Bronchiectasis
Bronchiectasis is the widening and inflammation of the airways in your lungs. It causes a cough that produces a lot of phlegm and leads to repeated chest infections, so it’s important to treat it.
What is bronchiectasis?
Bronchiectasis is a long-term lung condition where your airways become abnormally widened, inflamed, and produce a lot of phlegm (mucus). As a result, your airways can become infected by bacteria. This may lead to chest infections or a flare-up of your symptoms – usually a cough that doesn’t go away.
The condition affects around 1 in 200 adults in the UK. It’s important to recognise and treat the condition and any resulting chest infections. If it’s not treated, it can lead to more permanent lung damage and worsening bronchiectasis. The condition can’t be cured, but it can be managed with treatment.
Our respiratory physicians and radiologists at our custom-built Lung Health centre work together using the latest diagnostic medical technology to investigate and treat bronchiectasis.
More information
The most common symptoms include:
a chronic cough
a lot of white, yellow, or green phlegm
However, bronchiectasis can present differently in different people. Some may experience:
a dry cough
wheezing
breathlessness
fatigue
blood-stained phlegm
The condition develops after you experience initial damage to your lungs. The damage can be caused by various other infections and conditions, including:
inflammatory disorders, such as rheumatoid arthritis (RA), inflammatory bowel disease (IBD), lupus (SLE), and Sjögren's syndrome
pneumonia, whooping cough, measles, and tuberculosis (TB)
cystic fibrosis
asthma
chronic obstructive pulmonary disease (COPD)
Once the initial damage has occurred, you may be more prone to further infections and damage. This can make the condition worse if it’s not treated.
Risk factors
You have a higher chance of developing bronchiectasis if you:
have a condition that affects your lungs or immune system
are over 65
are female
At your initial consultation, your consultant will ask you about your medical history and symptoms. They may also conduct a physical examination and listen to your lungs.
To make a diagnosis, they may need to run some tests.
The tests could include:
imaging tests such as an X-ray or CT scan
blood tests
phlegm analysis
lung function tests
a genetic test
These tests will help your consultant make an accurate diagnosis of the cause of the condition. This will allow them to provide the best treatment and care.
There isn’t a guaranteed way to prevent bronchiectasis. But you can reduce your risk of developing it by:
avoiding smoking, vaping, and breathing in gases, fumes, and pollution
staying up to date with vaccinations such as flu, pneumonia, and measles
treating any underlying or ongoing health conditions
Bronchiectasis can range from mild to severe. If your condition is mild and you get treatment to help you manage it, you shouldn’t experience any complications.
However, if your condition is more severe or is left untreated, it can be life-threatening. This is because it can lead to:
a resistance to antibiotics
bleeding in your blood vessels
respiratory failure
While treatment can’t cure the condition, it can help you manage it and reduce your symptoms to improve your quality of life.
Your treatment options will vary depending on how severe your condition is and whether there’s an underlying cause.
Your consultant may recommend:
physical therapy to teach you how to clear phlegm effectively
medical devices that help you break down and clear phlegm
antibiotics to clear and/or prevent infections
bronchodilators (medication that opens up the airways) through an inhaler or nebuliser
oral medication to help break down your phlegm
flu and pneumonia vaccinations
At Welbeck, our respiratory specialists are experts in their field and are dedicated to providing world-class care to every patient.
With access to colleagues across other specialties, our consultants are also able to refer within the Welbeck ecosystem if required to ensure you receive the treatment you need as quickly as possible, all under one roof.
All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.
Your health is important to us, so we strive to offer same-day appointments whenever possible.
Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.
Get in touch today to book an appointment.
Our specialists
Dr Owais KadwaniRespiratory Consultant
Dr Vasileios KouranosConsultant Respiratory Physician
Professor Peter GeorgeRespiratory Consultant
Professor Michael LoebingerConsultant Respiratory Physician
Dr Dean CreerRespiratory Consultant
Dr Sarah ElkinRespiratory Consultant
Dr Justin GarnerRespiratory Physician
Dr Shalin DiwanjiConsultant Respiratory Physician
Dr Reza AbdullahConsultant Respiratory Physician
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Frequently asked questions
You should seek help from the emergency services if you’re struggling to breathe, have pains in your chest, have a high temperature, or are coughing up a lot of blood.
No. Research shows that what you eat doesn’t directly impact the condition. However, eating a well-balanced and nutritious diet can help you maintain better overall health and therefore manage the condition more effectively.
If you get treatment and do what you can to boost your lung health, you’re likely to live as long as someone who doesn’t have bronchiectasis. However, if you smoke or have smoked, your life expectancy may be lower than someone who has never smoked.
Yes. Any exercise that makes you a little breathless — such as walking or swimming — can help your lungs clear mucus.