Bronchiectasis and diet

Posted by ckscoville @ckscoville, Jul 26, 2020

I’ve heard and read conflicting views and recommendations regarding the best diet for those of us with Bronchiectasis, esp. regarding dairy products and whether they contribute to mucus production. What have you found out regarding diet and foods that trigger problems?

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

@sueinmn

I managed to gain 4 pounds from my lowest whilst still on antibiotics over about 6 months, but felt like I was constantly eating or thinking about it!
I did eat ice cream with hot fudge and caramel before bed almost every night during that time. I also put Orgain a double scoop protein'n'greens in my smoothies, and tried to drink about 12 oz a day (keeps for 3 days in refrigerator.)
My shake recipe - 1 c full-fat Greek yogurt, 2 c fruit (mixed berries, mangoes, bananas, oranges - fresh or frozen) one carrot, one large avocado (or frozen equivalent), two large scoops protein powder, blended with milk or ice. Sometimes a little peanut or sunflower butter. (I think 6 ounces was 120-150 calories depending on what was in it.)
Sue

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Would absolutly love to have ice cream with FRUIT 😉 before bed. Wow, can't believe you were able to. Lucky you. I am hungry all the time, good appetite, thank goodness.

Bought Pumpkin Protein yesterday, 2mg Sodium, made a glassfull and it created thick mucus after drinking, may need to thin it out. Will check out the Orgain next purchase. Thanks for the idea of keeping in the refrigerator ready to go.
I like your shake recipe. Thanks. Happy Sunday!

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Hello all,
the NJH nutritionist also said to have a protein shake AFTER you walk or exercise so that you make up for the lost calories. She also said to drink TWO 350 cal drinks ( Ensure plus or others). and yes eat/drink whole milk products and add a spoon of olive oil on your foods and simply stuff yourself with high calorie foods. So different than I thought.

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I forgot to mention that I gained weight also with the help of Walkers Shortbread cookies. They are 100 calories each and made only with flour, butter and an small amount of sugar. No weird ingredients and low sugar. I had one for breakfast, lunch and dinner for a total of 300 extra calories.

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@sueinmn

You say, ..."I may need to give greater thought to it all, expecially the dairy. ANY THOUGHTS to share,"
Here are my thoughts -
What we need to consider as individuals with Bronchiectasis and/or MAC is where we fall in terms of having a healthy body mass. We have all been brainwashed to believe "the thinner the better." And thin can be healthy IF it is deliberate, is accompanied by a healthy diet, our blood chemistry is all good, and our body has sufficient reserves. BUT when weight loss is beyond voluntary, and we begin to look gaunt and are losing muscle mass...it can be time for action.

We have also been told, at various times, dairy is bad for us, red meat is bad, carbs are bad...the list is endless depending on the celebrity "experts" and diets du jour. Over 40 years ago, my grandmother's doctor told my mother and me "Keep some meat on your bones, you need it when you get sick like Ruby is now" and although my weight was always appropriate for my height and body type, I never stressed over whether I weighed 115 pounds or 125, I just continued to eat a healthy diet and stay active.

Over the past 20 years, I have had quite a few major surgeries and health complications including heavy metal poisoning, Graves Disease (hyperthyroidism), Bronchiectasis and MAC; during those times my weight often fell alarmingly, to below 100 pounds.

Using the dieticians' advice from the NJH videos, in 2018 I put myself on a regimen that included healthy, high-density foods, including dairy, meat, beans, oils and nuts. At times when food was unappealing to me, I forced myself to eat one small portion every hour - a piece of aged cheese, full-fat yogurt with fruit, a hard-boiled egg, an ounce of cashews, 4-6 ounces of a high-protein smoothie. Plus at least 2 regular meals each day. Over two years after stopping antibiotic therapy, I finally got back to 120 pounds, and have stayed near it for over a year now.

Now in my 70's, I eat a 50-50 mix of the "American diet" - meat and potatoes, pizza, etc, and a "cleaner" diet. For example today instead of dinner, we will have shrimp with cocktail sauce, cheese and maybe hard sausage, healthy crackers with dips (both bean & sour cream choices), a fruit plate, raw veggies, chips, and probably some sweets, at our football party. Tomorrow's dinner will be (real) Mexican food, which includes salad, beans or bean soup, fresh salsa & avocado with a few chips, a little lean meat and a few corn tortillas. Wednesday will be a vegetable soup or stir-fry with chicken and maybe some wild rice. Our daytime food is yogurt with fruit, healthy granola or seeds, cheese or peanut butter with crackers and fruit, raw veggies or veggie juices, nuts, toast with peanut butter, protein shakes, wholegrain snack bars, homemade trail mix. Our indulgence is one or 2 pieces of good dark chocolate. or very occasionally a dish of good ice cream.

