I've been diagnosed with BRONCHIECTASIS, what should I know from the Doctor?

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Hello, I am 38 years old,I've been Diagnosed with bronchiectasis few days ago, in a different country by a doctor that doesn't speak English, I can't speak his language either. I will be stuck here for several years more, my wife is from here, she can help me communicate with the doctor. I've been reading the discussion on the forum, there is a lot of valuable information that can help so much.

I really need some help from other patient with experience. If they will be in my situation, FIRST what is the most important information they would ask from the doctor regarding your condition.

I am thinking to make a list of questions and return back to him next week. He is very experienced and kind, is just here the Doctors are extremely busy, people waiting in line, if you want more info you need to do your homework.

So for the moment the only thing I know is that I am diagnosed with Bronchiectasis and what is happening inside my body. Nothing else.

What are the most important things you would ask the doctor about it? I don't want to miss the most important things. I can see there are different types, mild and severe, both lungs affected, or just one, people make tests of the sputum, or pulmonary capacity.

Thank you so much for all your help.

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  • Posted

    Hi there, were you diagnosed by having a scan, if do the doctor should be able to tell you the severity of it. Whether its upper lung, lower lung etc. I asked to look at my scan and it gave me an idea of how it was.

    As time goes on you will find ways of coping with the condition. Good luck and stay well...

  • Posted

    I am also in a foreign country and have no one to translate for me so have to do my best with the language I have got, I researched and researched and researched some more to gather what information I could after my diagnosis, found Canada and the USA the best for info. I have a pretty rare combination of 4 advancing lung diseases, including bronchiectasis, so needed to know what treatment I was prepared to accept or discard

    Wishing you all the very best

    Sue

  • Posted

    You might ask one of these questions:

    (pick what interests you lol)

    '' Should I be on antibiotic therapy?

    " If I get an infection, what can I expect for treatment?

    "if I get a fever but don't have a cough, should I be concerned?

    " Some patients lungs bleed. How serious is that?

    "How did I get this disease?

    "Would a nebulizer help? To use regularly or just when my chest feels tight?

    I have Bx because the immune deficiency disease I have caused me pneumonia so many times. THEN at 62 I started IV therapy with donor plasma (IVIG therapy) to replace the immune cells my body doesn't make.

    I haven't gotten lung infections for 2 years!

    I hope we have helped a little.... ask away anytime! Where ARE you anyhow?

    • Posted

      thanks for your questions list, I will ask the Doctor about them and come back with an update.

      Happy to hear your treatment is having good results. Stay well.

  • Edited

    first is don't panic it is not life threatening and it manageable it may take a while to find the right medication that suits you . you need to get into the routine of clearing as much mucus out of your lungs . this takes a bit of practice but there are some good video on u tube showing you how to do this .(the British lung foundation ) is a good site for information Its a good idea to ask the doctor for a rescue pack to keep at home if you develop a chest infection you can start treatment sooner rather than later. Hope that's helpful

    PS I'm now 77 and still here

    • Posted

      thank you for your advice, and for your suggestions. 77 and still here ? lol

      after I got the diagnostic and read about the condition one of the first things to google was " bronchiectasis life expectancy". there is no answer however.

      I will check with the doctor all your suggestions and come back with an update. thanks again.

  • Edited

    Hi Yulian

    i am sorry for your diagnosis.

    If you cough a lot, ask the doctor what kinds of meds will help you control that. Aside from severity there seem to be 2 types, sort of dry and wet bronchiectasis.

    Ask if there is any physio for lungs. You need to do everything you can to preserve and maintain the lung function you have now. In the States on many kinds of health plans, there is no physio until the lungs are below 50% functioning, so we have to do it ourselves. Swimming or even just walking in a pool helps many. You are younger and may still have a lot if strength and stamina.

    This is to do, no need to ask about it: avoid being around chemicals, perfumes, smoke, dust, pollens and mold as much as possible. If your family uses scented laundry products, that needs to change. Any perfume scent that lasts for hours has a chemical that is bad for lungs. Some of these things you can't control -- where i live, there's stuff in the air all year round, with 4 periods that are 10 times worse.

    Lastly, I don't know where you are but here in Texas my lung doctor told me in February to stay away from doctor's offices unless i was so sick that he told me to go to a hospital. So if you can wait to go see the doc again until Coronavirus has damped down a lot, then wait. You now have an underlying lung disease that means you're apt to get much much sicker if you contract this virus.

    • Edited

      Thank you so much for your suggestions, they are really helpful. I will check with the doctor and come back with an update, I will pay attention to the chemicals, perfumes, smoke, dust, pollens and mold as much as possible, I will also check about the laundry products, great advice. thanks again

  • Posted

    Yes I agree with previous message, when I discovered washing powder etc without perfume smell it made such a massive difference, I think many bronchiectasis sufferers have so many allergies which is part of the battle. Also try and stick to a good diet, green vegatables etc.

