My guy is having a tough time lately,he get glycopýrrolate every fours hours or so to help with the phlegm but he is getting worse. Tonight he is throwing up brown phlegm stuff,but because he had chocolate ice cream and cake it's a wait and see night. He is definitely on a another downwards trend.
Just venting
Dee
Dad went through some horrid coughing spells. They'd always pass but it was hard to watch and not much to do other make sure he didn't choke. The vomiting is probably just his gag reflex triggered by the hard coughing, I've had that happen myself when working in a dusty environment.
Ron
So sorry no pearls of wisdom but do tell the Neurologist. My hubby does this occasionally but only ( currently) associated with over cramming his mouth with food followed by coughing until he vomits. If I can manage food volume intake we seem to avoid the problem ( for now)
Hope you find some resolution.
Sending you love hugs and understanding
Tippy xxxx
Hi Dee it must be tough on you ,my Kathy uses atropine eye drops
under the tongue ,3 drops .i stop giving Kathy sweet things before bed
Because it could increase saliva production and make her worse,also
she is on amitriptyline which relaxes muscles and drys the mouth out
i turn her on her side and elevate the bed at the head also during the
night i rinse her mouth out with water and small amount of salt.
With glycopyrrolate you might have side affects.
Good luck xx Peter and Kathy
Dee this happened to my husband. He had just eaten some chocolate so like you I thought that was what was wrong. However he was admitted to hospital after the doctor visited. He had pneumonia. So don't assume it was the ice cream or cake. Always be cautious.
Marie x
Also, a bowel impaction can cause vomiting. Has he had a BM in awhile?
He is moving things at the moment, we have gone through that once before.unfortunately it's just another down turn and I think I'm going to talk to doctor about exploring something else for the gooey phlegm, the glycopýrrolate had done wellast but he is getting worse.
Ty
Dee
Hi dw123456!
These are our experiences:
• Phlegm and choking: The first thing is to remain calm during episodes of truly shocking coughs. The second is that a physician rules out an infection in the respiratory tract. Get a pulse oximeter to control. (Fever is an indication usually either pneumonia or urinay tract infection (UTI) in PSP patients).
• It is not a big problem that the patient swallows his phlegm. For phlegm to be fluid, it is important to drink liquids. Steam inhalation from boiling water in a bowl with a few drops of some floral essence (salvia f.i.) that is pleasant to the patient and a small spoonful of marine salt, with a towel covering head and bowl helps. (One to three times a day.) Medications like "Mucosan" (Ambroxol hydrochloride) twice a day or “Fluimicil Forte-600” (Acetilcisteine) one by day, help. Ask physician.
• In case of choking, raise both arms at shoulder height, breathe only through the nose intensely if posible. I not, inhale air intensely but not very fast through the mouth. Retain air a couple of seconds and then force the cough.
• Also here, to avoid in the diet drinks that can be irritating helps: coffee, carbonated beverages as pop or soda (or eliminate the gas by agitation before giving it to the patient), chocolate, orange or grapefruit juice, etc.,. There are some foods to avoid…. things like rice, foods that crumble easily, sticky foods, etc.
• There is a suction machine which helped a lot with the very sticky phlegm. We have NOT used it yet.
• A steam atomizer to keep the air in the room moist helped, too. (40% - 52% moist advisable.)
• The physiotherapists have exercises reinforcing trunk muscles to improve the cough response to choking. Engage a good speech/swallow therapist to learn swallowing techniques.
• Avoid dairy products, especially before bedtime seems to avoid the increase in viscosity of phlegm.
• Raising around 15º a 20º the head of the bed also helps.
Hoping to be useful.
Hugs and luck.
Luis
Thank you Luis,very informative. I will refer back to it often,maybe print it out.
Hi My dad has psp he's doing well apart from a very loud choking cough even if he's not eating it keep him awake most of the night
Chesty cough/flemmy 
The Cough
Wheezing and coughing
