{"id":92,"date":"2018-06-05T14:52:58","date_gmt":"2018-06-05T14:52:58","guid":{"rendered":"https:\/\/www.arirespiratory.scot.nhs.uk\/?page_id=92"},"modified":"2018-06-06T09:01:53","modified_gmt":"2018-06-06T09:01:53","slug":"bronchiectasis","status":"publish","type":"page","link":"https:\/\/www.arirespiratory.scot.nhs.uk\/?page_id=92","title":{"rendered":"Bronchiectasis"},"content":{"rendered":"<section id=\"h.p_Cfj08EFimcrX\" class=\"yaqOZd\">\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-uQSCkd purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"oKdM2c\">\n<div id=\"h.p_FAziU_hDmcrR\" class=\"hJDwNd-AhqUyc-uQSCkd jXK9ad D2fZ2 OjCsFc wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<h1 id=\"h.p_OoWNI0JnmcrV\" class=\"zfr3Q duRjpb\">What is it?<\/h1>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"h.p_jklIm8S9pShW\" class=\"yaqOZd\">\n<div class=\"yaqOZd IFuOkc\"><\/div>\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-uQSCkd purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"oKdM2c\">\n<div id=\"h.p_uSy_7GD4pShS\" class=\"hJDwNd-AhqUyc-uQSCkd jXK9ad D2fZ2 OjCsFc wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_vyEmb3UhpShV\" class=\"zfr3Q TYR86d\">Bronchiectasis is a common disease which typically causes cough, often with a tendency to get recurrent chest infections.<\/li>\n<li id=\"h.p_IG1qit6PpdtM\" class=\"zfr3Q TYR86d\">The air tubes within the lungs, which are rather like thin straws, become widened and act as a focus for infection.<\/li>\n<li id=\"h.p_pGpyPURrpp1u\" class=\"zfr3Q TYR86d\">There is a very long list of possible causes for bronchiectasis. Sometimes a cause may never be found.<\/li>\n<li id=\"h.p_nLJ3Y6m9p6pJ\" class=\"zfr3Q TYR86d\">Here we list resources that may be of use to you.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"h.p_tCgTQPUamhH6\" class=\"yaqOZd\">\n<div class=\"yaqOZd IFuOkc\"><\/div>\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-uQSCkd purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"oKdM2c\">\n<div id=\"h.p_ESq72Hq-mhH2\" class=\"hJDwNd-AhqUyc-uQSCkd jXK9ad D2fZ2 OjCsFc wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<p id=\"h.p_XsFAhpFlmhH4\" class=\"zfr3Q\">Chest Heart &amp; Stroke Scotland have an excellent page on <a class=\"dhtgD\" href=\"https:\/\/www.google.com\/url?q=https%3A%2F%2Fwww.chss.org.uk%2Fchest-information-and-support%2Fcommon-chest-conditions%2Fbronchiectasis%2F&amp;sa=D&amp;sntz=1&amp;usg=AFQjCNGXWTPo1NQcczSNQpHx3D6cCUGYiQ\" target=\"_blank\" rel=\"noopener\">bronchiectasis<\/a>. They also have a useful <a class=\"dhtgD\" href=\"https:\/\/www.google.com\/url?q=https%3A%2F%2Fwww.chss.org.uk%2Fdocuments%2F2013%2F08%2Fc4_bronchiectasis-pdf.pdf&amp;sa=D&amp;sntz=1&amp;usg=AFQjCNHvUr60VeRiPTl-Uf9prvm3Jtewbg\" target=\"_blank\" rel=\"noopener\">booklet<\/a> and list of <a class=\"dhtgD\" href=\"https:\/\/www.google.com\/url?q=https%3A%2F%2Fwww.chss.org.uk%2Fdocuments%2F2017%2F05%2Fcommon-questions-about-bronchiectasis.pdf&amp;sa=D&amp;sntz=1&amp;usg=AFQjCNF2JpbDKc90SoiYL6MiGFkG6mWAqg\" target=\"_blank\" rel=\"noopener\">frequently asked questions<\/a>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"h.p_vnFOv6_fnxLH\" class=\"yaqOZd\">\n<div class=\"yaqOZd IFuOkc\"><\/div>\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-uQSCkd purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"oKdM2c\">\n<div id=\"h.p_JAImtiqJnxLK\" class=\"hJDwNd-AhqUyc-c5RTEf purZT-AhqUyc-c5RTEf pSzOP-AhqUyc-c5RTEf jXK9ad D2fZ2 