I’m not sure whether this is helpful at late stage ALS, but I smear Vicks above my top lip and down the front of my neck when going to bed and the vapours help in preventing/relieving the “clagging” of the phlegm and associated coughing. Sometimes I use Vicks during the day too. I also changed from a medium pillow to a firm pillow which gives a slightly elevated position rather than using an uncomfortable wedge pillow. Best wishes.
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