Different Ways To Treat Bronchiectasis

Chest Physical Therapy

Chest physical therapy often provides effective symptom management for patients with bronchiectasis. Also known as chest clapping and percussion, this therapy involves the provider repeatedly thumping on the patient's chest and back with significant force. The technique can be performed with the hands or with special devices. Although it is normally performed by respiratory therapists, family members and caregivers can be trained in how to do it. Patients normally lie on their stomachs with their heads tilted down during the treatment, and some patients prefer to sit up with their heads tilted down as well. Both of these postures allow gravity to help in draining the mucus.

Since chest physical therapy is physically demanding, some therapists suggest the use of special devices to make the process easier. Electric chest clappers, inflatable therapy vests, and masks that create vibrations can all help in dislodging mucus. Patients may wish to try several different devices to find the one most effective for them. During a chest physical therapy session, patients may also be encouraged to try various breathing exercises. Both active cycle breathing and forced expiration techniques gradually move mucus into the upper airway so it can be removed through coughing.

Oxygen Therapy

Oxygen therapy helps to increase the lowered blood oxygen levels that may occur with bronchiectasis. The treatment involves the administration of supplemental oxygen through nasal prongs or a mask that is placed over the mouth and nose. Patients may be able to have oxygen therapy at home, and it is also provided at clinics and hospitals. Oxygen concentrators pull oxygen out of the surrounding air, making it available for immediate use. These devices are suitable for the home, and they will never run out of oxygen.

Portable oxygen tanks are also available. Although these require refills of oxygen, they can make it easier for patients to move around their home during the therapy. Oxygen is highly flammable, so patients and families should take precautions to avoid heat and other hazards during treatment. Supplemental oxygen may cause patients to feel tired, and they could develop morning headaches. Some patients might have dry or bloody nasal passages as a result of the treatment.