OjCsFc wHaque\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd baZpAe\">\n<div class=\"t3iYD\"><a href=\"https:\/\/www.google.com\/url?q=https%3A%2F%2Fwww.chss.org.uk%2Fdocuments%2F2013%2F08%2Fc4_bronchiectasis-pdf.pdf&amp;sa=D&amp;sntz=1&amp;usg=AFQjCNHvUr60VeRiPTl-Uf9prvm3Jtewbg\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"CENy8b\" src=\"https:\/\/lh5.googleusercontent.com\/9DnyJv5hXYuHzGx6ZXf7R3rlsU9xbrtzzMhpBHdLykNO0kyidk6zq3H6GUzDsONTnQz598h7tUMn9Spx9YYDje4Wc2W4IoLH6282QRqqZdYLjqNQkjA=w271\" data-image-loaded=\"true\" \/><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"hJDwNd-AhqUyc-ibL1re jXK9ad D2fZ2 OjCsFc wHaque L6cTce-purZT L6cTce-pSzOP\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd baZpAe\"><\/div>\n<\/div>\n<\/div>\n<div id=\"h.p_JDa_53Mzou1z\" class=\"hJDwNd-AhqUyc-qWD73c jXK9ad D2fZ2 OjCsFc wHaque\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd baZpAe\">\n<div class=\"t3iYD\"><a href=\"https:\/\/www.google.com\/url?q=https%3A%2F%2Fwww.chss.org.uk%2Fdocuments%2F2017%2F05%2Fcommon-questions-about-bronchiectasis.pdf&amp;sa=D&amp;sntz=1&amp;usg=AFQjCNF2JpbDKc90SoiYL6MiGFkG6mWAqg\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"CENy8b\" src=\"https:\/\/lh4.googleusercontent.com\/m6fLpa4pEIUQ8_vju66FtjrxE3vVJiCnAO_Cex9tuYItyLWypzHIYMCnMioO4BQuTnLVIgn3D6IiHM6A3XxyOWY4RRv-IMOh19bqUyUJB9UbhPWTM4I=w572\" data-image-loaded=\"true\" \/><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"hJDwNd-AhqUyc-R6PoUb jXK9ad D2fZ2 OjCsFc wHaque L6cTce-purZT L6cTce-pSzOP\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd baZpAe\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"h.p_rRnXFkkko40P\" class=\"yaqOZd\">\n<div class=\"yaqOZd IFuOkc\"><\/div>\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-wNfPc purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"oKdM2c\">\n<div id=\"h.p_LveRA4-Wo40L\" class=\"hJDwNd-AhqUyc-wNfPc pSzOP-AhqUyc-qWD73c jXK9ad D2fZ2 OjCsFc wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<p id=\"h.p_TI0O4O2Ao40O\" class=\"zfr3Q\"><a class=\"dhtgD\" href=\"http:\/\/www.google.com\/url?q=http%3A%2F%2Fwww.bronchiectasishelp.org.uk&amp;sa=D&amp;sntz=1&amp;usg=AFQjCNEZZUJo9leQTfP27MxFICJj8HZ9PA\" target=\"_blank\" rel=\"noopener\">Here<\/a> you will find another booklet on bronchiectasis, written by a patient.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"hJDwNd-AhqUyc-qWD73c purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc yYI8W \">\n<div class=\"oKdM2c\">\n<div id=\"h.p_xQyNfCcwM_Jm\" class=\"hJDwNd-AhqUyc-qWD73c jXK9ad D2fZ2 OjCsFc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd baZpAe\">\n<div class=\"t3iYD\"><img decoding=\"async\" class=\"CENy8b\" role=\"img\" src=\"https:\/\/lh6.googleusercontent.com\/aorcIruIsWvGc27RoTZJwt6apLMasRYM9DJDRyuoxM9nad420sHMsC5tO7CNDgasMTcUNJhsEMkcpzl-Ao8sfoI1AoQZUwQv1zECj6h_BVftLHVfVHF6=w572\" data-image-loaded=\"true\" \/><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"oKdM2c\">\n<div id=\"h.p_psaWcHeYqOwL\" class=\"hJDwNd-AhqUyc-qWD73c jXK9ad D2fZ2 wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<p id=\"h.p_IGqVaN2rqOwN\" class=\"zfr3Q\">Here is a cross sectional view of the chest (imagine looking from the soles of the feet at a &#8220;slice&#8221; of the chest. The black bit are those parts of the body containing air &#8211; you can see the lungs are black on each side of the heart (the white bit in the middle). You can see the air tubes are grossly dilated, particularly for those air tubes you can see on the left side of the picture (actually the right lung).