Plastic Bronchitisenparentshttps://kidshealth.org/EN/images/headers/KH_generic_header_02_2.jpgPlastic bronchitis happens when fluid collects in the lungs. Instead of draining out, it leaks into the airways and forms rubbery plugs called casts.lymph fluid, lymph, lymphatic, casts, plastic casts, plastic bronchitis, bronchitis, coughing, spitting up plastic, coughing up plastic, lung infections, sickle cell disease, fotan, hlhs, left heart, lymphangiogram, chest physiotherapy, chest PT, rubbery or caulk-like plugs, chest plugs, rubbery plugs, fibrinous bronchitis, pseudomembranous bronchitis, lymphatic flow, pulmonology, branching casts, airways, congenital heart disease, 10/06/202010/06/202010/06/2020Deborah A. Rabinowitz, MD10/01/2020c136b172-384f-43fa-9692-93b959fa5a90https://kidshealth.org/ws/RadyChildrens/en/parents/plastic-bronchitis.html/<h3>What Is Plastic Bronchitis?</h3> <p>Plastic bronchitis happens when fluid collects in the lungs. Instead of draining out, it leaks into the airways and forms rubbery plugs called casts. The casts block small airways and make it hard for air to move in and out of the <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/lungs.html/">lungs</a>.</p> <p>The <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/spleen-lymphatic.html/">lymphatic system</a> is a drainage network that runs throughout the body. A fluid called lymph moves through it. Lymph is made of extra fluid and protein that comes from body tissues. When lymph doesn't drain from the lungs, it can become solid and form casts.</p> <p>Doctors work to find the cause of plastic bronchitis and treat it to stop casts from forming.</p> <h3>What Are the Signs &amp; Symptoms of Plastic Bronchitis?</h3> <p>Kids with plastic bronchitis (brong-KYE-tis) often have trouble breathing, then have <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/childs-cough.html/">coughing</a> spells that bring up the casts. Casts:</p> <ul> <li>usually are white or tan</li> <li>can be rod-shaped and often have branches</li> <li>can be different lengths, from shorter than a fingernail to longer than a finger</li> <li>may be as thin as thread or thicker than a pencil</li> </ul> <p>Some kids with plastic bronchitis might get a lot of lung infections.</p> <h3>Who Gets Plastic Bronchitis?</h3> <p>Plastic bronchitis is rare. It happens more often in kids with some kinds of conditions or health problems. These include:</p> <ul> <li>congenital heart disease treated with the <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/fontan.html/">Fontan procedure</a></li> <li>problems with the lymphatic system</li> <li>some lung conditions</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/sickle-cell-anemia.html/">sickle cell disease</a></li> <li>rarely, allergies</li> </ul> <h3>How Is Plastic Bronchitis Diagnosed?</h3> <p>Doctors may use a tiny camera to look for casts inside the airways. They might do other tests too, such as:</p> <ul> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/xray-exam-chest.html/">chest X-ray</a></li> <li>magnetic resonance imaging (MRI)</li> <li>mapping the flow of lymphatic fluid (lymphangiogram)</li> </ul> <h3>How Is Plastic Bronchitis Treated?</h3> <p>Doctors must figure out why lymph is building up in the lungs. Usually this means checking how the lymphatic system is working.</p> <h4>Mapping Flow in the Lymphatic System</h4> <p>A doctor will map the flow of lymphatic fluid. They may use a long, thin tube (catheter) and MRI, ultrasound, or X-ray to do this. When they understand the flow path of the lymph, they can often seal off areas causing problems.</p> <h4>Treating the Casts</h4> <p>Kids with plastic bronchitis need to loosen and cough up casts. To loosen the casts, a child might:</p> <ul class="kh_longline_list"> <li>Get chest physiotherapy (called chest PT), where a person thumps on the outside of the chest with their hand.</li> <li>Wear a special vest that gently shakes the chest.</li> </ul> <p>Doctors might need to remove casts that can't be coughed up. They use a long, thin tool with a light and camera to pull the cast out, or dissolve it with medicine. Doctors also may give medicine to help prevent new casts.</p> <p>If a child has an infection or the airways are swollen from the plastic bronchitis, the doctor may prescribe medicines.</p> <h3>How Can Parents Help?</h3> <p>To help your child:</p> <ul class="kh_longline_list"> <li>Tell the care team about any coughing, wheezing, trouble breathing, or other new symptoms.