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Bulbar ALS and phlegm?

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Old 01-05-2008, 11:44 AM   #1
BillO
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Default Bulbar ALS and phlegm?

Can anyone tell me where the excess phlegm comes from with Bulbar ALS.
Bill.
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Old 01-06-2008, 11:21 AM   #2
lisag
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Hi Bill,
The excessive saliva is due to the impairment of swallowing. Most people ( including completely healthy people ) produce about a quart and one half of saliva a day.
In ALS once bulbar impairment occurs, it is not that more saliva is produced. The drooling and excess appearance of secretions is caused by the inabilty to manage it when swallowing is impaired.
If you are talking about phlegm that is yellow or green or has any foul odor. An infection that needs prompt medical attention may be present. And you should be seen by a doctor.
If the phlegm is clear and is just thick secretions some medications may be useful in managing as well, these too can be discussed with a physician though this problem is typically not as urgent medically.
My husband uses scopalimine patches it reduces the saliva problem but does not completely eliminate it.
Lisa
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ThaQueenB (06-04-2009)
Old 06-04-2009, 02:09 PM   #3
ThaQueenB
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Default bulbar als

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Originally Posted by BillO View Post
Can anyone tell me where the excess phlegm comes from with Bulbar ALS.
Bill.
my dad has bulbar als and his doctor gave him a medication that comes in liquid form and in pill form and it has reduced his saliva and coughing-it is working really well-i will get the name of it
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Old 06-04-2009, 02:19 PM   #4
ThaQueenB
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Default bulbar als and saliva/coughing

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Originally Posted by lisag View Post
Hi Bill,
The excessive saliva is due to the impairment of swallowing. Most people ( including completely healthy people ) produce about a quart and one half of saliva a day.
In ALS once bulbar impairment occurs, it is not that more saliva is produced. The drooling and excess appearance of secretions is caused by the inabilty to manage it when swallowing is impaired.
If you are talking about phlegm that is yellow or green or has any foul odor. An infection that needs prompt medical attention may be present. And you should be seen by a doctor.
If the phlegm is clear and is just thick secretions some medications may be useful in managing as well, these too can be discussed with a physician though this problem is typically not as urgent medically.
My husband uses scopalimine patches it reduces the saliva problem but does not completely eliminate it.
Lisa
lisa you are right -i have heard that the patches work pretty well-this medicine my dad is taking has really helped with the saliva and coughing-i will get the name of it-you may be interested in discussing this with your doctor
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Old 10-20-2011, 09:24 AM   #5
nemoslady3
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I would be very interested int eh name of the meds my phlegm will keep me awake coughing
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Old 02-20-2014, 04:32 PM   #6
carol hays
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Quote:
Originally Posted by BillO View Post
Can anyone tell me where the excess phlegm comes from with Bulbar ALS.
Bill.
My husband takes robatussin for the secretions.We are also trying an over the counter allergy medicine.
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