<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"hJDwNd-AhqUyc-R6PoUb JNdkSc L6cTce-purZT L6cTce-pSzOP\"><\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"h.p_1zxWrF5ArAjt\" class=\"yaqOZd\">\n<div class=\"yaqOZd IFuOkc\"><\/div>\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-uQSCkd purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"oKdM2c\">\n<div id=\"h.p_hmm9ws_orAjq\" class=\"hJDwNd-AhqUyc-wNfPc pSzOP-AhqUyc-qWD73c jXK9ad D2fZ2 OjCsFc wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<p id=\"h.p_0DWsS3lFrAjs\" class=\"zfr3Q\">The British Lung Foundation also have several useful pages on <a class=\"dhtgD\" href=\"https:\/\/www.google.com\/url?q=https%3A%2F%2Fwww.blf.org.uk%2Fsupport-for-you%2Fbronchiectasis&amp;sa=D&amp;sntz=1&amp;usg=AFQjCNF3IZ-6mHrrXEAhe1uTZ1UON4vgeQ\" target=\"_blank\" rel=\"noopener\">bronchiectasis<\/a>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"h.p_oFM4yRlHrghl\" class=\"hJDwNd-AhqUyc-OwsYgb jXK9ad D2fZ2 OjCsFc wHaque\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd baZpAe\">\n<div class=\"t3iYD\"><a href=\"https:\/\/www.google.com\/url?q=https%3A%2F%2Fwww.blf.org.uk%2Fsupport-for-you%2Fbronchiectasis&amp;sa=D&amp;sntz=1&amp;usg=AFQjCNF3IZ-6mHrrXEAhe1uTZ1UON4vgeQ\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"CENy8b\" src=\"https:\/\/lh4.googleusercontent.com\/oqPrqWEgVAZmOxhikWPzCxAhJlbr0ywfP4cg2p8QAn1w7HLD7BaxyYOk0yXbvPDw4becwcT2Ha_rRR8tjpEm-FSSGO9wAMKaFg_KUH-KHOeuFr7s4hUS=w673\" data-image-loaded=\"true\" \/><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"h.p_RfkNqa5CsFYk\" class=\"yaqOZd\">\n<div class=\"yaqOZd IFuOkc\"><\/div>\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-uQSCkd purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"oKdM2c\">\n<div id=\"h.p_prHwgQ6LsFYh\" class=\"hJDwNd-AhqUyc-uQSCkd jXK9ad D2fZ2 OjCsFc wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<h1 id=\"h.p_PSICSwTYsFYj\" class=\"zfr3Q duRjpb\">General advice about managing bronchiectasis<\/h1>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"h.p_FBuSU3YBsMmJ\" class=\"yaqOZd\">\n<div class=\"yaqOZd IFuOkc\"><\/div>\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-uQSCkd purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"oKdM2c\">\n<div id=\"h.p_mvHFdhFqsMmG\" class=\"hJDwNd-AhqUyc-uQSCkd jXK9ad D2fZ2 OjCsFc wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_IsyUbQ2zsMmI\" class=\"zfr3Q TYR86d\"><a class=\"dhtgD\" href=\"https:\/\/www.google.com\/url?q=https%3A%2F%2Fwww.chss.org.uk%2Fchest-information-and-support%2Fcommon-chest-conditions%2Fbronchiectasis%2F&amp;sa=D&amp;sntz=1&amp;usg=AFQjCNGXWTPo1NQcczSNQpHx3D6cCUGYiQ\" target=\"_blank\" rel=\"noopener\">Bronchiectasis<\/a> is typically associated with a daily cough productive of sputum (spit).<\/li>\n<li id=\"h.p_DtUqMOtKs51F\" class=\"zfr3Q TYR86d\">This is therefore not unexpected but you should be concerned if the volume or muckiness (we call this purulence) increases.<\/li>\n<li id=\"h.p_zZ5dCAZws63a\" class=\"zfr3Q TYR86d\">So, if your sputum is usually just a teaspoonful a day of yellow sputum, but then turns a nasty colour of green and there is more of it, it is quite likely you have a respiratory tract (chest) infection.<\/li>\n<li id=\"h.p_Shd23c4vspjZ\" class=\"zfr3Q TYR86d\">Ideally you should already have a NHS &#8220;spit kit&#8221; (sterile container) at home (your practice nurse should be able to provide you with one or two to have at home ready ). Spit into the kit and then promptly deliver it to your GP practice and they can send it off to see what bacteria (bugs) are growing.