</li> <li>Encourage everyone in your family to <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/hand-washing.html/">wash their hands</a> well and often. Especially during the winter, this can help prevent the spread of infection.</li> <li>Give all recommended medicines as directed.</li> <li>Follow the doctor's instructions for chest PT.</li> </ul> Bronquitis plástica La bronquitis plástica ocurre cuando se acumula líquido dentro de los pulmones. En vez de drenar hacia el exterior, ese líquido se cuela dentro de las vías respiratorias y forma tapones de estructura gomosa conocidos como "moldes bronquiales".https://kidshealth.org/ws/RadyChildrens/es/parents/plastic-bronchitis-esp.html/c417c26f-65d9-4eea-8fa0-36c74cc45a1c
BronchiolitisBronchiolitis is a common illness of the respiratory tract caused by an infection that affects tiny airways. The best treatment for most kids with bronchiolitis is time to recover and plenty of fluids. https://kidshealth.org/ws/RadyChildrens/en/parents/bronchiolitis.html/d745e0fc-51c4-4988-be7d-4d67a503d7b2
BronchitisBronchitis is an inflammation of the lining of the bronchial tubes. When a person has bronchitis, it may be harder for air to pass in and out of the lungs.https://kidshealth.org/ws/RadyChildrens/en/parents/bronchitis.html/90134446-7e02-4414-878c-59c73ea5239f
ChylothoraxA chlylothorax happens when chyle (lymphatic fluid) collects in the space around a lung.https://kidshealth.org/ws/RadyChildrens/en/parents/chylothorax.html/6a7f60a3-b453-4b19-b818-31fff8dd746c
Chylous AscitesChylous ascites is when chyle collects in the belly. Depending on what's causing it, doctors can treat chylous ascites and often cure it.https://kidshealth.org/ws/RadyChildrens/en/parents/chylous-ascites.html/6015512b-efd0-4501-8a52-e605ef752a73
ChyluriaChyluria is when there is chyle in the pee. Depending on what's causing it, chyluria can be treated and often can be cured.https://kidshealth.org/ws/RadyChildrens/en/parents/chyluria.html/3544293e-209b-4547-bab1-b719ad4429d3
EmbolizationEmbolization is a procedure in which plugging material or a plugging object is put into a blood vessel to block it. It's used to help treat many conditions.https://kidshealth.org/ws/RadyChildrens/en/parents/embolization.html/60430803-a6ec-4663-8738-99ca92208556
Hypoplastic Left Heart Syndrome Surgery: The Fontan ProcedureThe Fontan procedure is open-heart surgery done as the third of three surgeries to treat hypoplastic left heart syndrome (HLHS).https://kidshealth.org/ws/RadyChildrens/en/parents/fontan.html/19701e72-135a-4174-b6c1-2e2e9d7f7615
Lymphatic MalformationsA lymphatic malformation is a clump of lymph vessels that form a growing spongy cluster. They're unusual growths, but are not cancerous.https://kidshealth.org/ws/RadyChildrens/en/parents/lymphatic-malformations.html/5c921081-78b3-44c2-b4ce-04ce41cc824a
SclerotherapySclerotherapy is a procedure in which medicine is injected into blood vessels or lymph vessels to make them close. It's used to treat vascular malformations.https://kidshealth.org/ws/RadyChildrens/en/parents/sclerotherapy.html/93061ebf-ebf3-4024-a3ae-3e39b43ad2e2
Sickle Cell DiseaseSickle cell disease is a blood disorder that makes red blood cells change shape and cause health problems. Find out how to help your child.https://kidshealth.org/ws/RadyChildrens/en/parents/sickle-cell-anemia.html/4b0a03a5-a1be-4cb9-ad8d-6fd5ae9faa0a
The Lymphatic SystemThe lymphatic system is an extensive drainage network that helps keep body fluid levels in balance and defends the body against infections.https://kidshealth.org/ws/RadyChildrens/en/parents/spleen-lymphatic.html/e3a04be9-ff40-43f6-858a-909df5c6d4a0
What Is Interventional Radiology (IR)?Interventional radiology (IR) is a way for doctors to treat problems like vascular anomalies and tumors.https://kidshealth.org/ws/RadyChildrens/en/parents/intvnl-radiology.html/3814d0dd-ab9e-4acd-abe1-8e69a45a791a
kh:age-allAgesOrAgeAgnostickh:clinicalDesignation-pulmonologykh:clinicalDesignation-radiologyAndMedicalImagingkh:genre-articlekh:primaryClinicalDesignation-radiologyAndMedicalImagingHeart & Blood Vesselshttps://kidshealth.org/ws/RadyChildrens/en/parents/medical/heart/e9ef0549-4392-4778-974d-753019ce4b8bLungs & Respiratory Systemhttps://kidshealth.org/ws/RadyChildrens/en/parents/medical/lungs/804af3e6-468e-4721-b805-eb88e113b3c3