How to completely cure bronchiectasis?

Written by Li Tao
Pulmonology
Updated on January 29, 2025
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Bronchiectasis refers to the inflammation and fibrosis of the bronchi and surrounding lung tissue due to various causes, ultimately leading to the destruction of the muscular and elastic tissue of the bronchial walls. This causes the bronchi to become deformed and permanently dilated, commonly referred to as bronchiectasis. The most common clinical symptoms of bronchiectasis include coughing, production of phlegm, and coughing up blood. When treating bronchiectasis, the first step is to treat the symptoms, such as administering treatments to reduce phlegm, fight infection, and stop bleeding. If the patient continues to experience symptoms repeatedly after these treatments, we may recommend surgical intervention, if the patient's condition allows, to remove the dilated bronchi, thereby achieving the goal of cure.

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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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The first choice for the diagnosis of bronchiectasis

For the diagnosis of bronchiectasis, we can rely on the symptoms of the patients such as chronic cough, coughing up large amounts of purulent sputum, repeated hemoptysis, and history of lung infections. Physical examination of the lungs may reveal fixed and persistent localized wet crackles. For auxiliary examinations, we can combine X-ray and CT scans to find imaging changes consistent with bronchiectasis and make a diagnosis. The preferred method for a definitive diagnosis of bronchiectasis is high-resolution CT, and the diagnosis can be made based on the results of a high-resolution CT scan.

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Can people with bronchiectasis eat lamb?

Patients with bronchiectasis can eat mutton, as in traditional Chinese medicine, mutton is considered a warming and tonifying food. It generally benefits conditions like cold-induced cough, chronic bronchitis, and deficiency-cold asthma. Patients with bronchiectasis, who often suffer from repeated lung infections and have lower immune function, are generally weaker, so consuming an appropriate amount of mutton can be beneficial. However, it should not be consumed in excess as mutton can cause heatiness or indigestion, which are particularly detrimental for individuals with bronchiectasis.

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Treatment of bronchiectasis

I personally believe that prevention is more important than treatment for bronchiectasis, because effectively preventing disease episodes is more beneficial to the patient than long-term medication. Treatment usually involves using sensitive antibiotics, and prolonged use of antibiotics can lead to multi-drug resistant bacteria or infections by specific groups. Therefore, prevention is key. Preventing disease episodes generally includes maintaining healthy lifestyle habits, avoiding staying up late, smoking, emotional agitation, and excessive fatigue. Vaccinations for influenza and pneumonia can also be received annually to reduce the risk of infection.

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Can bronchiectasis be treated with nebulization?

Patients with bronchiectasis can undergo nebulized inhalation, and nebulized inhalation has a very good therapeutic effect for the treatment of bronchiectasis. Commonly used nebulized medications include budesonide suspension and terbutaline nebulizer solution, among others. These medications work to dilate the bronchi and relieve airway spasms. For patients with excessive phlegm, these treatments can promote expectoration. They are also very effective for patients with bronchiectasis-caused breathing difficulties. Furthermore, there is now literature proving that inhaling budesonide suspension has a good anti-inflammatory effect on lower respiratory tract infections and helps in the absorption of inflammation.