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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Surgery Needed For Severe Dyspnea?

I am suffering from dyspnea. I have problem of bronchiectasis for years. I was on antibiotics on and helped me but as time goes I am suffering in serious problem especially my left lung area affected. I have thoracenticis during my younger age was drained fluid on my left lung chest area on my back. Now my dyspnea problem is getting worst and I am 60 years old now. Previously I had an x ray and pleural effusion was seen. I was taking Lasyx 20 mg and antibiotic . Do I need surgery? What shall I do now? I have a continuos thick yellow, pink or green early morning and getting worst of dyspnea at night due to cold weather.
Mon, 3 Nov 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
Bronchiectasis is chronic disease with waxing and wanning characteristics.
Surgery is the last option and practically possible in only few cases like
1. Isolated lobe involved
2. Chronic Infection with resistant bacteria
3. Good lung function test
4. Absence of any disease in rest of the lungs.
5. How fit is the patient yo bear stress of the surgery.
So all the factors are considered before surgery.
Better to follow these steps for Bronchiectasis.
1. Inhaled bronchodilators
2. Pulmonary rehabilitation with chest physiotherapy snd deep breathing exercise.
3. Expectorant and mucolytic drugs
4. Pulmonary vaccination with pneumococcal and h.influenzae vaccines.
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Is Surgery Needed For Severe Dyspnea?

Thanks for your question on HCM. Bronchiectasis is chronic disease with waxing and wanning characteristics. Surgery is the last option and practically possible in only few cases like 1. Isolated lobe involved 2. Chronic Infection with resistant bacteria 3. Good lung function test 4. Absence of any disease in rest of the lungs. 5. How fit is the patient yo bear stress of the surgery. So all the factors are considered before surgery. Better to follow these steps for Bronchiectasis. 1. Inhaled bronchodilators 2. Pulmonary rehabilitation with chest physiotherapy snd deep breathing exercise. 3. Expectorant and mucolytic drugs 4. Pulmonary vaccination with pneumococcal and h.influenzae vaccines.