BRONCHIECTASIS

  • A condition where the bronchial tubes of the lungs are permanently damaged and enlarged.
    • This allow bacteria and mucus to build up in the lungs, resulting in infections and blockages in the airways.
  • The condition is treatable, but it cannot be cured.
    • With treatment, one can live a normal life; exacerbations however, must be treated promptly to prevent oxygen deprivation.

Causes of bronchiectasis:

  • Lung infection: Most common
    • includes viral infections i.e. the flu and bacterial infections i.e. staph or tuberculosis.
  • Additional causes of bronchiectasis include:
    • inhaling foreign objects or food
    • breathing in stomach acid
    • cystic fibrosis
    • GERD (gastro-esophageal reflux disease)
    • weakness in your immune system (e.g. HIV, uncontrolled diabetes)
  • Cystic fibrosis: causes 1/3rd of all cases of bronchiectasis (source: National Institute of Allergy and Infectious Diseases).
    • a hereditary disease where mucus builds up in the lungs and other organs like the stomach, resulting in repeated infections.
  • Chronic obstructive pulmonary diseases (COPD), chronic bronchitis, and emphysema also obstruct the lungs and increase risk for bronchiectasis.

Symptoms of bronchiectasis can take months or even years to develop. Symptoms include:

  • chronic coughing
  • coughing up blood
  • abnormal sounds or wheezing in the chest on breathing
  • shortness of breath
  • chest pain
  • coughing up large amounts of mucus daily
  • bad breath odor
  • skin with a blue appearance
  • weight loss
  • fatigue
  • thickening of the skin under your nails and toes

DIAGNOSIS

  • Physician may do/request:
    • History & Physical Exam
  • Other additional tests such as:
    • sputum test to check your mucous for viruses or bacteria
    • chest X-ray or CT scan to provide images of your lungs
    • pulmonary function tests to find out how well air is flowing into your lungs
    • purified protein derivative (PPD) skin test to check for tuberculosis

 

TREATMENT

  • No cure; main goal of treatment is to keep infections and bronchial secretions under control.
    • It is important to prevent further obstructions of the airways and minimize lung damage.
  • Common methods of treating bronchiectasis include:
    • antibiotics to fight infection
    • bronchodilators like albuterol (Proventil) and tiotropium (Spiriva) to open up airways
    • medications to thin mucus
    • expectorants to aid in coughing up mucus
    • oxygen therapy
  • Surgery: for bleeding in the lung or localized disease
  • Draining of the bronchial secretions

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