COMPLETE ANDCOMPREHENSIVE Pulmonology

• highly advanced, fully equipped pulmonary medicine department
• Experts provide the best treatment that focuses on improving pulmonary health.
• Hygienic and advanced bronchoscopy suites
• Affordable treatment
• Highly experienced, skilled, dedicated, and qualified faculty.
• Modern and world-class Intensive Care Unit
• Patient-centric approach
• Patient safety first guidelines
• State-of-the-art acute care facilities
• Emergency care
• Seamless care from OPD to IPD for chronic respiratory failure patients
• We provide our patients with world-class treatment at the most affordable prices.

Healthcare experts have categorized the bronchiectasis depending on how the airway damage can look. Here are the main types of bronchiectasis: 

• Cylindrical: It is among the most common types of bronchiectasis and is not very serious. 
• Cystic: It is not very common but is the most severe form of bronchiectasis.

If you have following symptoms :-

• Cough
• Yellow or green sputum
• Blood in sputum
• Breathlessness
• Chest pain
• Fever
• Chest tightness

Bronchiectasis symptoms often take longer to develop from months to years. Here are some of the most common symptoms that are often experienced by the patients: 

• Severe regular cough 
• Coughing up blood 
• Breath shortness 
• Cough huge amounts of mucus daily 
• Severe chest pain 
• Weight loss 
• Fatigue 
• Wheezing sounds in the chest with breathing 
• Fingernails and toenails change in structure, referred to as clubbing 
• Regular respiratory infections

Pulmonologists will take a detailed history and examine the patient. He can advise you on tests like chest X-ray, spirometry, and necessary blood tests. In selected cases, you might require a CT chest and later bronchoscopy as per your clinical condition. 
If your history is suggestive of obstructive sleep apnea, then you might need a sleep study for further evaluation and management. 
A pulmonologist will plan treatment based on the history, examinations, and test results. 
In severe COPD or chronic respiratory diseases, you might need to enrol in pulmonary rehabilitation. Pulmonary rehabilitation is a structured programme that includes targeted physiotherapy, nutrition, and psychiatric consultation, along with respiratory medicine. 
In chronic respiratory diseases, long-term management, follow-up, and monitoring are essential for control of symptoms and slowing the progression of the diseases. 
Adult vaccination is one of the important components of chest physician consultation. It includes vaccination against influenza, COVID vaccination, streptococcus pneumonia, etc.
 

Bronchiectasis is an outcome of any lung injury. There are two primary categories of this condition which are considered to be the causes. Here are they:

• Cystic fibrosis: This category is linked to cystic fibrosis which is a genetic condition leading to atypical mucus production. It affects the lungs and other bodily organs such as the liver and pancreas. As a result, it causes regular infections in the lungs and becomes the reason for the bronchiectasis condition. 
• Non-cystic fibrosis: It is not interlinked with cystic fibrosis and common conditions are causing non-CF bronchiectasis. Here are these conditions: 
• Earlier serious respiratory infections such as pneumonia or tuberculosis 
• Severe asthma 
• Primary or secondary immunodeficiency 
• Primary ciliary dyskinesia 
• Allergic bronchopulmonary aspergillosis 
• Chronic obstructive pulmonary diseases

The risk of growing bronchiectasis rises with age, however, young people are more likely to develop this condition. According to a study, women are more prone to developing this condition than men. Here are some of the conditions that increase the risk of growing this condition: 

• Regular aspiration of things such as food or drinks 
• Inflammatory bowel disease
• An atypical immune system functioning 
• An autoimmune disease such as HIV 
• Chronic obstructive pulmonary disease
• Allergic aspergillosis- An allergic reaction of the lungs to fungus 
• Lung infections like chronic cough, tuberculosis, pneumonia 

A healthcare expert will begin bronchiectasis diagnosis by evaluating and understanding the health history of a patient. They will listen to the lungs and check if they are functioning well or not. If the doctor suspects that the patient has bronchiectasis, then they will recommend certain tests to confirm. There are several tests ordered for diagnosing bronchiectasis. Here are these tests:

• CT scan or X-ray- This test helps in checking if the airways are damaged or not by taking a lung picture through a machine. 
• Blood tests and sputum culture- A healthcare provider takes out the blood sample of the patient including mucus to check if there are any signs of infection.
• Lung function tests- These tests are performed to understand the functioning of the lungs. The patient is asked to breathe into the machine for testing. 
• Genetic testing-The healthcare expert will take blood samples and other body fluid for testing the diseases 
• Sweat chloride test- If the healthcare provider suspects cystic fibrosis, a sweat test is performed. The patient’s leg or arm sweat sample will be taken to detect the signs of cystic fibrosis. 
• Bronchoscopy- A healthcare expert will involve the use of a procedure to determine airways. A tool named, a bronchoscope is used to identify and remove anything that is blocking the airway. A mucus sample will be taken for testing purposes.

Currently, there is no cure available for bronchiectasis treatment, however, there are options that help in managing the condition. The primary aim of treatment is managing the infections and bronchial secretions. Here are the options for the bronchiectasis treatment: 

• Chest physiotherapy: This treatment option helps in clearing the mucus from the lungs through a high-frequency chest wall oscillation. 
• Surgery: There might be a requirement for surgery when there is bleeding in the lungs or if the bronchiectasis has affected one lung part. 

• Draining secretions: Another treatment option that commonly is recommended by a doctor involves bronchial secretions assisted by gravity. Some techniques will be taught by a respiratory therapist to the patient so that coughing up extra mucus is easy. 
• Treatment of underlying conditions: If the patient is suffering from conditions such as immune disorders, chronic obstructive pulmonary disease, etc. that are causing bronchiectasis, then the doctor will take steps for the treatment of those conditions. 
• Lifestyle changes: The doctor will recommend making some lifestyle changes such as a healthy diet, drinking plenty of fluids or liquids like water, and exercising for the bronchiectasis symptoms improvement.

Rukmani Birla Hospital, Jaipur is among the eminent multi-special hospitals operating in the city for decades. The hospital has integrated the most amazing and experienced doctors including other staff members. We ensure dedicating ourselves to offering exceptional and satisfactory patient care. The primary objective behind the inception of this hospital is to make healthcare services available to everyone at an affordable cost including the finest treatment. So, if you are looking for bronchiectasis treatment, then get in touch with our most skilled and highly talented healthcare professionals at RBH.