Conversation: The conversation between human and AI assistant.
[|Human|] 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.
[|AI|]  Thanks for your question on Chat Doctor. Bronchiectasis is chronic disease with waxing and winning characteristics. Surgery is the last option and practically possible in only few cases like1. Isolated lobe involved2. Chronic Infection with resistant bacteria3. Good lung function test4. Absence of any disease in rest of the lungs.5. How fit is the patient to bear stress of the surgery. So all the factors are considered before surgery. Better to follow these steps for Bronchiectasis. 1. Inhaled bronchodilators2. Pulmonary rehabilitation with chest physiotherapy SND deep breathing exercise.3. Expectorant and bucolic Chat Doctor.  Pulmonary vaccination with pneumococcal and h.influenza vaccines.