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Congestion In Lungs, Coughing Up Mucus After Using CPAP With Humidifier. Taking Asthma Medicine And Protonix

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Posted on Sun, 26 Aug 2012
Question: I have been using my CPAP machine for 3 years now. In the last year or so after a night of CPAP (with humidifier) I have a lot of congestion in my lungs, coughing up mucous so that it's hard to talk...and I'm a teacher! I take asthma medicine and protonix for GERD.
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Answered by Dr. Gyanshankar Mishra (46 minutes later)
Hi,
Thanks for posting the query on XXXXXXX After going through your query, I would like to comment the following:

1. You seem to be suffering from Asthma, GERD and sleep apnea.

2. You need to take your asthma and GERD medications regularly.

3. Maintenance of the humidifier of your cpap machine needs to be done. Please contact the service provider for the same. Most of the times humidifiers are cause of respiratory infection if not maintained well.

4. Also you can take a bronchodilator and mucolytic cough expectorant to clear up the chest.

5. A chest xray pa view needs to be taken for the chest complaints. Also suffering from asthma makes the possibility of ABPA (Allergic broncho pulmonary aspergillosis) very likely. Hence blood investigations- serum IgE - total and specific for aspergillus fumigatus needs to be done. A CT Thorax may be required if this condition is suspected.

6. A secondary respiratory infection could be a cause or CCF. Do get an ECG and 2d echo done if possible.

7. Also vaccination for flu and pneumococcus is essential for you.

8. You thus need to get yourself evaluated by a Pulmonologist.

I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.

Regards

Dr. Gyanshankar Mishra
MBBS MD DNB
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Gyanshankar Mishra

Pulmonologist

Practicing since :2003

Answered : 600 Questions

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Congestion In Lungs, Coughing Up Mucus After Using CPAP With Humidifier. Taking Asthma Medicine And Protonix

Hi,
Thanks for posting the query on XXXXXXX After going through your query, I would like to comment the following:

1. You seem to be suffering from Asthma, GERD and sleep apnea.

2. You need to take your asthma and GERD medications regularly.

3. Maintenance of the humidifier of your cpap machine needs to be done. Please contact the service provider for the same. Most of the times humidifiers are cause of respiratory infection if not maintained well.

4. Also you can take a bronchodilator and mucolytic cough expectorant to clear up the chest.

5. A chest xray pa view needs to be taken for the chest complaints. Also suffering from asthma makes the possibility of ABPA (Allergic broncho pulmonary aspergillosis) very likely. Hence blood investigations- serum IgE - total and specific for aspergillus fumigatus needs to be done. A CT Thorax may be required if this condition is suspected.

6. A secondary respiratory infection could be a cause or CCF. Do get an ECG and 2d echo done if possible.

7. Also vaccination for flu and pneumococcus is essential for you.

8. You thus need to get yourself evaluated by a Pulmonologist.

I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.

Regards

Dr. Gyanshankar Mishra
MBBS MD DNB