How Can There Be Such A Rapid Decline With Bronchiectasis

Posted on Fri, 6 Sep 2019

Question: How can there be such a rapid decline with bronchiectasis...diagnosed early XXXXXXX bronchitis again since, on meds and flutter device. Now need nebulizer and if not immediately effective will need the vest. Occasional SOB, fatigue and often sick.

Answered by Dr. Dr. Jolanda (54 minutes later)

Brief Answer:
Please attach chest CT

Detailed Answer:
Hello and welcome in Ask the Doctor

I am sorry for your situation.

It's possible bronchectasis to have a rapid decline. It mostly depends on the spread of bronchectasis (bilaterally or in one lung), the prior lung function status (Spirometry test values and arterial blood gases).If the bronchectasis is extended accompanied with lung fibrosis than this is a bad sign too.
Nevertheless a viral situation might worsens the lung situation ,also heart problems not in equilibrium .

However if you have already done a chest CT and a Spirometry test just attach the results to me and I can explain more exactly your situation.

Regards and feel free to contact me at

Dr.Jolanda

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Jolanda (2 hours later)

Thank you for your information. I had CT scan and all other breathing tests you mentioned. I just do not have copies to attach to you. I believe the rapid decline could be due to a delay in this diagnosis. Then symptoms warranted more testing. I am identifying my decline because I need to now use a nebulizer only 8 weeks after diagnosis. It is possible that I may have had this condition for a longer time. I have no other questions. Thank you again.

Answered by Dr. Dr. Jolanda (28 minutes later)

Brief Answer:
Please start an inhaler

Detailed Answer:
Hi again,

I'd recommend you that after getting better and after having stopped nebulizer, start immediately an inhaler continuously. The type should be decided by your doctor considering pulmonary function tests results.

I wish you good health.

Regards

Dr.Jolanda

Above answer was peer-reviewed by : Dr. Arnab Banerjee