How long can one live with bronchiectasis?

Written by Wang Xiang Yu
Pulmonology
Updated on September 06, 2024
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This question is actually very difficult to answer because no doctor can predict exactly how long their patient will live. They can only provide a general prognosis of the disease. Bronchiectasis is relatively a benign condition. The prognosis for most patients depends mainly on the severity of the bronchiectasis and their comorbidities, among other factors. Generally, if a patient’s bronchiectasis is not very severe and mild, and does not affect lung function or is not compounded by other underlying diseases, they might experience long-term, recurrent coughing and sputum production, requiring long-term hospitalization. However, if they do not experience acute complications associated with bronchiectasis, such as asphyxiation caused by hemoptysis, then actually they can live for a long time. There are many patients who are in their seventies or eighties and frequently admitted to the hospital. When asked how long they have had bronchiectasis, their condition might span over forty or fifty years, or even longer. This means that patients with bronchiectasis can live for a long time, provided their condition is relatively stable and they don’t suffer from acute complications such as severe bleeding or asphyxiation. However, if the bronchiectasis is severe, or unfortunately, even if the bronchiectasis isn’t very severe, if a patient suffers from major hemoptysis, it can cause asphyxiation rapidly leading to death within minutes. Therefore, it is impossible for doctors to predict exactly how long each patient will live.

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Written by Li Tao
Pulmonology
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Bronchial dilation diagnostic methods

Bronchiectasis refers to the inflammation of the bronchi and surrounding lung tissue caused by various diseases and etiologies. This inflammation leads to the destruction of the muscles and some elastic tissues of the bronchial walls, resulting in the deformation and persistent dilation of the bronchi, which cannot recover, collectively known as bronchiectasis. The definitive diagnosis of bronchiectasis is most commonly based on clear clinical symptoms such as significant coughing, phlegm production, and hemoptysis; secondly, cystic and cylindrical dilations in the patient’s bronchi can be clearly seen through chest CT and high-resolution CT, allowing for a direct diagnosis of bronchiectasis.

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Written by Wang Xiang Yu
Pulmonology
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Symptoms of bronchiectasis

Bronchiectasis exhibits many symptoms, but the most common are chronic cough and sputum production. The amount of sputum in bronchiectasis can vary greatly from person to person, and to some extent, it can reflect the severity of the condition. Some patients may have significant coughing and sputum production, with sputum amounts reaching over one hundred milliliters per day. In others, the condition may be more stable, with only a few milliliters of sputum per day. Additionally, patients with bronchiectasis may experience hemoptysis, which often recurs and can manifest as blood-streaked sputum, minor bleeding, or sudden severe bleeding. Significant bleeding can be particularly dangerous, potentially leading to death within minutes. Bronchiectasis can also cause recurrent lung infections and chronic long-term infection, which may be accompanied by fever, fatigue, loss of appetite, weight loss, anemia, and other symptoms.

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Written by Li Jian Wu
Pulmonology
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How to manage bronchiectasis?

Firstly, sensitive antimicrobial agents should be chosen during the acute phase to control the infection, with the preferred medications being beta-lactam antibiotics. Penicillin-type drugs can be administered intravenously for anti-inflammatory treatment. Additionally, medications that dilute phlegm and relieve bronchial smooth muscle spasms should be selected to ease symptoms such as coughing and expectoration. If there is significant hemoptysis, hemostatic drugs should also be considered. For symptoms of respiratory distress accompanied by hypoxia, clinical treatments primarily include oxygen therapy to alleviate symptoms, focusing on symptomatic treatment.

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Written by Yang Feng
Pulmonology
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Is bronchiectasis easy to treat?

Firstly, bronchiectasis is incurable, but its treatability cannot be judged solely by whether it can be cured or not. Some bronchiectasis patients have no clinical symptoms, and such patients do not need treatment. They only need regular check-ups and to maintain proper lifestyle habits. However, for patients who experience frequent disease attacks, strict prevention is necessary to avoid triggers such as infections and fatigue. Using sensitive medications during disease flare-ups can also lead to improvement.

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Written by Han Shun Li
Pulmonology
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Is bronchiectasis contagious?

Bronchiectasis is relatively common clinically and is caused by destruction of the bronchial wall due to various reasons, leading to abnormal dilation of the bronchi. Common symptoms include repeated coughing, coughing up phlegm, and even hemoptysis. It can be definitively stated that bronchiectasis itself is not contagious. Contact with a person with bronchiectasis will not result in contracting bronchiectasis. However, in some cases, care should be taken when coming into contact with bronchiectasis patients. For example, some cases of bronchiectasis are caused by pulmonary tuberculosis, known as tuberculous bronchiectasis. Since pulmonary tuberculosis is contagious, in this scenario, there is contagion. However, it is the tuberculosis that is contagious, not the bronchiectasis itself.