Postural drainage is a way tochange your body position to help your lungs drain. If you have a long-term (chronic) lung problem associated with excessive mucus, or you have increased mucus from an infection, lying with your chest lower than your belly (abdomen) can help loosen and drain extra mucus from your lungs. The guidelines below will help you know what to do.
General guidelines
- Check with your healthcare provider before trying this therapy.
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Find positions that are comfortable for you. You can lie on a bed or on the floor, using pillows. Try some of the positions that are described below.
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Stay ineach position for at least5 minutes.
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When you feel the urge to cough, sit up and do controlled coughing.
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Make sure todo postural drainage before meals or at least 90 minutes after eating. This helps prevent vomiting.
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If your healthcare provider prescribed medicines such as a bronchodilator or inhaler, ask how long to wait to do postural drainage after using the medicine.
- Sometimes postural drainage is used along with other therapies such as chest percussion, vibration, or use of a flutter valve. Talk with your healthcare provider before you combine different treatments together.
When not to do postural drainage
Always talk with your healthcare provider before starting postural drainage. Don't try this therapy if you:
- Have mild pain when you are in certain physical positions
- Are coughing up blood
- Have rib fractures
- Are using blood-thinning medicines
- Have vertebral fractures or osteoporosis
On your back
Try this position to drain the front of your lungs.
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Lie on a slanted surface with your chest lower than your hips.
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Place a small pillow under your head. Put2 pillows under your bentknees.
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Rest your arms at your sides and breathe in through your nose and out through your mouth. Remember: Always breathe out for longer than you breathe in. This allows your lungs to empty as much as possible.
On each side
Try this position to drain the sides of your lungs.
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Place a small pillow under your head and2 or3 pillows under your hips.
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Lie on one side with your chest lower than your hips.
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Breathe in through your nose. Breathe outthrough your mouth.
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After5 to 10 minutes, switch to the other side.
On your stomach
Try this position to drain the back of your lungs.
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Put2 or3 pillows under your stomach.
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Drape your body over the pillows so that your chest is lower than your hips.
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Rest your arms by your head.
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Breathe in through your nose. Breatheout through your mouth.
Follow-up care
Make a follow-up appointment as directed.
When to call your healthcare provider
Call your healthcare providerright awayif you have any of the following:
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Wheezing or constant coughing
- Symptoms get worse, or you have new symptoms
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Increased mucus
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Yellow, green, brown, bloody, or smelly mucus
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Fever of 100.4°F (38°C) or higher, or as directed by your provider
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Fast orirregular heartbeat
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Swollen ankles
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Pain
Call 911
Call 911 right away if you have any of these:
- Trouble breathing
- Confusion or trouble staying awake
- Loss of consciousness or fainting
- Chest pain or tightness
- Skin is a blue color
- Coughing up blood
- Severe pain