<\/li>\n<li id=\"h.p_vkH-Rbq7tRRD\" class=\"zfr3Q TYR86d\">This can be be very helpful to do 3-4 times a year, so that when you get another infection your GP knows which antibiotics to choose.<\/li>\n<li id=\"h.p_naJZouvotc5i\" class=\"zfr3Q TYR86d\">Importantly you should get a minimum of 14 days of high dose oral antibiotics if you get a chest infection (most people get 5-7 days but with bronchiectasis longer is needed).<\/li>\n<li id=\"h.p_q7Q2aEJxtn6n\" class=\"zfr3Q TYR86d\">Your GP may have to treat you before the result of the spit sample is known.<\/li>\n<li id=\"h.p_xxs0bYzmts7j\" class=\"zfr3Q TYR86d\"><a class=\"dhtgD\" href=\"https:\/\/www.aberdeenlungs.com\/for-patients\/exercise-help-to-do-more\">Keeping active<\/a>, eating plenty of fruit and vegetables in your diet (anti-oxidant effects) and getting your jabs (annual influenza vaccination and check your nurse has given you a once off &#8220;pneumonia&#8221; (pneumococcal) vaccination which lasts for about 10 years or so).<\/li>\n<li id=\"h.p_AUn1CBXxt-2Q\" class=\"zfr3Q TYR86d\">Occasionally some people with bronchiectasis need to take long term antibiotics at home e. g. oral antibiotics such as azithromycin, or nebulised (mist like inhalation) of antibiotics such as colomycin.<\/li>\n<li id=\"h.p_RSo6pvqGuMR6\" class=\"zfr3Q TYR86d\">If treatment in the community does not work then sometimes admission to hospital for intravenous (IV) antibiotics is needed.<\/li>\n<li id=\"h.p_pSGvE4V8uTw6\" class=\"zfr3Q TYR86d\">Physiotherapy every day is important and your GP practice should ask a local physio to show you exercises to do to clear sputum from your chest.<\/li>\n<li id=\"h.p_8YFf_ImbuecJ\" class=\"zfr3Q TYR86d\">Generally bronchiectasis is not regarded as a life threatening illness (occasionally it is but this is uncommon) and generally it is more of a nuisance for you but these tips and trick should give you the best chance of remaining well.<\/li>\n<li id=\"h.p_09v5gPUqus_Z\" class=\"zfr3Q TYR86d\">We do have a Bronchiectasis Clinic in Aberdeen Royal Infirmary for those patients whose GP needs an extra hand with managing.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>What is it? Bronchiectasis is a common disease which typically causes cough, often with a tendency to get recurrent chest infections. The air tubes within the lungs, which are rather like thin straws, become widened and act as a focus for infection. There is a very long list of possible causes for bronchiectasis. Sometimes a&hellip; <\/p>\n<p><a class=\"moretag\" href=\"https:\/\/www.arirespiratory.scot.nhs.uk\/?page_id=92\">Read the full article<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":77,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-92","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/pages\/92","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=92"}],"version-history":[{"count":1,"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/pages\/92\/revisions"}],"predecessor-version":[{"id":94,"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/pages\/92\/revisions\/94"}],"up":[{"embeddable":true,"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/pages\/77"}],"wp:attachment":[{"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=92"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}