Don’t Ignore That Cough: What Every Parent Should Know About Bronchiectasis

July 1, 2025, marks the third annual World Bronchiectasis Day, a global effort to raise awareness about bronchiectasis — a serious but often overlooked lung condition, especially in children. Launched in 2022 and supported by organizations like the Forum of International Respiratory Societies (FIRS) and the COPD Foundation, this day focuses on improving understanding, early diagnosis, and better care worldwide. Events, social media campaigns (#WorldBronchiectasisDay), and educational resources help spread this important message around the globe.

At CAFF, we are dedicated to raising awareness about pediatric airway issues like bronchiectasis. While the word may sound unfamiliar, bronchiectasis is a serious condition in which the airways become damaged and widened, making it harder to clear mucus and easier for infections to develop. In children, it often starts after repeated lung infections and can easily be mistaken for a lingering cold or asthma.

What Is Bronchiectasis?

Bronchiectasis is a condition where the airways in the lungs become damaged and widened, making it harder to clear mucus and leading to repeated infections. Although it can affect anyone, it often goes unnoticed in children because early symptoms can look like common illnesses.

What are the signs?

A chronic wet or “junky” cough that doesn’t go away — even after antibiotics — is one of the biggest red flags. Other signs include coughing up yellow or green mucus, wheezing, fatigue, and struggling to keep up with other kids during play. The good news is that with early diagnosis and proper treatment, many children can lead active, healthy lives and prevent long-term lung damage.

Key signs to watch for in children include:

• A persistent, wet-sounding cough (even when not sick)

• Coughing up green or yellow mucus

• Wheezing or a whistling sound when breathing

• Fatigue and poor appetite

• Shortness of breath, especially after activity

If your child has a wet cough lasting more than four weeks and it doesn’t get better with antibiotics, it’s important to see a doctor for further evaluation.

Children's Airway Health: The Importance of Early Detection

In children, bronchiectasis often develops after repeated lung infections (like pneumonia or whooping cough) that gradually damage the airways. Sometimes, it can be present from birth due to certain conditions. Why early detection matters:

• Stop disease progression: Early treatment can prevent further lung damage.

• Improve daily life: With proper care, many children can stay active and healthy.

• Chance for improvement: Children’s lungs can sometimes heal with the right treatment.

The good news is that if caught early, bronchiectasis can be better managed — and in some cases, even reversed.

What Parents Can Do

If your child is diagnosed with bronchiectasis, you’re not alone. Here’s how you can help:

• Learn about the condition: Trusted organizations like the COPD Foundation and American Thoracic Society offer guides, videos, and support networks.

• Stick to the care plan: Treatments may include airway clearance techniques, antibiotics for infections, and regular visits to a lung specialist.

• Watch for changes: Keep a journal of your child’s cough, mucus color, and breathing. Share updates with your healthcare team.

• Get involved: Sharing your story can help raise awareness and support other families. Joining support groups (online or local) can also make a big difference.

Global Efforts and Hope for the Future

World Bronchiectasis Day unites families, healthcare professionals, and advocates to shine a light on this often-overlooked disease. Together, the community is calling for:

• Better education to reduce misdiagnosis

• More research to find new treatments and one day, a cure

• Stronger support networks so no family feels alone

By raising awareness and working together, we can help ensure that every child with bronchiectasis has the chance for a healthier, more active life.