Hello everyone, have been struggling with my bronchiectasis for a while, getting infections every month even though I am on antibiotics all the time. I upped the exercise I do but it didn't make much difference. So I had a session with a respiratory physiotherapist (I went private) and she taught me a different way of active breathing which I thought I would share with you as it does seem to be helping (three weeks since last infection, cross fingers) plus sleeping better.
Breathe in slowly ensuring you use the bottom of your lungs, hold for a bit, and then breath out slowly. Try not to cough but swallow instead. This should be done ten times before a big breath and a huff. Holding your breath, which I wasn't doing before, helps shift the mucus from underneath. The process should be repeated four times, in the morning and evening and in the day if needed.
She also recommended an aerobika machine (like a flutter device). She said they are much easier to use than the ones with metal balls and can be used in any position, even lying down. The only place I could find them was Ireland and it was about £130 with postage (the pound's weakness against the Euro doesn't help) so have ordered one.
Best wishes to everyone
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Fionafish
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Thank you so much for your post. I plan to start your technique tomorrow. I do hope that it helps you get rid of the mucus.
I have the aerobika flutter device and like it better than the acapella. It doesn’t give me a headache. (It’s just a small plastic device that should cost much less!)
Hi Fionafish, I learned this method from the respiratory nurse at the hospital and she got me an acapello device to use from the nhs so it cost me nothing, are you in the UK ? If so you shouldnt have had to pay for it, but so glad it works for you x
Thanks, yes, in the UK, but it takes ages to see anybody so thought I would go private and buy the aerobika myself - it has been tricky to feel in control lately but since I have seen the physios I feel loads more positive x
Hi Sarah, swallow only if you feel like coughing to try and stop it (not always successful in my case). I saw another physio this morning who gave me an even better method - will put in a new post. She reckons I can get off the antibiotics if I manage to clear properly - cross fingers
Thanks for sharing this fionafish , I’m certainly going to try it, iv had constant infection all year even though I’m on antibiotics although if I stop the antibiotics I’m so much worse so I suppose I’m better taking them. I’m also finding it hard to cough up mucus during the day although I cough up quite a bit
Saw another physio this morning who gave me a really good method to shift mucus from the two bottom lobes:
Lie on one side with head on pillow ensuring top arm, lying along body, and shoulders are relaxed (I put my underneath hand on the top ribs to ensure breathing correctly - shout if this is not explained well). Take three slow, deep breaths ensuring you are breathing from the bottom of your lungs. Relax for a short while and then do three more breaths, slow and steady getting air deep into your lungs, trying not to cough (swallow cough if possible). Then do one long huff. Repeat process for ten minutes.
Then do the same for ten minutes on the opposite side - the lung on the top is the one that clears each time.
It's probably been three weeks since last infection and when I went to docs yesterday my chest was clear - cross fingers it will keep the infections at bay. The antibiotic that is working best for me at the moment is ofloxacin.
Hi bettyb65, I have been trying to remember but did not save any of the packaging or emails. It was somewhere in Ireland and looking at the websites I am pretty sure it was Trudell Medical.
I have not been using it as the exercising and postural drainage seemed to keep my chest clear. However, have just had an infection so might get it out and use it as well.
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