BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuBronchiectasisAcquired bronchiectasis; Congenital bronchiectasis; Chronic lung disease - bronchiectasisBronchiectasis is a disease in which the large airways in the lungs are damaged. This causes the airways to become permanently wider.Bronchiectasis can be present at birth or infancy or develop later in life. Causes Bronchiectasis is often caused by inflammation or infection of the airways that keeps coming back.Sometimes it begins in childhood after having a severe lung infection or inhaling a foreign object. Breathing in food particles can also lead to this condition.Inhaling a foreign objectIf you swallow a foreign object, it can get stuck in the gastrointestinal (GI) tract from the esophagus (swallowing tube) to the colon (large intesti...Read Article Now Book Mark Article Other causes of bronchiectasis can include:Cystic fibrosis, a disease that causes thick, sticky mucus to build up in the lungs Cystic fibrosisCystic fibrosis is a disease that causes thick, sticky mucus to build up in the lungs, digestive tract, and other areas of the body. It is one of th...ImageRead Article Now Book Mark Article Autoimmune disorders, such as rheumatoid arthritis, Sjögren syndrome or inflammatory bowel disease Sjögren syndromeSjögren syndrome is an autoimmune disorder in which the glands that produce tears and saliva are destroyed. This causes dry mouth and dry eyes. The...ImageRead Article Now Book Mark Article Allergic lung diseases Leukemia and related cancers Immune deficiency syndromes Primary ciliary dyskinesia (another congenital disease) Infection with non-tuberculous mycobacteria As a complication of bronchiolitis obliterans Asthma or chronic obstructive lung disease (uncommon) Symptoms Symptoms develop over time. They may occur months or years after the event that causes the bronchiectasis.Long-term (chronic) cough with large amounts of foul smelling sputum is the main symptom of bronchiectasis. Other symptoms may include:Breath odor Breath odorBreath odor is the scent of the air you breathe out of your mouth. Unpleasant breath odor is commonly called bad breath.ImageRead Article Now Book Mark Article Coughing up blood (less common in children) Coughing up bloodCoughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract). Hemoptysis is the medical term for cough...Read Article Now Book Mark Article Fatigue FatigueFatigue is a feeling of weariness, tiredness, or lack of energy.Read Article Now Book Mark Article Paleness PalenessPaleness is an abnormal loss of color from normal skin or mucous membranes.Read Article Now Book Mark Article Shortness of breath that gets worse with exercise Shortness of breathBreathing difficulty may involve:Difficult breathing Uncomfortable breathingFeeling like you are not getting enough airImageRead Article Now Book Mark Article Weight loss Weight lossUnexplained weight loss is a decrease in body weight, when you did not try to lose the weight on your own. Many people gain and lose weight. Uninten...Read Article Now Book Mark Article Wheezing WheezingWheezing is a high-pitched whistling sound during breathing. It occurs when air moves through narrowed breathing tubes in the lungs.ImageRead Article Now Book Mark Article Low grade fever and night sweats Clubbing of fingers (rare, depends on cause)ClubbingClubbing is changes in the areas under and around the toenails and fingernails that occur with some disorders. The nails may also show changes....ImageRead Article Now Book Mark Article Exams and Tests The health care provider will perform a physical exam. When listening to the chest with a stethoscope, the provider may hear small clicking, bubbling, wheezing, rattling, or other sounds, usually in the lower lungs.Tests that may be done include:Aspergillosis precipitin test (to check for signs of an allergic reaction to fungus) Alpha-1 antitrypsin blood test Alpha-1 antitrypsin blood testAlpha-1 antitrypsin (AAT) is a laboratory test to measure the amount of AAT in your blood. The test is also done to check for abnormal forms of AAT....Read Article Now Book Mark Article Chest x-ray Chest x-rayA chest x-ray is an x-ray of the chest, lungs, heart, large arteries, ribs, and diaphragm.ImageRead Article Now Book Mark Article Chest CT Chest