Bronchiectasis: New Diagnosis

Posted by navylady @navylady, Jul 26, 2018

New to your group. Non-smoker. Pneumonia x6 in 12 years, double pneumonia twice. Was diagnosed with chronic bronchitis and COPD for past 15 years, now pulmonologist based on x-rays and MRI has diagnosed no COPD, yes bronchiectasis. Take advair 250/50 twice a day. Past ten days I am increasingly gurgling, wheezing, some chest pain. I have recently moved to Florida which I like but am having long wait times to get into see a family care NP who can hopefully refer me to a pulmonologist. I walk 20-30 minutes a day. Any ideas how to manage this now. Am worried about getting pneumonia again. I went to one walk-in clinic at a reputable hospital. They literally did nothing except take x-rays. Didn't even talk to me. Just billed $2000+ for x-rays. Do I try another walk-in clinic. I feel very alone right now with this chronic medical problem.

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@irene5

@oldkarl One thing I have learned from this forum (and I have learned plenty) is that we have to advocate for ourselves. This is a serious disease, and we need to keep our records with us (learned that from Katherine) and be our own best advocate. Thank you. Irene

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Irene, Your message bears repeating occasionally; I'm glad you just did. Don

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@windwalker

@marilynk, No. There is no cure for bronchiectasis. It is a progressive disease where the lung tissue becomes deformed and damaged. This opens up the probability of catching opportunistic infections. The rate of progressive deterioration varies from patient to patient. For some, it is very slow. It is extremely important to keep from getting respiratory infections. With each infection event, comes scar tissue in the lungs. That is why it is important to get your annual flu shot, and start antibiotics (if not on them already) right away at the onset of colds etc. Use 7% inhaled sodium chloride on a daily basis if your dr has approved of such. The only thing we can do about bronchiectasis is to be more careful with our lungs. i.e. do not use spray paint or handle potting soil without a mask, avoid hot tubs, etc. I personally, will not do any of these things, period. It is not worth the risk to my lungs.

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Thank you - I knew there wasn’t a cure but thought there might be something to put it into remission. I have been doing the albuterol in my nebulizer and will ask about the sodium. I’m on Azithromycin 3 days a week. I’m also doing the clear lung capsules. Seems to help me cough if there’s something to cough up.

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@kpost2

Sorry its been awhile. I have noticed that Dairy products do make me feel worse. I need to start drinking water and not so much soda. Soda is a big downfall
for me. I have noticed reflux in the last few months. My Mom thinks that I need Supplements to cure me and not medicine. She sent me a powdered drink mix called Youngevity Healthy Body Start Pak 2.0 it has 90 essential nutrients for the body. Didn't know if this is good to take or not.
My Bronchiectasis has always been on my left side. Now after a chest xray it's on my right side now. I wear a Smart vest everyday to loosen up mucus and also do IVIG Privigen Infusion treatments every four weeks. My Immune system is very low. So far I haven't been sick or missed work.
Changing my food diet is going to be a BIG CHANGE!

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Hey kpost, I'll begin by making full disclosure: I'm have a galloping bias about the place of diet: after reading T.Colin Campbell's magnum opus The China Study in 2008 and after flirting with vegetarianism off and on since teenage, Campbell's book resulted in me forthwith becoming committed to a low-fat, whole-food, exclusively plant-based way of eating. Since then I've not knowingly eaten animal flesh or animal lactation products. Also, I use no cooking oils in my food prep. You can get all the fat you need from high fat foods like avoacados, olives, soy milk and so on.
You're on the right track ditching the dairy. I agree fully with your mother's position regarding medicines, though I part ways with her regarding supplements. Take Hippocrates lead and let your food be your medicine. Eat real food; pass the supplements. Our bodies have no more need for cow's milk than we do for giraffe, eland, tiger, or hippopotamus milk. Indeed humans are the only species to continue eating milk beyond weaning (and on top of that, the milk from another species).

