Occasionally, medicine inhaled through a device called a nebuliser may be recommended to help make it easier for you to clear your lungs. Nebulisers are devices consisting of a face mask or mouthpiece, a chamber to convert the medicine into a fine mist, and a compressor to pump the medicine into your lungs.
A number of different medicines can be administered using a nebuliser, including salt water solutions. These medicines help reduce the thickness of your phlegm so it’s easier to cough it out. Nebulisers can also be used to administer antibiotics, if necessary.
While the medicines used with a nebuliser can be provided on prescription, the nebuliser device itself is not always available on the NHS. In some areas, a local respiratory service may provide the device without charge but, if this is not an option, you may have to pay for a device. Prices can range from £50 to £150 depending on how complex the device is.
How to do a nasal rinse
Our noses and sinuses are an important part of our respiratory system. The nose is the body’s air conditioning system and supports the immune system by releasing antiviral substances. There are 3 sets of sinuses in the nasal passages. If they are blocked with mucus, they can affect how loud your voice is. Mucus can trickle down the back of your throat particularly at night which can lead to chest infections.
We are going to show you how to look after your nose and sinuses so you can breathe comfortably through your nose. This will help you control your breathlessness and feeling of anxiety as well as reducing the number of sinus and chest infections.
How to clear your sinuses
- Pinch your nose
- Hold your breath slightly
- Tip your head back slowly 3 times
- You can help move the secretions in the sinuses by causing vibrations such as humming loudly and tapping over your cheek bones
- Blow your nose gently to clear the mucus regularly
- Avoid sniffing secretions back into your nasal passages
Nasal rinsing
Used to rinse out the nose with a lukewarm saline solution. This solution goes up one nostril and drains out the other, it does not go into the sinuses. This works slowly over several weeks, maybe up to 6 weeks before any improvement.
Types of bottles
One with a valve (more comfortable) or squeezy bottle
Directions
- Make up a pint (600mls) lukewarm saline solution- buy ready made sachets or make your own solution, using table salt
- Boil the water then let it cool to skin temperature before use, measure out 1 pint(600mls) and add 1 level teaspoon of table salt (NOT sea salt)
- Check it tastes like tears and is not too hot or too cold
- Option to add half a teaspoon of bicarbonate
- Clear your nose by blowing it gently first
- Over a sink check the solution flows out of the nozzle
- Tip your head to one side , over the sink, with your mouth open
- Put the nozzle of the bottle in the upper nostril and press the button, the solution will flow out of the other nostril into the sink
- If your nose is very blocked it may take several days before the solution flows freely
- If using a squeezy bottle , make sure you do not force the solution up your nose and keep your head tipped forward
- Use half the solution for 1 nostril and half for the other nostril
- Once you have finished all the solution, blow your nose gently
- Make a fresh batch each time you do a nasal rinse
- Complete this technique twice per day
- If using nasal sprays , carry out nasal rinsing first