Hello! Many respiratory symptoms overlap. How is bronchiectasis like asthma?  Bronchiectasis inflammation is usually the result of a lung infection.  Your immune system responds to infections. They release chemicals that cause airway inflammation. When this happens, it can damage the tissues lining the airways and eventually lead to airway scarring.

This scarring causes airways to become abnormally dilated. This causes mucus secreted by airway cells to become thick and sticky. The accumulation of thick, sticky mucus in the airways creates a breeding ground for germs to collect. This is why people with bronchiectasis are prone to repeated lung infections.

Bronchiectasis and asthma are both associated with an immune response. They both can cause flare-ups. Common symptoms of both are shortness of breath and coughing.  Asthmatic airways are hypersensitive. This makes them “spasm” when you’re exposed to your asthma triggers. It also caused increased mucus production. This is what causes shortness of breath and coughing due to asthma. These flare-up episodes are both treated and controlled with asthma medicine.

Repeated respiratory infections worsen airway inflammation. Mucus can become thick and obstruct the airways. This is what triggers bronchiectasis flare-ups. This is what causes shortness of breath and coughing due to bronchiectasis. These episodes will not respond to asthma medicine. Treatment usually entails antibiotics and other treatments.

Unlike asthma, bronchiectasis sputum tends to be colorful. It may be yellow, green, or even bloody. Bronchiectasis may also present with fatigue, fever, chills, weight loss, and night sweats. Do you have both asthma and bronchiectasis? Let us know if you have any questions.