As part of an academic tertiary referral clinic, UT Physicians offers state of the art, evidence-based management of bronchiectasis. This includes confirmation of the bronchiectasis diagnosis, genetic testing, medication including antibiotic selection according to national guidelines, education on airway clearance techniques, inhaler use training, smoking cessation therapies, and pulmonary rehabilitation. Also, in collaboration with our colleagues at Memorial Hermann Hospital-Texas Medical Center, we offer advanced therapies for selected patients with severe disease including procedure-based management of hemoptysis (coughing up large amounts of blood) and surgical intervention for the same and lung transplantation.
Our clinic is also the adult extension for the pediatric Primary Ciliary Dyskinesia clinic which is one of few designated Primary Ciliary Dyskinesia Foundation Research and Clinical Network Centers in the country and one of two in the state of Texas.
Bronchiectasis is a chronic irreversible lung condition in which there is inflammation and frequent infections in the airways. The airways become thickened and dilated, mucus builds up and airflow obstruction and infections develop. Patients have a cough with thick sputum on most days. Other symptoms include shortness of breath, wheezing, coughing up blood and chest pain. Disease course involves frequent office visits, hospitalizations and need for antibiotics.
Bronchiectasis has multiple causes some of which include cystic fibrosis, primary ciliary dyskinesia, defective host immunity, Young’s syndrome, rheumatic and systemic diseases, pulmonary infections, airway obstruction, allergic bronchopulmonary aspergillosis (ABPA) and cigarette smoking.
Testing involves lab tests such as blood counts, immunoglobulins, and microbiologic testing. Depending on the cause, additional tests such as sweat chloride test, genetic tests, and rheumatologic tests are obtained. Chest x-ray, lung function test, and chest computed tomographic (CT) scans are obtained for diagnosis and treatment.