Conversation: The conversation between human and AI assistant.
[|Human|] I have COPD, and every year in the winter, my copd is exasperated and I end up at the hospital.  This year was no exception except for one thing.  When I use my neubulizer and I breathe deeply, I hear a lot of gurlgling sounds.  They have taken exrays and my lungs look fine,  Is the gurgling sounds mucos moving in my lungs??
[|AI|]  Hello ! In patients with COPD, the airways gets inflamed (swell up and produce more mucus) hence when air moves through these constricted airways it can cause these sensations like you described. Secondary infection can make it worse.  Taking adequate bronchodilator medications, antibiotics will help in this situation.  In many patients with COPD there can be associated bronchiectasis (abnormal dilation of airways due to permanent damage) can be there and so much can get stagnated in those dilated portions and get infected. Early bronchiectasis might not be evident on chest x-ray. . So review with you chest physician and if clinically indicated discuss with them the need to proceed for a HRCT (High resolution CT) of your chest to see whether there are bronchiectasis changes in your lungs.  Kindly go for chest physiotherapy as well . It helps to bring out the stagnant phlegm out from your lungs.