I'm sorry I can't be more specific, because everyone is very different - diagnosis, whether or not they have active MAC, whether they can/should used steroids based on other health issues and medications.

"How to handle and exacerbation" is a discussion each Bronchiectasis, Asthma and COPD patient needs to have with their pulmonologist (and ID doc if one is on your team) before illness strikes. And it will differ from one person to another.

One thing I will say has kept me healthy - at the first sign of a cold or respiratory or sinus bug of any kind, or even severe allergies - double my saline use and airway clearance. If I am wheezy, I may even add a levalbuterol neb before saline. This seems to give my lungs a "fighting chance."

Sue