CTA chest CT (computed tomography) scan is an imaging method that uses x-rays to create cross-sectional pictures of the chest and upper abdomen....ImageRead Article Now Book Mark Article Sputum culture Sputum cultureRoutine sputum culture is a laboratory test that looks for germs that cause infection. Sputum is the material that comes up from air passages when y...ImageRead Article Now Book Mark Article Complete blood count (CBC) Complete blood countA complete blood count (CBC) test measures the following:The number of white blood cells (WBC count)The number of red blood cells (RBC count)The numb...ImageRead Article Now Book Mark Article Genetic testing, including sweat test for cystic fibrosis and tests for other diseases (like primary ciliary dyskinesia) Sweat testSweat electrolytes is a test that measures the level of chloride in sweat. Sweat chloride test is the standard test used to diagnose cystic fibrosis...ImageRead Article Now Book Mark Article PPD skin test to check for a past tuberculosis infection PPD skin testThe PPD skin test is a method used to diagnose silent (latent) tuberculosis (TB) infection. PPD stands for purified protein derivative.ImageRead Article Now Book Mark Article Serum immunoglobulin electrophoresis to measure proteins called immunoglobulins in the blood Serum immunoglobulin electrophoresisSerum immunoelectrophoresis is a lab test that measures proteins called immunoglobulins in the blood. Immunoglobulins are proteins that function as ...ImageRead Article Now Book Mark Article Lung function tests to measure breathing and how well the lungs are functioning Lung function testsPulmonary function tests are a group of tests that measure breathing and how well the lungs are functioning.ImageRead Article Now Book Mark Article Immune deficiency workup Treatment Treatment is aimed at:Controlling infections and sputum Relieving airway blockage Airway blockageBreathing difficulty may involve:Difficult breathing Uncomfortable breathingFeeling like you are not getting enough airImageRead Article Now Book Mark Article Preventing the problem from becoming worse Treating the underlying cause (for example modulator therapy for people with cystic fibrosis)Daily drainage to remove sputum is part of treatment. A respiratory therapist can show the person coughing exercises that will help.Medicines are often prescribed. These include:Antibiotics to treat infections Bronchodilators to open up airways Expectorants to help loosen and cough up thick sputumSurgery to remove (resect) the lung may be needed if medicine does not work and the disease is in a small area, or if the person has a lot of bleeding in the lungs. It is more commonly considered if there is no genetic or acquired predisposition to bronchiectasis (for example, more likely to consider if there is bronchiectasis in one segment of the lung only because of prior obstruction).ResectLung surgery is surgery done to repair or remove lung tissue. There are many common lung surgeries, including:Biopsy of an unknown growth in or arou...ImageRead Article Now Book Mark Article In severe cases, lung transplantation might be needed. Outlook (Prognosis) The outlook depends on the specific cause of the disease. With treatment, most people live without major disability and the disease progresses slowly. Possible Complications Complications of bronchiectasis may include:Cor pulmonale Cor pulmonaleCor pulmonale is a condition that causes the right side of the heart to fail. Long-term high blood pressure in the arteries of the lung and right ve...ImageRead Article Now Book Mark Article Coughing up blood Low oxygen levels (in severe cases) Recurrent pneumonia PneumoniaPneumonia is a breathing (respiratory) condition in which there is an infection of the lung. This article covers community-acquired pneumonia (CAP). ...ImageRead Article Now Book Mark Article Depression When to Contact a Medical Professional Contact your provider if:Chest pain or shortness of breath gets worse Chest painChest pain is discomfort or pain that you feel anywhere along the front of your body between your neck and upper abdomen.ImageRead Article Now Book Mark Article There is a change in the color or amount of phlegm you cough up, or if it is bloody Other symptoms get worse or do not improve