salie nebulies followed by saline.  Also is there a difference between saline ad hypertonic saline
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    • Posted

      I have ventolin solution via a nebuliser to open up the airways then 15 minutes after rake a hypertonic saline solution via the nebuliser this is done twice a day works really well for me

      i can still take my ventolin inhaler when needed also my muco dyne and also do my physio exercisrz ad usual today for insyance haven't got anything to bring up not breathleds no crackles or wheeze so today a good day been on this for 3 weeks and can feel a definate improvement e en my family say i sound and look better and am not as breathless

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  • Posted

    Are you Active Cycle of Breathing? So, three normal breaths, three deep  breaths with lungs as big as possible and hold breath as long as you can, three normal then  three huffs?

    How were you told to do the huffs? Forcible exhalation? If so, then some advice the physio at Brompton gave me may be useful.

    Rather than big in, hard huff out - which I find leaves stuff behind - do a big breath in through nose then SLOW exhalation through wide open mouth.

    As you do this you'll hear the rattles especially at the end. Keep doing a few of these long slow open mouth breaths out. You will hear - and feel- the rattles getting louder and bigger.

    The physio described it as trying to chase the blockages out. The rattles are air pushing through the mucus plug before the plug reforms again. The bigger deeper sound is - like the end of a kettle boiling- bigger and bigger blobs opening and reforming. 

    The slower you breathe out, the more likely you are to encourage the little plugs to move and become bigger plugs. This is also why big breaths when you're doing the breathe and hold are important. You're trying to force air behind the plugs.

    WaIt until you really, absolutely, totally have to cough. And only then do the cough / huff. If you're well hydrated, you might be surprised how much you can get out.

    Sometimes I need to shift around - either just wiggling / stretching / bending from side to side. Sometimes I need to lie on one side or another to really chase them out.

    In any case, the slow chase works better for me than the sharp huff.

    Hope that helps

    S

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    • Posted

      Hi Sam ! Thanks for this , tried this & it really worked well ! Do you tend to do it lying down ? I did it lying on my side & got great results !
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    • Posted

      Cool! Glad it helped (hat tip again to the physio at the Brompton!).

      Sometimes fine standing up, sitting, walking whatever. But definitely when things are not so good then lying down can often help get rid of more, as I chase the gunk about.

      Clear lungs!

      S

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  • Posted

    Dear Bricklayer,

    I find that exercise is the best way to clear the lungs, so if you are able to do anything like swimming, running, cycling etc. even fast walking, I think this would help you. If you use an inhaler take this before the exercise to open up the airways, then exert yourself as much as you are able. Afterwards postural draining may also help you bring up the mucus that should have been loosened by the excercise.

    Best wishes,

    John

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    • Posted

      Hi John , yes I am exercising !jogging , cardio stuff etc & that does give me a ' cough ' , not on any ventolin or anything !
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  • Posted

    I also can highly recommend the use of a bronchodilator in your nebulizer, followed by hypertonic saline solution...7%

    Also...I have found an over the counter supplement that is highly recommended by respiratory doctors......though it took this forum to out me onto it.  Once I asked about it all my docs said it would be a good idea.  It is n-acytlcysteine or nac for short. I take the 600 mg pills which I get from amazon. I would say that they have reduced my mucus by at least 75%. Check with your doctor.  These two treatments have so improved my life.  The n-acytlcysteine is also available to be nebulized and many find it very helpful.  I have been resisting because everyone says it tastes and smells like rotten egggs.  Could be sulfur, which makes me wonder if folks that are allergic to sulphur would be able to take it.  Anyway...check with your doctor.

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