  • Posted

    hi i am 57 and was diagnosed a few yrs back . . i was always getting infections iwas constantly on steroids and antibiotics . but i went on a trial for the asthma low immune system injection . oh boy what a difference it has made to me i have not had a steroid for 6 months although i take the 3 antibiotics a week for life and philocontin and montulusk . but it has made a massive impact for the good in my case . ask your doctor about the injection . i do it myself once a week it is a pen . good luck

    • Posted

      thank you for your suggestion. I will keep it in mind when I will get to the treatment information. I read a little bit about various treatments, I think there is no one size fits all. many patients suggest that constantly steroids and antibiotics don't work as good as other ways. For the moment I think to exercise every day and a healthy diet it's a must.Thanks again

  • Edited

    Hey there - I think it's critical to determine what caused your bronchiectasis. If you don't know, you can't make the changes. I had chronic pneumonia for seven months - turns out a pair of birds I had were causing the lung damage. We found a new home for the birds, cleaned the house top to bottom. The pneumonia stopped - but the damage caused bronchiectasis.

    I would also ask about a sputum culture test if you're coughing up anything that's green, brown or red. If you're lucky enough not coughing anything up, it's important to avoid colonized pseudomonas. Research how it happens. I have colonized staph from a broncoscopy, and occasionally need antibiotics to fight it.

    My experience with perfumes, dust, etc and other chemicals doesn't affect me. I can be around those things all day and never have any trouble. Everyone's BX is different.

    Above all, you must be very diligent about not catching the coronavirus!

    Take care,

    Shirley

    • Posted

      I miss birds sooo much. We raised birds just to hear their singing through our open country windows: thousands of parakeets (budgies), ring-necked doves, pheasants, quail, and a few odds and ends. inside was my parrot.

      Nowadays i walk through the bird area of Petsmart with my dog & chat with the birds. Pre-Coronavirus we have done this so many times in his 9 years with me that he thinks there's only 1 route thru the store: Go to the birds & stop, then go to the homeless cats and stop, then over to dog food where all decorum is lost.

    • Posted

      Thank you for your suggestions. I will ask about a sputum culture test, I think is very important , i read a little bit about colonized pseudomonas but I need to make a lot more research. First I should see some test results of the sputum. "Everyone's BX is different" totally agree, that's why this place it's so helpful, we can receive so many suggestions that worked for other patients.

      Thanks again, I will come back with an update.

  • Posted

    I was only diagnosed a few weeks ago, i had a long discussion with my consultant who was very good, I asked lots of questions of things that were bothering me, firstly how do i keep as well as possible, she agreed daily walks when able to were important building up my lungs and gentle exercise is needed.

    I spend hours in the morning clearing my chest, she said this is common and the positive side of it is to continue with the chest clearance exercises as this will reduce the risk of infections, i also asked will this improve in the better weather, she replied possibly but warned the winters will be worse.

    I have read absolutely loads of websites but both the Consultant and my Respiratory Nurse say only use the British Lung Foundation website.

    Good luck and keep well

    • Posted

      Sorry Anne 63515

      British Lung Foundation is OK but not a lot of good if you are not in the UK and it offers basic information. I needed to know a lot more than that because like Yulian I am in a foreign country.

      I have found that daily walks are imperative, I am already on the maximum oxygen my back pack machine will go up to, if I miss a day I am back to square one and have to start building up my stamina all over again but then it could be my other conditions hindering me too. Hot summers for me are the worst and spring when the pollen is about.

      Like one of the other writers, perfume doesn't bother me but smoke and dust really do, have removed all carpets from my house and only have tiles which can be wet wiped over, not broomed, each of us are different I think depending what caused the problem in the first place. I think I have had bronchectasis since a child lots of pneumonia but the other conditions were caused by being poisoned at work.

    • Posted

      Thank you for your message. One thing I need to learn is to do the chest clearance exercises.

      Right now I have a spout every 2-3 days, without too much efforts. I feel is accumulating and then a short cough and I spit it out. I checked some youtube videos about the chest clearance exercise, it's not so easy to catch the technique, I need more practice, I think someone in person to teach you will be much better. Thanks again keep well

    • Posted

      look for more videos on clearance technique. Yes, if you can get a trained person speaking a language you understand to teach you in person, that is best. This is why i do NOT suggest you order an Acapella. Someone has to set it specifically to your situation, then teach you what it feels like to use it properly. But maybe clearance isn't such a big issue for you yet. You are young so your mucus probably tends to be thinner & more easily moved.

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