My Pulmo said no saline alone! Why?

Posted , 5 users are following.

This discussion has been locked due to a period of inactivity. Start a new discussion

I wonder sometimes about my Pulmonologist. Luckily she has referred me to an excellent regional clinic. So she messaged me in MyChart NOT to use the saline alone after I had asked about it. I hate using Albuterol at night, as it interferes with sleep. She expects me to use half a dose.  So I have BX alone with a lot of pulmonary scarring (fibrosis). I wish she would have told me why. 

Thank you,

Jennifer near Seattle (and the sky grew very dim at 10:02 am) 

2 likes, 8 replies

Report

8 Replies

  • Posted

    Hi Jennifer

    I'm not sure how you're using, or wanting to use saline, but ,,  did you ask the doc/nurse why you cannot use it as you want to?

    Report
    • Posted

      She didn't give me a reason why. The second time I asked her in MyChart messaging she gave a sarcastic reply that she had already said NO do not use. She said I am already getting saline in Albuterol. I am getting frustrated with her.  I would like to use it at night instead of Albuterol. 

      Report
    • Posted

      That is frustrating!  If you've asked twice, I guess she's not going to answer.  One thing I've learned over the years is that here in the States, pulmos tend to be arrogant.  I don't know how you're using the saline - nebulizer?  All I ever do with the stuff is mist or roto-rooter it into my sinuses, depending upon how bad they are.

      Sometimes within a month or 2 that side effect goes away with the albuterol and even ipstropium-albuterol combo, both as inhaler and nebulizer med.  Depends on the patient.  I hope it goes away soon for you.

      Report
    • Posted

      I use the albuterol in the nebulizer at home and carry a Pro-Air inhaler when I go out. I was thinking of putting just the saline tube into the nebulizer cup to help loosen the mucus before I go to bed. LOL about the Pulmonologist's attitudes! Though in person she really is very helpful, it's just hard to communicate through email with her.  

      Report
    • Posted

      There are other ways to loosen the mucus, various mucolytics.  They can be combined with an a Capella device or the postural drainage to help.  Maybe your doc doesn't want the extra water pumped into your lungs?  I nebulize a couple of meds, but no saline.

      Report
    • Posted

      Hi and thank you. That makes a lot of sense about not too much salty water pumped in! I went back to using 12 Hr. Mucinex twice a day til this exacerbation is over. Today is the last day of my Cefuroxime antibiotic. I started getting a little worse again when I stopped the Prednisone. The doctor I trust (allergist who found the Bronchiectasis) is on vacation so I am trying to figure out other ways to get better. I have an Acapella and am using it. Thanks for replying with a very useful answer.
      Report
    • Posted

      Hi Jennifer

      If you're in the US or Canada, Costco still sells the old Mucus Relief quite cheaply.  It's the exact same thing as mucinex but at a fraction of the price.  My membership fee was earned back in 6 weeks.  I take 1200mg twice daily, 12 hours apart -- well, 1200mg guafenisen, which is the active or only ingredient in plain mucinex & mucus relief.

      Report
  • Posted

    Hi jennifer62 , I have COPD and bi-lateral BX, I use nebulised Salbutamol  and Atrovent, both four times a day, but in order to get rid of the muck in my lungs I use

    6% Saline six times a day, Also Mucadine capsules twice a day. As it is so important to shift the mucus, I am surprised you have been told not to use saline. It is a well documented solution. Hope things improve for you.

    Report

Join this discussion or start a new one?

New discussion

Report as inappropriate

Thanks for your help!

We want the forums to be a useful resource for our users but it is important to remember that the forums are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the forums is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.

newnav-down newnav-up