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Hi Sue, I’m new to this site & was just diagnosed with MAC a week ago. I also have bronchiectasis. I already do airway clearance and have been doing tons of research. I was curious about the weight issue that many in this group are commenting on. Do most who participate in the 3 drug treatment for Mac lose weight? Thanks

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@jsuarez910

Hi Sue, I’m new to this site & was just diagnosed with MAC a week ago. I also have bronchiectasis. I already do airway clearance and have been doing tons of research. I was curious about the weight issue that many in this group are commenting on. Do most who participate in the 3 drug treatment for Mac lose weight? Thanks

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Many of us find we have lost weight from the infection even before we begin treatment. Then, some of us suffer loss of appetite, nausea, diarrhea, or strange taste from the antibiotics which causes more weight loss.
This is highly individual...I was at an "ideal" BMI before I got sick, and over less than a year lost 20% of my body weight - pretty scary.
Other people find little to no effect on their weight.
Like everything else with MAC & Bronchiectasis, it is highly individual.
What have you experienced so far?
Sue

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@sueinmn

Many of us find we have lost weight from the infection even before we begin treatment. Then, some of us suffer loss of appetite, nausea, diarrhea, or strange taste from the antibiotics which causes more weight loss.
This is highly individual...I was at an "ideal" BMI before I got sick, and over less than a year lost 20% of my body weight - pretty scary.
Other people find little to no effect on their weight.
Like everything else with MAC & Bronchiectasis, it is highly individual.
What have you experienced so far?
Sue

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Good morning Sue. Yes, I think you’re right; it depends on the individual’s response to treatment. Since I just received my results a week ago, I’ve yet to confer with my pulmonologist. Weight wise, however, like you I’m starting at a perfect BMI. I’m 5’3” and weigh 115 lbs. On recent visits to my doctors, however, they have noted that I tend to be anemic. Since I’m concerned about the possibility of losing weight, as well as other side effects, I’ve started taking herbal supplements (Artemisia Annua & Hawaii Licorice
Alcohol-Free Liquid
Extract, Chinese) to boost my immune system; strengthen me and increase my energy. Naturally, when I speak with my pulmonologist mid Feb., I will mention these to him to make certain it doesn’t interfere with the 3 medications. Also, I’m beginning to take a daily probiotic and D3. I’ve taken a spoonful of organic cod liver oil much of my life, but it doesn’t seem to have helped me much. I’m hoping that when I go for my initial baselines, I will have optimal results. Do you know of anyone who has combined herbal ingredients while in treatment with the 3 medications?

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Also, I will start taking mullein, another herbal supplement.

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@jsuarez910

Also, I will start taking mullein, another herbal supplement.

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Have you found a reputable brand? And has it been tested by a 3rd party? Would like to purchase some, but want to be sure it’s a pure quality product.
Thanks for your help

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Before I was diagnosed with Mac and Bronchiectasis, I was unable to gain weight, I was 114 for the past 5 years. When I first started antibiotics I went down to 102 from lack of appetite. I was mostly eating vegetarian diet with some chicken and fish, no dairy. I met with a nutritionist and she pointed out that I wasn’t getting enough protein. I started drinking milk and eating Greek yogurt. I also have more beef and chicken and I’m up 125+lbs., my doctor was so excited. I keep track of what I eat in an app now and I can check my protein, calcium and etc daily. I eat throughout the day, trying to get everything in that I need to eat for the day. Sometimes I feel like my life is just breathing, eating , exercising and Dr. appointments. Looking forward to a slowdown in May, hopefully getting off meds. by then.

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@carollpeterson3206

Have you found a reputable brand? And has it been tested by a 3rd party? Would like to purchase some, but want to be sure it’s a pure quality product.
Thanks for your help

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I drink an herbal tea blend called Lung Renew. I get it online from Primal Herb. They are a very reputable company and have excellent customer service. The tea is in powder form, and the serving dice is 1/2 tsp. Mullein is the first ingredient, and it contains other herbs which help the respiratory system. If you go on their site, you can get to that particular tea and read the details about its ingredients. I notice a difference when I don’t take it.

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