Non CF Bronchiectasis

[Frances_MStudent]

55 yo male diagnosed with Non Cystic fibrosis Bronchiectasis approximately 20 years ago. On oxygen via nasal cannula, 3% since June 2023.

Follows a twice daily routine of nebulizing and airway clearance. Nebulizing: Albuterol, 3% sodium chloride, and Pulmozyme. Uses a percussion vest and flutter valve device (Aerobika) for airway clearance.

Also, takes daily orally: Mucinex, Benadryl, loratadine, b12, folic acid. Azithromycin 3x weekly and vit D3 once weekly.

Uses Flonase and advair daily.

And a not yet approved drug, Brensocatib.

He is open to alternative meds and followed for several years with a naturopath, however, did not see improvement and the nutraceutical type supplements “prescribed” were cost prohibitive.

Oxygen saturation at rest ranges from 93-94. Upon walking 60 feet with oxygen O2 sat can drop to low to mid 80s.

No history of smoking, all possible CF types have been ruled out. Dx is Idiopathic Non CF Bronchiectasis. Dramatic decline since June to the point of being unable to perform normal daily living routines without assistance.

What can herbal medicine offer? Western medicines next step will be a lung transplant.

[Frances_MStudentTopic Author]

Edit to Add:

Sputum samples positive for pseudomonas for last decade at least. History of repeated sinus infections and seasonal allergies as well.

[Dr. Patrick JonesHomestead Instructor]

There isn’t an herb that’s going to re-build/restore scarred and damaged bronchioles but there are several things that may help to improve function of what he has. Look at the Respiratory II lesson specifically at the sections on Asthma, COPD, CF and on chronic bronchitis. Those show what I do to open up airways, remove mucus and fight infections which are basically the things you ca do in a case ike that.

Respiratory System II: Conditions & Interventions

Of course, make sure he talks to his doctor before using herbs with drugs.

Don't use herbs or combine herbs with medications or use them during lactation or pregnancy without talking with your healthcare provider.

[Amy SvobStudent]

have they gotten him vest therapy yet? also what about trying some food grade 3% hydrogen peroxide nebulized? I wonder if Doc has heard of this? is his mucinex at 1200mg bid? I wonder about him trying mullein inhalation and also drinking some tea if there’s no contraindications with his meds. Has he historically tried acetylcysteine nebulized? I know there had been a shortage at one point.

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