We use a range of tests to investigate if you have bronchiectasis. You may have all or some of these tests with us.
Lung function tests
These measure how well your lungs are working. You will be asked to breathe into a number of instruments, which measure different aspects of your lung function.
Our staff will give you full instructions on how to perform each test. You may also have to give a blood sample from your wrist or earlobe to measure oxygen levels. Find out more.
Ciliary function tests
These show how well the cilia – the small hairs that beat constantly to clear mucus from the airways – are working. The first test we will carry out simply involves blowing into a machine.
If this test suggests a problem, we will use a special brush to take a sample of your nose cilia for further investigation.
Nitric oxide test
This test measures your levels of nitric oxide. You simply blow into an instrument. Patients who have cilia that are not working properly have low levels of nitric oxide.
But if you have high levels of nitric oxide, this may suggest inflammation in the lung.
Nasal muccociliary clearance (NMCC) test (also known as saccharine test)
A small piece of saccharine (a sweet, sugary substance) will be placed just inside your nose. We will then ask you to sit quietly with your head bent forward until you can taste the saccharine. This may take up to an hour.
The test measures how well the cilia and mucus in your body are working. If your cilia are working well, you will be able to taste the saccharine.
Shuttle walking test
This test measures your fitness levels. We will ask you to walk a ten metre course, marked by two cones. During the test you will hear a series of bleeps – we will ask you to finish the course before the next bleep sounds.
The bleeps become more frequent over time to encourage you to increase your effort. The test ends when you are unable to keep up with the bleeps, become tired, or become breathless.
You will need to wear comfortable clothing and footwear for this test.
St George’s Respiratory Questionnaire (SGRQ)
We use this questionnaire to find out about your current health condition. It asks you questions about your illness and the effect it has on your daily life.
There are no right or wrong answers with this, we want you to be honest and let us know what is happening.
We will often perform blood tests in the outpatients’ department before your stay in hospital. We may ask you to have further blood tests during your stay.
Analysing your blood shows us how vulnerable you are to respiratory infections. It also lets us measure levels of inflammation in the body.
Skin prick test
We test for several common allergies, including animal hair and dust mites. We will put a drop of the substance being tested on your arm and then prick the surface of the skin through the drop.
We then watch for any reaction (usually a temporary reddening of the skin).
Sputum (phlegm) collection
We will ask you for several phlegm samples during your stay. One of these will be a sample of all the phlegm you produce in a 24 hour period.
We will give you sterile containers for this and will use the samples to check the amount, colour and consistency of the phlegm you are producing.
One condition which can cause bronchiectasis is cystic fibrosis. This is an inherited condition which causes some of the body’s glands to produce thicker and stickier mucus than normal, affecting the lungs and digestive system.
We may perform a sweat test to check that your symptoms are not caused by cystic fibrosis. A sweat test is a simple, painless procedure in which we measure the amount of salt in your sweat. People with cystic fibrosis have more salt in their sweat than those without. This is why the sweat test can be used to diagnose the condition.
We will put two gel discs on your forearm and pass a very low electric current through them. The current does not cause any harm – it simply encourages sweating.
After six minutes, we remove the pads and place a collecting duct onto your arm. The ducts will need to stay in place for 30 to 60 minutes. Some patients may need a second test called a nasal potential difference.
If you do need this test we will explain this to you at the time but it is not painful or strenuous.
Chest and sinus radiography
We may take X-ray pictures of your chest and sinuses so we can examine them more closely.
Computerised tomography (CT) scan
A CT scan is a special X-ray which allows us to see the structure of your lungs in slices. You will lie on a bed which moves as you are being scanned.
During the scan you will be able to talk to our radiographer via a microphone. The scan usually lasts between five to ten minutes. Find out more.
Bronchiectasis is a disease affecting the walls of the 'bronchi' – the tubes that carry air through the lungs.
Lung function unit
Fulham wing/South block, Fulham Road
Tel: +44 (0)20 7351 8910
Fax: +44 (0)20 7351 8080