with treatment Prevention You can reduce your risk by promptly treating lung infections.Childhood vaccines a yearly flu vaccine, and COVID-19 vaccines help reduce the chance of some infections. Avoiding upper respiratory infections, smoking, and pollution may also reduce your risk of getting this infection.VaccinesVaccines are used to boost your immune system and prevent the risk of infection and the severity of infections, including those that cause serious, l...ImageRead Article Now Book Mark Article Flu vaccineAll content below is taken in its entirety from the CDC Inactivated Influenza Vaccine Information Statement (VIS) www. cdc. gov/vaccines/hcp/vis/vis-...ImageRead Article Now Book Mark Article COVID-19 vaccinesCOVID-19 vaccines are used to prepare the body's immune system to protect against COVID-19. Everyone ages 6 months and older should get a 2023-2024 u...ImageRead Article Now Book Mark Article Open ReferencesReferencesChang AB, Redding GJ. Bronchiectasis and chronic suppurative lung disease. In: Wilmott RW, Deterding R, Li A, et al, eds. Kendig's Disorders of the Respiratory Tract in Children. 9th ed. Philadelphia, PA: Elsevier; 2019:chap 26.O'Donnell AE. Bronchiectasis, atelectasis, cysts, and localized lung disorders. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 84.Solomon GM, Chan ED. Bronchiectasis. In: Broaddus VC, Ernst JD, King TE, et al, eds. Murray and Nadel's Textbook of Respiratory Medicine. 7th ed. Philadelphia, PA: Elsevier; 2022:chap 69.AllVideoImagesTogLungs - illustration The major features of the lungs include the bronchi, the bronchioles and the alveoli. The alveoli are the microscopic blood vessel-lined sacks in which oxygen and carbon dioxide gas are exchanged.LungsillustrationRespiratory system - illustration Air is breathed in through the nasal passageways, travels through the trachea and bronchi to the lungs.Respiratory systemillustrationLungs - illustration The major features of the lungs include the bronchi, the bronchioles and the alveoli. The alveoli are the microscopic blood vessel-lined sacks in which oxygen and carbon dioxide gas are exchanged.LungsillustrationRespiratory system - illustration Air is breathed in through the nasal passageways, travels through the trachea and bronchi to the lungs.Respiratory systemillustrationRelated Information Foreign object - swallowed(Injury)Cystic fibrosis(Condition)Cor pulmonale(Condition)Community-acquired pneumonia in adults(Condition)Lung surgery - discharge (Discharge)Heart failure - InDepth(In-Depth)Pneumonia - InDepth(In-Depth) Review Date: 7/31/2022 Reviewed By: Denis Hadjiliadis, MD, MHS, Paul F. Harron, Jr. Professor of Medicine, Pulmonary, Allergy, and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. 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BronchiectasisAcquired bronchiectasis; Congenital bronchiectasis; Chronic lung disease - bronchiectasisBronchiectasis is a disease in which the large airways in the lungs are damaged. This causes the airways to become permanently wider.Bronchiectasis can be present at birth or infancy or develop later in life. Causes Bronchiectasis is often caused by inflammation or infection of the airways that keeps coming back.Sometimes it begins in childhood after having a severe lung infection or inhaling a foreign object. Breathing in food particles can also lead to this condition.Inhaling a foreign objectIf you swallow a foreign object, it can get stuck in the gastrointestinal (GI) tract from the esophagus (swallowing tube) to the colon (large intesti...Read Article Now Book Mark Article Other causes of bronchiectasis can include:Cystic fibrosis, a disease that causes thick, sticky mucus to build up in the lungs Cystic fibrosisCystic fibrosis is a disease that causes thick, sticky mucus to build up in the lungs, digestive tract, and other areas of the body. It is one of th...ImageRead Article Now Book Mark Article Autoimmune disorders, such as rheumatoid arthritis, Sjögren syndrome or inflammatory bowel disease Sjögren syndromeSjögren syndrome is an autoimmune disorder in which the glands that produce tears and saliva are destroyed. This causes dry mouth and dry eyes. The...ImageRead Article Now Book Mark Article Allergic lung diseases Leukemia and related cancers Immune