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- $Unique_ID{BRK01352}
- $Pretitle{}
- $Title{What is Bronchiectasis?}
- $Subject{bronchiectasis lung respiratory system bronchi air alveoli oxygen CO2
- bronchial walls lungs cough coughing blood hemoptysis shortness breath
- wheezing chest bronchoscopy antitussives bronchioles pulmonary alveolus O2
- carbon dioxide coughs breathe breathing wheeze bronchoscopies antitussive}
- $Volume{H-5}
- $Log{
- Anatomy of the Bronchial Tree*0005902.scf
- Anatomy of the Alveoli*0005903.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- What is Bronchiectasis?
-
-
- ------------------------------------------------------------------------------
-
- QUESTION: I've been reading your column for some time now and it has been
- very educational. Do not remember ever seeing the subject "bronchiectasis"
- explained. My doctor mentioned that I might have this. He acts like there
- isn't much to be done about it. Sure would like your opinion. Thanks.
-
- ------------------------------------------------------------------------------
-
- ANSWER: Bronchiectasis is a condition that may develop at any age, frequently
- beginning in childhood, although the symptoms may not be come apparent until
- later in life. The bronchi are part of the system of tubes which carry the
- air from the mouth and nose to the alveoli, or tiny grape like clusters of
- sacs that transmit the oxygen to the blood stream while retrieving CO2. In
- bronchiectasis, the condition may be congenital (rare) or acquired. This form
- may result from a variety of causes, damage to the bronchial walls after
- infection, the result of breathing toxic fumes of various kinds over long
- periods of time, as the result of immunologic reactions, or the result of
- abnormalities in the arteries that supply the bronchi with needed nutrition.
- The disease may affect both lungs at the same time, and is most common in the
- lower lobes. The most common symptom is a chronic and productive cough that
- sometimes fails to disappear after a severe pneumonia. Typically the cough is
- worse in the morning and late afternoon with the rest of the day relatively
- free of symptoms. Coughing produces large amounts of material, often
- containing blood (hemoptysis). Other symptoms include shortness of breath,
- wheezing, and other signs of a poorly functioning respiratory system. Chest
- x-rays are very valuable in helping to make the diagnosis, and bronchoscopy,
- where a tube is inserted into the lungs, permitting the physician to examine
- the bronchi closely, is frequently advised. While it may not be possible to
- restore the lungs to normal, there are many treatments that are necessary to
- prevent the condition from worsening, and a "nothing more to be done" attitude
- is unacceptable. Antibiotics must be used to fight the frequently occurring
- flare ups of infection, antitussives (cough suppressing medications) help
- control the cough symptoms, and medications and physical therapy to help
- promote the drainage of the secretions. Please don't take a defeatist
- attitude, but seek out another physician who both can and wants to help you.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-
-