Animal based foods place added burden on the human body since we're not well adapted by our evolutionary history to consume them in the abundance the average person does now. MAC AND BRONC place enough burden on our bodies, why up the ante by eating dead flesh? Don

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@thumperguyYes, that is so true. A plant based diet is absolutely the way to go. When I was in college in the sixties there was a song by Melanie with the words, “ I don’t want nothin’ dead in me.” I became a lacto vegetarian at that time. I wish I had given up dairy, but I never did. Unfortunately, I spent the next several decades hanging over the sink eating off of peoples’s plates due to teaching and raising ten children. (Their plates - my husband always finished his:)) Good nutrition is key for us in this battle with MAC and Bronchiectasis. Had I known then what I know now I would have done things differently. I wish I had a remote and could press the rewind button on that one. We should all eat what is good for us and sugar shouldn’t be anywhere on that menu. Down the road I am thinking plant based might be the most appropriate diet for the planet and the human race. I do so love a Fribble from Friendly’s:). Irene5

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As they say we are what we eat. I stopped eating meat, dairy,sugar and bread. I was only eating fruit and veg's I was determind to beat this. I lost 30 lbs. I stll have mac. I do the saline at 7% and I feel pretty good,touch wood. A freind wrote a book and it says our body can repair it's self if we give it the proper food. Since they pasturized milk they have made it hard to digest. Flour has so many chemicals now and has been genitically changed.Sugar is the worst. Meat we use abit of it but we cook it and our body has to get rid of all the waste. We just live with mac and do our best to survive eating properly really does help. garry

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@garry Yes, that is so true. As a child we ate a small amount of raw meat with an onion slice and a bit of oil used in a Syrian dish my dad made. We ate tons of fresh fruit, but my dad had sprayed the trees and bushes with DDT!! I shudder when I think of that now. Everyone in my family has passed due to cancer. I am trying to beat those odds. The MAC meds are not pleasant, but I am persevering- fingers crossed and lots of prayer. (irene5)

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@garry

I still say chest xrays do not show mac. Maybe it is the people reading the xray that don't know what they are looking for. I went almost 10 to 15 years not knowing what it was until a young intern sent me for broncoscope. They grew the sample and said I had mac. Maybe u do not have mac. Maybe phemonia. Please excuse the spelling. I have a stack of xrays an inch thick. When they found it I went on the big 3 for 6 months. It comes and goes and it always there waiting to make you feel bad again.
I had issues with the salt but have figured it out. It is not the salt but the other concockshuns that I have tried. I do lots of silly stuff trying to beat this.Not much I have not tried. I finally have the dr giving me antibiotics that I can use as needed. I may go 3 months feeling good and then I get run down and I am back on the drugs. My issue is they are getting less effective each time I do this. Hoping the salt 7% saline will be the answer. These people on this forum will help u they are the best. Your northern canadian friend Garry

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Garry you said, "I still say chest xrays do not show mac." How about a CT scan? Pulmo ordered one for me a year or so ago. Read it along with the radiologist. The report to me was that my Mac had "improved."

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@thumperguy

Garry you said, "I still say chest xrays do not show mac." How about a CT scan? Pulmo ordered one for me a year or so ago. Read it along with the radiologist. The report to me was that my Mac had "improved."

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@thumperguy Here is the explanation from my ID doc about the CT findings - the CT shows signs of the infection in the form of lesions, cavities and other damage. It also shows the extent and severity of the underlying bronchiectasis. The culture confirms the presence of a specific organism such as MAC, and can be further tested to see which drugs it is susceptible to. The repeat CT is used to determine if the signs of infection are improving, and may be used in conjunction with repeat sputum culture.
In my case, the lung CT clearly showed improvement, with the cavities and clouded areas gone. My cough was better, and my sputum clear so even though there is still MAC in my culture, the doc decided 18 months was enough of an antibiotic assault on my body.
So now I am in wait and watch mode, nebbing 7% saline in hopes of keeping the remaining MAC from growing. The CT will likely be repeated after a year of if my symptoms return.

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Wishing you all the best, it's so good to read positive results for a patient of this disease. Blessings to you!

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NavyLady, I recognize your problem, but I cannot do much about it but give some simple advice. First, make absolutely certain your medicfolks can read, at least on a 3rd grad level. Mayo-AZ sent one of my samples to Mayo-MN to have it tested for Amyloidosis. My blood kin have been diagnosed with MM, Carnetine, Lupus, Crohn's, etc.. Mayo-MN tested the samples for TTR, and found there was no evidence of TTR. That report was distributed across the country. However, about 20 clinics, labs, hospitals, etc, read and made decisions that Mayo had confirmed I had no Amyloidosis. The report only said I had no TTR, which means we could rule out about half the Amy types. Mayo-MN even said "We could not rule out other Light Chain Amyloidosis types such as multiple myeloma, Lupus, etc." Afterward, Willamette Samaritan, OHSU, SCCCA, Stanford, and even Mayo-AZ reportedly sent out reports that I had been cleared of Amy by Mayo-MN. Therefore, I must be psychosociophysiodystrophic, or, in more common language, nuts. So the first bit of info one should get from a lab or clinic, even at the Mayo rank, is the actual reading capability level of the staff.

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