Hi. I was diagnosed last year with Bronchiectasis and COPD (Emphysema). I'm currently in the midst of my 4th exacerbation in the past 15 months. My Doc put me on Spiriva (inhaler). I had quit taking it after the last exacerbation, but I was told last week to use it permanently. I had a lot of phlegm, which is mostly gone now. I don't know if the Spiriva did that or the other drugs I'm currently taking - Prednisone, Amoxiclav, Mucinex, and Delsym. I'm still pretty sick: SOB, weak, lightheaded, irritable, and diarrhea. Hopefully, these will pass when the exacerbation is over.