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Medical Forum / Diseases and Disorders / Sinusitis / January 2006Ping: Steven L.
Steven, You and I have similar symptoms, as I have chronic post nasal drip causing some bronchial problems that are very similar to asthma or emphysema, or chronic bronchitis. My doctors have me using Albuterol if needed and suggested I try Combivent also. Well, the Combivent seemed to give me the symptom it gave you, that you reflected in one of your posts, in that it made the mucous in your chest seem to 'clog' up around your larynx. I seem to do pretty well on the Albuterol and don't have to resort to using it that often, and Combivent is great at really 'opening' up my breathing, but it causes so much problems with my throat I can't use it. My question for you is that in one of your replies, and I can't locate it, you mentioned some other inhaler that you either used or tried, or maybe are using now. I just wondered if you could please try and recall what inhalers you have used with success. If I recall correctly you did say you used Albuterol...just wondered if you found anything any better. Thank you very much for reading, Allen > My question for you is that in one of your replies, and I can't locate it, > you mentioned some other inhaler that you either used or tried, or maybe are > using now. I just wondered if you could please try and recall what inhalers > you have used with success. If I recall correctly you did say you used > Albuterol...just wondered if you found anything any better. FWIW, here's my experience, but I don't know if it will be of much help to you: Yes, I found that ipratropium bromide inhalers made me feel worse. The drying effect on the lungs is a good thing and a worthwhile price to pay, if the mucus is being secreted in the lungs (as with bronchitis). But if the mucus is mostly PND from the sinuses, then drying out the lungs is of no benefit and will only make it harder for the cilia to push out the PND. I was doing pretty well on albuterol, until I started getting mild BPH as I got older. The alpha-adrenergic side effect of the albuterol on my urinary tract was making it nearly impossible for me to pee. I found an asthma specialist who switched me to Maxair which seems to have less of this side effect, and that's what I have used ever since. To potentiate the Maxair, I tried a variety of steroid inhalers. The one I ultimately settled on with the fewest side effects was QVAR. So using those two inhalers worked for me. After my second sinus surgery, my symptoms improved enough that I was able to taper off the QVAR and now I'm on Maxair only. Inhaling steam thru my mouth (from a 3 quart pot of boiling water) is still the best way for me to liquefy that PND phlegm in my airway. Often, after inhaling that steam for maybe 20-30 minutes, I find that the phlegm just suddenly "detaches" from my airways and flies right out of my windpipe with one cough.  SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. >> My question for you is that in one of your replies, and I can't >> locate it, you mentioned some other inhaler that you either used or >> tried, or maybe are using now. I just wondered if you could please >> try and recall what inhalers you have used with success. If I recall >> correctly you did say you used Albuterol...just wondered if you >> found anything any better. >In news:GHdAf.3746$vU2.1149@newsread3.news.atl.earthlink.net, >Steven L. <sdlitvin@earthlinkNOSPAM.net> typed: [quoted text clipped - 26 lines] > the phlegm just suddenly "detaches" from my airways and flies right > out of my windpipe with one cough. Thanks for the reply Steven, Maxair is the name I was trying to recall. You're like me, and probably have tried so many different medications for relief it's hard to remember what worked and in what combination. I knew you seemed to keep a 'running' record and would remember all the things I asked about. Would you say the relief from the Maxair is about the same as with Albuterol? Or would you still be taking Albuterol if it weren't for the BPH? I only resort to using Albuterol if I really get the short of breath 'feeling' and also feel exceptionally clogged up with mucous in my throat and upper chest. When you used Albuterol, did you use it daily on a regular schedule, or just when you felt you needed it? How about the Maxair, is it taken when needed, or does it work best on a schedule? Thanks again for the help, ...Allen >> In news:GHdAf.3746$vU2.1149@newsread3.news.atl.earthlink.net, >> Steven L. <sdlitvin@earthlinkNOSPAM.net> typed: [quoted text clipped - 3 lines] >> I was doing pretty well on albuterol, until I started getting mild >> BPH as I got older. Steven, were you only using the Albuterol when needed, or were you using it daily and on a schedule? Would you have continued with Albuterol and not even considered using Maxair, if it hadn't been contributing to the BPH condition? >> ...the Maxair... After you switched to Maxair, was it used as needed, or daily? >>I tried a variety of steroid inhalers. The >> one I ultimately settled on with the fewest side effects was QVAR... Do you think by using the steriod inhalers in combination with the dilators, they made the mucous easier for you to clear it, or did it only make you breathing 'attacks' less frequent? Sorry to 'ping' you for more answers, but these should explain for me how to progess and I do thank you for taking your time to explain. ...Allen > Thanks for the reply Steven, Maxair is the name I was trying to > recall. You're like me, and probably have tried so many different [quoted text clipped - 5 lines] > > ...Allen >>>In news:GHdAf.3746$vU2.1149@newsread3.news.atl.earthlink.net, >>>Steven L. <sdlitvin@earthlinkNOSPAM.net> typed: [quoted text clipped - 6 lines] > Steven, were you only using the Albuterol when needed, or were you using it > daily and on a schedule? Two puffs every morning, two puffs every evening. > Would you have continued with Albuterol and not > even considered using Maxair, if it hadn't been contributing to the BPH > condition? No. Now I use the Maxair, two puffs every morning. I stopped needing it in the evening after my surgeries took effect. > Do you think by using the steriod inhalers in combination with the dilators, > they made the mucous easier for you to clear it, or did it only make you > breathing 'attacks' less frequent? Both. SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. >>>> In news:GHdAf.3746$vU2.1149@newsread3.news.atl.earthlink.net, >>>> Steven L. <sdlitvin@earthlinkNOSPAM.net> typed: [quoted text clipped - 19 lines] > > Both. Steven, thank you very much, that's what I wanted to hear. The waiting until needed wasn't working for me. I'll try and switch over to the Maxair and see how it works on me...reading the PDR about it, it sounds much better that Albuterol. ...Allen On 1/20/06 2:42 PM, in article GHdAf.3746$vU2.1149@newsread3.news.atl.earthlink.net, "Steven L." <sdlitvin@earthlinkNOSPAM.net> wrote: > Inhaling steam thru my mouth (from a 3 quart pot of boiling water) is > still the best way for me to liquefy that PND phlegm in my airway. > Often, after inhaling that steam for maybe 20-30 minutes, I find that > the phlegm just suddenly "detaches" from my airways and flies right out > of my windpipe with one cough. ' It is much better to use an ELECTIC steamer they sell for facial beauty. When you inhale try ot have your tongue out, so more of the steam gets to the lungs. >Inhaling steam thru my mouth (from a 3 quart pot of boiling water) is >still the best way for me to liquefy that PND phlegm in my airway. >Often, after inhaling that steam for maybe 20-30 minutes, I find that >the phlegm just suddenly "detaches" from my airways and flies right out >of my windpipe with one cough. Hmm that still sounds to me as something that might be the case with low metabolsim. However, i think you may have said previosuly that y our TSH was normal. Do you know the numeric value of your TSH? Sorry if we covered this before......
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