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Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 23851
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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Mydog has bronchiectasis ,i think.This is after having

Customer Question

mydog has bronchiectasis ,i think.This is after having pneumonia. what can i do?
Submitted: 4 months ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 4 months ago.

Suzanne, first the diagnosis of bronchiectasis needs to be confirmed. This is usually accomplished by survey thoracic radiographs; however, CT and/or histopathology (biopsy) may be necessary to detect subtle lesions. A diagnosis of bronchiectasis warrants a thorough diagnostic workup including bronchoscopy and bronchoalveolar lavage to identify underlying/concurrent diseases.

Treatment, then, centers on reducing or eliminating the underlying cause of chronic inflammation (e.g., chronic bronchitis, infection) if present. Unfortunately, bronchiectasis is irreversible and therefore not curable (except focal disease treated by lung lobectomy). Long-term management focuses on decreasing inflammation, enhancing mucociliary celarance, and giving appropriate antimicrobials for secondary infection.

Chronic treatment may involve the following:

humidification or nebulization - enhances mucociliary function

oral glucocorticosteroids such as prednisone - please note, however, that if bronchiectasis is due to resolved pneumonia then glucocorticosteroids may not be indicated

metered-dose inhalant glucocorticosteroids - like oral glucocorticosteroids, continuation of these drugs is based on the underlying disease contributing to bronchiectasis

treat recurrent secondary bacterial infections if present, ideally based on culture and sensitivity and with an antibiotic that penetrates the blood-bronchus barrier such as a tetracycline or fluoroquinolone

please note that cough suppressants are contraindicated as they further impair mucociliary clearance and bronchodilators are unlikely to be helpful

As you can see managing these patients can be a challenge. In summary, they're treated by balancing antibiotics for secondary infections and antiinflammatory (not immunosuppressive) doses of glucocorticosteroids. Please respond with further questions or concerns if you wish.

Expert:  Dr. Michael Salkin replied 4 months ago.
Hi Suzanne,

I'm just following up on our conversation about Bastian. How is everything going?

Dr. Michael Salkin

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