deficiency syndromes Primary ciliary dyskinesia (another congenital disease) Infection with non-tuberculous mycobacteria As a complication of bronchiolitis obliterans Asthma or chronic obstructive lung disease (uncommon) Symptoms Symptoms develop over time. They may occur months or years after the event that causes the bronchiectasis.Long-term (chronic) cough with large amounts of foul smelling sputum is the main symptom of bronchiectasis. Other symptoms may include:Breath odor Breath odorBreath odor is the scent of the air you breathe out of your mouth. Unpleasant breath odor is commonly called bad breath.ImageRead Article Now Book Mark Article Coughing up blood (less common in children) Coughing up bloodCoughing up blood is the spitting up of blood or bloody mucus from the lungs and throat (respiratory tract). Hemoptysis is the medical term for cough...Read Article Now Book Mark Article Fatigue FatigueFatigue is a feeling of weariness, tiredness, or lack of energy.Read Article Now Book Mark Article Paleness PalenessPaleness is an abnormal loss of color from normal skin or mucous membranes.Read Article Now Book Mark Article Shortness of breath that gets worse with exercise Shortness of breathBreathing difficulty may involve:Difficult breathing Uncomfortable breathingFeeling like you are not getting enough airImageRead Article Now Book Mark Article Weight loss Weight lossUnexplained weight loss is a decrease in body weight, when you did not try to lose the weight on your own. Many people gain and lose weight. Uninten...Read Article Now Book Mark Article Wheezing WheezingWheezing is a high-pitched whistling sound during breathing. It occurs when air moves through narrowed breathing tubes in the lungs.ImageRead Article Now Book Mark Article Low grade fever and night sweats Clubbing of fingers (rare, depends on cause)ClubbingClubbing is changes in the areas under and around the toenails and fingernails that occur with some disorders. The nails may also show changes....ImageRead Article Now Book Mark Article Exams and Tests The health care provider will perform a physical exam. When listening to the chest with a stethoscope, the provider may hear small clicking, bubbling, wheezing, rattling, or other sounds, usually in the lower lungs.Tests that may be done include:Aspergillosis precipitin test (to check for signs of an allergic reaction to fungus) Alpha-1 antitrypsin blood test Alpha-1 antitrypsin blood testAlpha-1 antitrypsin (AAT) is a laboratory test to measure the amount of AAT in your blood. The test is also done to check for abnormal forms of AAT....Read Article Now Book Mark Article Chest x-ray Chest x-rayA chest x-ray is an x-ray of the chest, lungs, heart, large arteries, ribs, and diaphragm.ImageRead Article Now Book Mark Article Chest CT Chest CTA chest CT (computed tomography) scan is an imaging method that uses x-rays to create cross-sectional pictures of the chest and upper abdomen....ImageRead Article Now Book Mark Article Sputum culture Sputum cultureRoutine sputum culture is a laboratory test that looks for germs that cause infection. Sputum is the material that comes up from air passages when y...ImageRead Article Now Book Mark Article Complete blood count (CBC) Complete blood countA complete blood count (CBC) test measures the following:The number of white blood cells (WBC count)The number of red blood cells (RBC count)The numb...ImageRead Article Now Book Mark Article Genetic testing, including sweat test for cystic fibrosis and tests for other diseases (like primary ciliary dyskinesia) Sweat testSweat electrolytes is a test that measures the level of chloride in sweat. Sweat chloride test is the standard test used to diagnose cystic fibrosis...ImageRead Article Now Book Mark Article PPD skin test to check for a past tuberculosis infection PPD skin testThe PPD skin test is a method used to diagnose silent (latent) tuberculosis (TB) infection. PPD stands for purified protein derivative.ImageRead Article Now Book Mark Article Serum immunoglobulin electrophoresis to measure proteins called immunoglobulins in the blood Serum immunoglobulin electrophoresisSerum immunoelectrophoresis is a lab test that measures proteins called immunoglobulins in the blood. Immunoglobulins are proteins that function as ...ImageRead