What Are Inflammatory Marks Like: ESR And CRP Mean For

Posted on Tue, 28 May 2019

Question: what are inflammatory marks like:ESR and CRP mean for Bronchiectasis patient?

What is acceptable level for raising?

What if both are elevated, is a person with Bronchiectasis should be treated if feels so ill with elevated inflammatory marks ?

Answered by Dr. Dr. Jolanda (1 hour later)

Brief Answer:
CRP and Procalcitonin

Detailed Answer:
Hello and welcome to 'Ask A Doctor' service.

Yes I can understand your concern

ESR and CRP are biomarkers for inflammation. If they are elevated especially in bronchiectasis it means that a current superinfection is already in the airways of that patients

However the more exact for the acute inflammation we use CRP and Procalcitonin. They are more reliable in bacterial infection.

Nevertheless, it depends on the level of elevation and the chronicity of the infection of the bronchiectasis. If it as widespread bilaterally cystic bronchiectasis with levels of secretions and the above blood tests are elevated than we usually start antibiotics treatment.

We prefer the examination of the bronchial secretions to find the exact cause and after the correct treatment.

It would be better if I see the chest CT of the patient and I will explain to you exactly what situation is in the patient.

Hope to have been helpful. Let me know if I can assist you further.

Regards
Dr Jolanda

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

Follow up: Dr. Dr. Jolanda (1 hour later)

Thank you for your answe,

I%E2%80%99ve attached couple of my last CT back to January 2019- but now I feel so sick and ER refused to take me as a case- I%E2%80%99m not sure what to do because I have an appointment after 2 months- more wheezing, mucus mixed with blood, night sweats and chest pain even my coughing is so weird I had a fever for 3 days but I don%E2%80%99t have it anymore.

Answered by Dr. Dr. Jolanda (18 minutes later)

Brief Answer:
Continue discussion

Detailed Answer:
Hi again

I've gone through the chest CT images. This is a cystic bilaterally bronchiectasis.However, there are not so many secretions in it.

Now you can do nebulizations with steroids combined with Albuterol twice for up to two weeks
You should also use mucolytics such as N-acetylcysteine once orally frequently and try to drink a lot of water and do respiratory physiotherapy.

Regards

Dr.Jolanda

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

Follow up: Dr. Dr. Jolanda (13 hours later)

Thank you for your answer,

I only have Budesonide 500mcg/ml
And salbutamol 100 mcg and sodium chloride.

Can I mixed them all 3 together?

Answered by Dr. Dr. Jolanda (41 minutes later)

Brief Answer:
Continue discussion

Detailed Answer:
Hi again

Yes you can.It is safe.Three times per day .

Regards

Dr Jolanda

Above answer was peer-reviewed by : Dr. Vaishalee Punj

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

Thank you!

I%E2%80%99m wondering if I%E2%80%99m only 26 years old, and I have cystic bilaterally Bronchiectasis and I had a left lobectomy and lingulectomy when I was 10 years old. Pseudomonas aeruginosa multi Antibiotic resistance.
Massive hematemesis without any avoidance of the location or the case.
My doctor want me to consult a surgeon for another lobectomy.

For all previous information, can you give me you opinion of my condition and what I%E2%80%99ll face next? I really need to know what is my options. I%E2%80%99m not feeling good and my life is limited in so many aspects due to my sickness.

Answered by Dr. Dr. Jolanda (7 hours later)

Brief Answer:
Continue discussion

Detailed Answer:
Hi again

The only indication for surgery in bronchiectasis is massive hemoptysis.

If you say that you have massive hemoptysis several times then I recommend you too to see a thoracic surgeon again.

Hemoptysis in such conditions is not cured with antibiotics, unfortunately.

Please follow your doctor recommendations.

Regards

Dr.Jolanda

Above answer was peer-reviewed by : Dr. Kampana