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Cylindrical (or Tubular)
Bronchiectasis

Airways within the lungs are crucial to proper function. With cylindrical bronchiectasis, these airways become wider over time, which can cause a build-up of mucus, persistent infections, and other ill-effects. The resulting damage can make breathing more difficult, but certain treatments can positively impact lung function.

Cylindrical Bronchiectasis and Cystic Fibrosis

Cystic fibrosis is a medical condition that results from mutated genes. With cystic fibrosis, mucus within the lungs becomes much thicker and stickier, and is harder to clear as a result. Accumulating mucus becomes a breeding ground for bacteria, which can lead to cylindrical bronchiectasis as the airways sustain damage.

Symptoms

Symptoms of cylindrical bronchiectasis can include:

  • Shortness of breath
  • Productive coughs accompanied by lots of mucus
  • Foul-smelling mucus
  • Wheezing
  • Recurring colds
  • Coughing up blood

These symptoms can occur intermittently, meaning that they come and go. When symptoms return after a time, a person may experience effects like fever, fatigue, and worsening shortness of breath. These are known as exacerbation symptoms, and they typically appear after a period of remission.

Reference Articles

Complications

Severe instances of cylindrical bronchiectasis can result in respiratory failure if the lungs are unable to pull in sufficient oxygen. Damage can also be so severe that blood vessels in the lungs begin bleeding. Proper management of cylindrical bronchiectasis can often prevent these complications.

Treatment

While damage to the lungs cannot be reversed, people with cylindrical bronchiectasis can find relief through certain treatments, including medications:

  • Expectorants – Expectorant medications reduce the thickness of mucus so that it is easier to push from the lungs when coughing. 
  • Antibiotics – Antibiotics fight bacterial infections, which result from lingering mucus in the airways. 
  • Macrolides – Macrolides also address infections, but these drugs can simultaneously reduce swelling within the airways.

Medical devices like percussive vests can also be effective for removing mucus from the lungs. Additionally, physical therapy and breathing exercises are beneficial for improving lung function.

 
 
 

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