Article Now Book Mark Article Lung function tests to measure breathing and how well the lungs are functioning Lung function testsPulmonary function tests are a group of tests that measure breathing and how well the lungs are functioning.ImageRead Article Now Book Mark Article Immune deficiency workup Treatment Treatment is aimed at:Controlling infections and sputum Relieving airway blockage Airway blockageBreathing difficulty may involve:Difficult breathing Uncomfortable breathingFeeling like you are not getting enough airImageRead Article Now Book Mark Article Preventing the problem from becoming worse Treating the underlying cause (for example modulator therapy for people with cystic fibrosis)Daily drainage to remove sputum is part of treatment. A respiratory therapist can show the person coughing exercises that will help.Medicines are often prescribed. These include:Antibiotics to treat infections Bronchodilators to open up airways Expectorants to help loosen and cough up thick sputumSurgery to remove (resect) the lung may be needed if medicine does not work and the disease is in a small area, or if the person has a lot of bleeding in the lungs. It is more commonly considered if there is no genetic or acquired predisposition to bronchiectasis (for example, more likely to consider if there is bronchiectasis in one segment of the lung only because of prior obstruction).ResectLung surgery is surgery done to repair or remove lung tissue. There are many common lung surgeries, including:Biopsy of an unknown growth in or arou...ImageRead Article Now Book Mark Article In severe cases, lung transplantation might be needed. Outlook (Prognosis) The outlook depends on the specific cause of the disease. With treatment, most people live without major disability and the disease progresses slowly. Possible Complications Complications of bronchiectasis may include:Cor pulmonale Cor pulmonaleCor pulmonale is a condition that causes the right side of the heart to fail. Long-term high blood pressure in the arteries of the lung and right ve...ImageRead Article Now Book Mark Article Coughing up blood Low oxygen levels (in severe cases) Recurrent pneumonia PneumoniaPneumonia is a breathing (respiratory) condition in which there is an infection of the lung. This article covers community-acquired pneumonia (CAP). ...ImageRead Article Now Book Mark Article Depression When to Contact a Medical Professional Contact your provider if:Chest pain or shortness of breath gets worse Chest painChest pain is discomfort or pain that you feel anywhere along the front of your body between your neck and upper abdomen.ImageRead Article Now Book Mark Article There is a change in the color or amount of phlegm you cough up, or if it is bloody Other symptoms get worse or do not improve with treatment Prevention You can reduce your risk by promptly treating lung infections.Childhood vaccines a yearly flu vaccine, and COVID-19 vaccines help reduce the chance of some infections. Avoiding upper respiratory infections, smoking, and pollution may also reduce your risk of getting this infection.VaccinesVaccines are used to boost your immune system and prevent the risk of infection and the severity of infections, including those that cause serious, l...ImageRead Article Now Book Mark Article Flu vaccineAll content below is taken in its entirety from the CDC Inactivated Influenza Vaccine Information Statement (VIS) www. cdc. gov/vaccines/hcp/vis/vis-...ImageRead Article Now Book Mark Article COVID-19 vaccinesCOVID-19 vaccines are used to prepare the body's immune system to protect against COVID-19. Everyone ages 6 months and older should get a 2023-2024 u...ImageRead Article Now Book Mark Article Open ReferencesReferencesChang AB, Redding GJ. Bronchiectasis and chronic suppurative lung disease. In: Wilmott RW, Deterding R, Li A, et al, eds. Kendig's Disorders of the Respiratory Tract in Children. 9th ed. Philadelphia, PA: Elsevier; 2019:chap 26.O'Donnell AE. Bronchiectasis, atelectasis, cysts, and localized lung disorders. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 84.Solomon GM, Chan ED. Bronchiectasis. In: Broaddus VC, Ernst JD, King TE, et al, eds. Murray and Nadel's Textbook of Respiratory Medicine. 7th ed. Philadelphia, PA: Elsevier; 2022:chap 69.