Bronchiectasis is a lung disease characterized by irreversible enlargement of the lower lung airways and destruction of lung tissue.
It is usually caused by repeated infections and inflammation, which can start a vicious cycle.
Inflammation causes a partial obstruction of a part of the lung, causing secretions to collect, which sets the stage for infections to develop and persist, damaging the surrounding lung tissue.
Bronchiectasis is not an independent lung disease, but is a consequence of some other disease process.
A lung infection may be from tuberculosis, a fungus, or virus, or may result from obstruction by a tumor or an inhaled foreign object.
Bronchiectasis can also follow lung injury from inhaling corrosive gases or one's own stomach contents.
Other causes are cystic fibrosis and a syndrome of non-functioning cilia in the airways, both of which allow the collection of secretions in the airways of the lung.
There may be anatomical birth defects in the lung, such as cysts or softening of the airways, which can begin the cycle of obstruction, infection, and bronchiectasis.
Or, there may be an inborn immune deficiency leading to frequent infections.
Over half of the cases of bronchiectasis in children and young adults in the US are specifically associated with cystic fibrosis.
- Frequent coughing with bad-smelling, green or yellow
sputum (sometimes flecked with blood).
- Repeated lung infections.
- Shortness of breath; bad breath.
- General ill feeling.
- Frequent fatigue.
- Anemia (frequently).
Damage to the small bronchial tubes, which may develop
Common sources of damage include:
- Poor nutrition.
- Family history of tuberculosis.
- Fatigue or overwork.
- Exposure to allergens.
- Cold, humid weather.
- Don't ever smoke.
- Obtain medical treatment for lung infections.
- Avoid as many risks as possible.
- Get immunization against influenza and pneumonia.
The prognosis of an individual with bronchiectasis varies with the amount of lung destruction. Prognosis declines with multiple successive pulmonary infections. Individuals who have had bronchiectasis from childhood generally have a shortened life expectancy.
- Medical tests for diagnosis may include X-rays of the
lung, including a bronchogram, sputum culture, bronchoscopy.
- Don't smoke.
- Learn and practice postural drainage twice a day.
- Sleep with 3- to 5-inch blocks under the foot of the
bed to prevent mucus from collecting in the lower
lobes of the lungs.
- If you work around heavy air pollution, do everything
possible to limit your exposure, including changing
- Install air conditioning with a filter and humidity control
in your home.
- Avoid shouting, loud laughing, crying, exertion or
sudden temperature changes, if these trigger coughing
- Keep the teeth and mouth in excellent condition.
- If you have an allergic background, avoid allergens.
- Surgery to remove isolated areas of damaged lung tissue
Remain as active as possible.
Increase fluid intake. Drink a minimum of 8 glasses of fluid a day. This thins lung secretions so they can be coughed out more easily.
- You or a family member has symptoms of bronchiectasis.
- After diagnosis, you have symptoms of a respiratory infection or bronchitis.
- Blood appears in the sputum, sputum thickens despite treatment or postural drainage reveals a change in color, amount or character of sputum.
- Chest pain increases.
- Shortness of breath occurs without coughing or when at rest.