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How much time does airway clearance take?

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4 769
J

I found out that I have bronchiectasis and probable NTM last December, and my pulmonologist recommended just watching it for a while. I had a follow-up CT in June and then a bronchoscopy in July because I have never produced any sputum. One of the cultures identified acid fast bacilli but they are still trying to identify the specific one. I feel like I should probably start airway clearance at the very least, and I'm wondering how much time is typically required to do that because I am still working full time and only have 2 -3 free hours per day. I was thinking about cutting back to part time as I transition towards retirement. I'm 65 so that is a possibility, but I do like my current health insurance and worry about the stability of Medicare (I'm currently only on Part D). I'm scheduled to see my doctor on 9/12 so I'm trying to think about how I want to proceed. Thanks for your input!

Latest Activity: December 10, 2025
9
4 Replies

Replies

K

Jane,

Hello! Welcome to the site. Any airway clearance is better than no airway clearance. You can use a hand held device, such as the Aerobica, do 3 sets of 10 that doesn’t take too much time out of your day. Below is information on the airway clearance:https://www.bronchiectasisandntminitiative.org/Learn-More/I-am-a-Patient-or-Caregiver/Coping-with-Airway-Mucus

In addition to the community support you receive here on BronchiectasisandNTM360, you can call one of our Patient Ambassadors directly by phone at (833) 411-5864. Our Ambassadors are real live patients with experiences similar to yours. You can also email us at contactus@bronchandntm.orgto get more information about Airw Clearance. Our Ambassadors can’t provide medical advice but may be able to assist you with additional information and resources.

Latest Activity: August 31, 2025
7

Comments

Thank you. I know I'm probably over thinking this, but it's been hard not to since I found out about my diagnosis. My initial CT scan was to check for a possible problem with my aorta, which thankfully I did not have, and there is no history of lung issues in my family, so this was a bit of a shock. I have been doing a lot of reading on this site and others, but I guess the logistics can be sorted out once I have my next follow-up.

Latest Activity: August 31, 2025
2

@Jane M.  
Hi Jane, it is definitely a shock when you find out. I am 71 and got diagnosed last year, after CT scans while hospitalized for a week with pneumonia, but had been sick the previous 3 years with ongoing infections that wouldn't leave my lungs/sinus.

  Airway clearance takes me about 40 minutes in the morning, 30 at night. I use my albuterol inhaler first, then steam inhalation,  (am going to be trying a saline nebulizer), take a mucus expectorant of Guaifenesin only (pill and liquid) ,  then do SMALL airways clearance (see videos)  and following that, the Aerobika device for larger Airway clearance. I also use a Neti pot  every other day as my exacerbations always go into my sinuses too.

It's a lot of steps, but so far this fall and winter I have reaped the benefits with MUCH better health and energy. I would allow at least 30 minutes in the morning and maybe a bit more if you still are working.  READ everything you can on Bronchiectasis, watch videos on airway clearance, and keep asking questions!  I wish you the very best as you go forward..

Latest Activity: December 10, 2025
N

I know that feeling. After completing 6 weeks of Pulmonary Rehab the key advice I took away from the sessions was to pace yourself. Give yourself extra time in the morning. Airway clearance is super plus exercise is key. Difficult to fit all in but your health comes first. I was working full time up until last year. I have bronchiectasis and MAC so have gone down to 3 days a week. A difficult decision as I am only 58 and had not planned on retiring until 65ish! I was able to take my pension early as a teacher here in the UK and along with working 3 days life is working out. It is such a shock to your system and nothing prepares you for the impact it has on your life but we adapt and cope. I still ask the question 'why me' but I am more accepting now almost 3 years down the line. I did not cope well with the big 3. My NTM returned last February after being clear for almost a year. Anyway I wish you luck with whatever treatment you have. I am doing watchful waiting at the moment but know that I will have to return to some sort of treatment soon.

Latest Activity: September 9, 2025
4
K

Jane,


it is okay to be overthinking- any new diagnosis is overwhelming.

I am glad you are reading about this diagnosis- preventative strategies , such as airway clearance, infection prevention are the key to a better quality of life.

Latest Activity: September 9, 2025
2
K

Niamhy,

Hello! Glad to see your post. It does take time to accept that many of us have to pace our activities; we learn to adapt over time. Energy management strategies assist us in our everyday lives.

I think that we all ask the question,” why me?, why at this time in my life?”. We don’t know the answers. We go through a different type of grieving process periodically. However, we are here to support one another on the journey, to encourage one another to keep going forward. :)

Latest Activity: September 9, 2025
8

It is not our intention to serve as a substitute for medical advice and any content posted should not be used for medical advice, diagnosis or treatment. We make every effort to support our members, our medical professionals cannot and will not provide a diagnosis or suggest a specific medication; those decisions should be left to your personal medical team. While we encourage individuals to share their personal experiences with COPD, please consult a physician before making changes to your own COPD management plan.

Community posts are monitored by the 360social Community Manager, as well as staff respiratory therapists, educators, and other medical professionals.

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