Serving all people by providing personalized health and wellness through exemplary care, education and research.
Explore health content from A to Z.
I need information about...
Bronchiectasis is a condition that affects the airways to the lungs. It’s usually caused by an infection or other inflammatory condition. You can also be born with a condition that makes it more likely to develop. Bronchiectasis injures the walls of the airways. Over time, they become scarred and flabby. They then can’t clear out mucus. This damage can lead to serious lung infections and other major health problems.
The airways consist of a series of branching tubes. These are called the bronchi and the smaller bronchioles. Through these tubes, the lungs bring oxygen into the body. They also remove carbon dioxide from the body.
The airways usually have a coating of mucus. This sticky substance helps to remove dust, bacteria, and debris from the airways. Tiny hair-like structures called cilia help move the mucus along. This process clears away mucus. Over time, you then swallow or cough it up.
Different conditions, such as an infection, can cause mucus to build up in the airways. This buildup creates an ideal place for bacteria to grow. That can lead to more infections. Every infection hurts the airways a little more. They are then prone to further infection.
Over time, these repeated infections can permanently damage the walls of the airways. The airways widen. They become scarred and thickened. Over time, they may not be able to transfer oxygen in the air from the lungs to the body. Anyone can develop bronchiectasis. But it is more common in women. Among children, it appears more often in boys than in girls.
Bronchiectasis is not common in the U.S. It is more widespread in parts of the world that have poor access to healthcare and an increased risk of lung infections.
Anything that causes constant damage to the airways can lead to bronchiectasis. Smoking is one example. Lung infections are also a major cause. So, too, are diseases that either damage the lungs themselves or make lung infections more likely. These include:
In many cases, the exact cause is unknown.
You are more likely to get bronchiectasis if you have a condition that damages your airways or raises your chance of a lung infection. Treating these health problems can lower your risk of bronchiectasis.
Damage to the airways often starts in childhood. You may not have symptoms until months or years after repeated infections. Common signs include:
Some people have few or no symptoms. Others have daily symptoms that get worse over time.
Your healthcare provider will first ask you about your medical history. He or she will also give you an exam. You may need tests to help with the diagnosis. These tests may help identify underlying causes that might need treatment. The tests may include:
Bronchiectasis is often treated with medicine. You may also need physical therapy. You should stay hydrated, too. Drinking enough water can help prevent the mucus from thickening, which can make it hard to cough up.
Some possible medicines you may take are:
Chest physical therapy is another important part of treatment. It involves pounding your chest and back repeatedly to loosen the mucus from your lungs. You may also learn special breathing techniques. These can move the mucus into the upper part of your airway so that you can cough it up. Your healthcare provider may also give you devices such as flutter valves, or acapella valves. These help move and clear mucus from your lungs. A variety of devices are available. Your healthcare provider will review the options that are best for you.
Some people may need oxygen therapy. Oxygen levels in their blood may be too low. Your healthcare provider may also advise surgery. It may be an option if other treatments haven’t worked and the condition is isolated in one area of the lung. In rare cases, you might need a lung transplant.
Your treatment plan will depend on the severity of your symptoms, your other medical conditions, and other factors. Early diagnosis and treatment can stop the condition from getting worse.
Respiratory failure is one possible complication. It happens when not enough oxygen passes from your lungs into your blood. It can cause severe shortness of breath. Your skin may also turn a bluish color. You might need oxygen therapy or CPAP (continuous positive airway pressure).
As the airways become damaged, it may cause some of the blood vessels in the airways to have thinner walls which are more likely to break open and cause bleeding from the lung. This is called hemoptysis.
If the mucus becomes thick and blocks the entire airway, a part of your lung may also collapse. That can cause more shortness of breath.
The following steps can help prevent bronchiectasis:
Your health care provider will tell you how to manage bronchiectasis. These instructions might include:
Call your healthcare provider right away if you have the following symptoms:
If your symptoms are worsening, plan to see your healthcare provider soon.
Tips to help you get the most from a visit to your healthcare provider:
Copyright © 2017 Baylor Scott & White Health. All Rights Reserved. |
3500 Gaston Ave., Dallas, TX 75246-2017 | 1.800.4BAYLOR