
Suggest Treatment For Whitish Phlegm, Nose Congestion And Difficulty Breathing In A COPD Patient

female sept. 29.1958 happily married 2 pets no smokers in house
phlem comes in mouth I have a tube that gives air (NOlonger needed) itr is just this white color phlem and sometimes even a little tobacco will come up when my husband sucks me out with the machine that gets all the bad stuff out I hope. I need to get better I have lots of pain but the smoking is neither healthly or accepted in society now I feel my nose closing as I type this ans I have the long tube around my neck. My husband is on his way home because even though I can do it I am afraid now and I need him to show me how to suck me out more because I am dislexic I also get right and left mixed up if that helps at all now it is starting to get dark here and this phlem when I sit up is manageable.... But laying down is just too bad, I have NEVER BEEN GIVEN ANY PERSCRIPTION AGAINST THE SIDE EFFECTS BUT HAVE BAD DOCTORS AND ONLY MY GREAT HUSBAND NO FAMILY I was going to start with aclkose by church and got sick first,
Ok... not totally sure of the question.
Detailed Answer:
I am interpreting this as someone with a tracheotoma and trach collar from COPD and smoking. The fundamental question is how much air is going in and out:
1) how much volume of air can be moved and is this limited by the lung capacity, the resistance of the airways or the strength of the muscles. Simply breathing into a tube and recording how the air moves would be easily able to tell what is going on and the best way to treat it (SPIROMETRY).
This is done by a lung doctor (pulmonologist) and not by an MD because currently the equipment to evaluate this costs thousands. There may be an app for it soon.
2) Then, how much inflammation is present in the lung. There can be asthma (wheeze, constriction, resistance on air moving out).
but then there can be chronic inflammation that makes a lot of gunk pile up in the lung that has to be sucked out.
PULMONARY PHYSICAL THERAPY is helpful in mobilizing the gunk out. Also there are many medications starting with over the counter MUCINEX/GUAFENESIN that can be helpful for this.
3) is there limits on the muscles including bones/sternum/joints being deformed and / or pain limiting movement.
These are specialized issues generally treated by specialists and not by a primary care physician.


mY NAME IS XXXXXXX XXXX
I LIVE AT XXXXX
I SEE DR vERIGAMO iDO NOT KNOW WHAT ELSE THANK YOU I WILL THANK AGAIN XXXX
Glad I can help
Detailed Answer:
I am not as far as most doctors on the site, but am in Maryland not PA. That being said I can give general info. THe lung is fairly straightforward.....the good part is that all the relevant features (airflow, resistance, secretions, muscle function, supportive joints/ribs) are pretty easily summarized. The bad part is that it is frequently the case that nothing can be done. If someone has emphysema (lung destruction) there just isn't that much lung to move air and other than transplant, nothing much can be done. If there is a lot of chronic inflammation (coughing up buckets). then the situation might or might not be haltable and the people with this chronic bronchitis lose an average of over a quarter cup of lung a year.
Glad I could help.

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