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You might need to be assessed by a respiratory expert when you get back to England so that, if necessary, you can be provided with equipment such as a 'cough assist machine'. (Not sure if a referral to a respiratory expert can be done by your GP in England or if it is organised by an MND clinic - but others on the forum will probably know).
Sorry that you are experiencing these additional issues so soon before your return to England.
Don't forget to bring a warm jumper or jacket with you when you return - I expect it is much chillier in England than it is in Thailand - and I don't like to think of you feeling cold when you get off the plane!
If you feel chesty, get your lungs checked out - a GP-type doctor with a stethoscope should be enough to see if lungs are clear.
Re thick & viscous mucus at back of throat: you need to thin it down by drinking lots of water, drinking pineapple and/or papaya juice. Take a chesty cough syrup containing Guaifenesin or a medicine named Carbocisteine - IDK if the latter two are available in Thailand.
Thinner mucus is easier to shift, either by coughing, even with a weak cough or with help using an LVR bag (aka modified Ambu bag) or a Cough Assist Machine (aka Mechanical Insufflator-Exsufflator) (maybe they're avaible to rent) Videos online for the latter two.
Both the LVR and a Cough Assit will be available to you in the UK if they're needed.
Any other Qs, please ask, but if you "feel chesty", get it checked out to be on the safe side.
Im getting more mucous but can't seem to shift it very well with my cough assist. Sometimes it works which is a great relief. More often than not though it won't and its exhausting. Any tips?
Do you take Carbocisteine to help thin the mucus? Or even a chesty cough syrup containing Guaifenesin or pineapple juice, which also thin mucus? And take lots of water, especially in the hospice as they tend to be rather warm places.
The thinner the secretions, the easier it is for the Cough Assist to bring them up.
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