February 22nd 2008
Approved for Disaiblity Benefits Bronchiectasis
Bronchiectasis is the enlargement or distortion of one or more of the bronchi, or main air passages into the lungs, often as a result of frequent infections in childhood. The disorder takes years to develop. It leads to impaired drainage of the fluid that is normally secreted by bronchial cells, and this fluid may then remain in the lungs where it will then become stagnant. The stagnant fluid can lead to further infection.
What are the Symptoms?
The main symptom of bronchiectasis is a frequent cough that brings up large quantities of green or yellow phlegm, or sputum, which sometimes is spotted with blood. The quantity of phlegm generally increases when you change position. This is especially true when you lie down.
If you have bronchiectasis, you are susceptible to repeated infections of the lung when you catch an ordinary cold. You may also have chronically bad breath.
What are the Risks?
Bronchiectasis is rare because many childhood infections that caused the disorder, such as sinusitis and the chest infections that often followed measles or whooping cough, now can be prevented by immunization or effectively treated with antibiotics. Similarly, tuberculosis, which also damages the lungs, has become extremely rare. Even people who have bronchiectasis can usually lead normal lives. They owe this to the effectiveness of antibiotics, which are usually given at the first sign of further infection.
If bronchiectasis is treated when the symptoms first appear, there is little danger.
What should be done?
If you repeatedly cough up large amounts of green or yellow phlegm, consult your physician, who will probably listen to your chest with a stethoscope and may also want you to have a chest X-ray and a bronchoscopy, a procedure in which an instrument called a bronchoscope is used to examine your bronchi. The results of these tests will help your physician to make a diagnosis.
What is the Treatment?
Self-help: There is nothing you can do until bronchiectasis has been diagnosed. If you find that you have the condition, make a special effort to avoid getting colds and sore throats. Do not smoke, and stay out of smoke-filled rooms. If the lower part of your lung is infected, as it probably is if you have bronchiectasis, your physician probably will tell you about a self-help technique called postural drainage. This is a method of getting rid of bronchial secretions. In this technique, you place yourself so that the bronchus leading to the affected lobe of your lung is upside down. The fluid then drains out, and you can cough it up. Lying on a bed with your head and chest hanging over the edge for five to ten minutes twice a day can help keep your lungs fairly clear.
Professional help: At the first sign of bronchiectasis your physician will probably prescribe an antibiotic and instruct you to take the whole prescription even if the infection seems to clear up. If your condition is very localized, or if a lot of blood is mixed with the phlegm, your physician may advise you to have the affected part of the lung removed. Such surgery is seldom necessary for this condition, however. If it proves to be necessary in your case, your doctor will see that you are admitted to a hospital.
Tagged under:The Lungs And Chest