Cookies on the Bupa website

We use cookies to help us understand ease of use and relevance of content. This ensures that we can give you the best experience on our website. If you continue, we'll assume that you are happy to receive cookies for this purpose. Find out more about cookies

Continue

Navigation

Bronchoscopy

Bronchoscopy is a procedure that allows your doctor to look at the airways of your lungs. Your doctor can use it to see if there are any problems, or remove anything that might be stuck. There are two types of bronchoscopy – flexible and rigid. This topic focusses on the more commonly used flexible bronchoscopy.

A doctor showing a senior patient a leaflet in his office

Details

  • About About bronchoscopy

    In a flexible bronchoscopy, your doctor will use a flexible tube with a camera at the end, called a bronchoscope, to see down your airways. They’ll pass it down your nose or mouth, and then to the back of your throat to reach your lungs.

    Your doctor can take samples of cells from your airways and remove a small piece of tissue (biopsy) so that these can be examined in a lab.

    You’ll meet the doctor who’s going to do your bronchoscopy to discuss your care. It might not be exactly the same as what we’ve described here, as it will be tailored to meet your individual needs.

    Rigid bronchoscopy

    Your doctor has the option of using a rigid bronchoscope during the procedure but this isn’t common. It’s normally only used if your doctor needs to use larger instruments and cameras to look at and treat any problems with your airways. You’ll need to have a general anaesthetic if you have a rigid bronchoscopy. Sometimes a flexible and rigid bronchoscope are used together.

    Your doctor will have talked through everything in detail before you’re admitted to hospital, and given you the opportunity to ask questions. They’ll have described the risks, benefits and alternatives to the procedure and the differences between a flexible and a rigid bronchoscopy. You should then be in a position where you understand everything so can give your consent for it to go ahead.

    Bupa On Demand: Bronchoscopy

    Want to talk to a Bupa consultant about lung issues? We’ll aim to get you seen the next day. Prices from £250

  • Uses What is bronchoscopy used for?

    Your doctor will talk to you about why you need to have a bronchoscopy. Here’s just some of the possible reasons why you might need to have one.

    • Bleeding. If you’re coughing up blood, your doctor can use a bronchoscopy to look inside your airways to see where the blood is coming from.
    • Follow up a chest X-ray. If your doctor sees something on an X-ray that they want to take a closer look at, they might use a bronchoscopy. They can take samples at the same time.
    • A long-lasting cough. A bronchoscopy might help your doctor find the cause.
    • An infection. If your lungs are infected, your doctor might need to take some samples of mucus to help find out what’s causing your infection and how best to treat it.
    • Lung cancer staging. If you have lung cancer, a bronchoscopy can help to determine if it has spread, or to help deliver treatment.
  • Preparation Preparing for bronchoscopy

    You’ll usually have a flexible bronchoscopy as an outpatient and won’t need to stay overnight in hospital. This means you will have the bronchoscopy and go home the same day.

    You shouldn’t eat anything four hours before your bronchoscopy, or drink anything two hours before it. Don’t smoke immediately before the procedure either.

    Flexible bronchoscopy is normally done under local anaesthesia. This will numb your nose and throat but you’ll be awake during the procedure. It may feel slightly uncomfortable when the bronchoscope goes down your nose or mouth, but this shouldn't last long. Your doctor might also offer you a sedative, which will make you feel more relaxed.

    It's natural to feel worried about having a bronchoscopy. Your doctor will explain what happens at each stage, including any discomfort you might have, so you know what to expect. If you’re unsure about anything, ask. No question is too small.

    Being fully informed will help you feel more at ease and will allow you to give your consent for the bronchoscopy to go ahead. You may be asked to do this by signing a consent form. If you’re not sure you want to have the bronchoscopy, you can take more time to decide. Your doctor won’t carry out the procedure until you understand and agree with what’s going to happen.

  • Alternatives What are the alternatives?

    Your doctor may ask you to have an X-ray or a computerised tomography (CT) scan to look at your lungs. But only a bronchoscopy lets your doctor take samples of tissue within your airways and look at them in more detail.

  • The procedure What happens during a bronchoscopy?

    A bronchoscopy usually takes about half an hour to an hour.

    Your nurse will check your heart rate and blood pressure before and throughout the procedure.

    Your doctor will spray a local anaesthetic into your nose or throat, or spray it at the back of your throat to numb the area. They’ll then pass the bronchoscope through your nose or mouth to the back of your throat and numb your voice box (larynx) with more anaesthetic. It might make you cough, but try not to worry as this is common and it should soon settle down. Your doctor will choose a local anaesthetic that’s thought to help reduce this.

    It’s best to breathe normally and to keep relaxed. If you find yourself getting anxious, concentrate on taking slow breaths to help yourself calm down. If you’re very anxious, your doctor may give you a sedative injection to help you relax before the procedure begins.

    Your doctor will then have a look at your airways using the bronchoscope. Images from the camera will be projected onto a monitor. They might take some samples of tissue (biopsy) or mucus from any abnormal areas. After your doctor has examined your airways, they’ll remove the bronchoscope.

  • Lung bronchoscopy on demand

    You can access a range of our health and wellbeing services on a pay-as-you-go basis, including lung bronchoscopy.

  • Aftercare What to expect afterwards

    A nurse will keep an eye on you while you recover, and check your heart rate and blood pressure. You might need to have a chest X-ray to check for potential complications but this isn’t always necessary.

    It’s normal to have a small amount of blood in your mouth after the procedure.

    You’ll need to rest until the effects of the local anaesthetic and sedation have passed. It can take several hours after a local anaesthetic for the feeling to come back fully into your nose, mouth and throat. So take care, and don’t have any hot drinks or eat anything until the feeling comes back.

    Having a sedative can take it out of you. You might find that you're not so coordinated or that it's difficult to think clearly. This should pass within 24 hours. In the meantime, don't drive, drink alcohol, operate machinery or sign anything important.

    Your doctor might be able to go through your results straightaway. If your doctor took samples during the bronchoscopy, they’ll tell you when the results will be ready, which is usually within a week. If you’ve had a sedative, it’s a good idea to have someone with you as it might be difficult to remember what they tell you.

    You’ll usually be able to go home when you feel ready, usually after about an hour. Make sure someone can take you home. And ask a friend or relative to stay with you for a day or so while the sedative wears off.

  • Recovery Recovering from a bronchoscopy

    It’s unlikely that you’ll have any problems after your bronchoscopy, but tell the nurse who’s monitoring you if you:

    • have chest pain
    • have difficulty breathing
    • cough up blood

    You probably won’t have any problems after you get home, other than some mild side-effects that are listed below. You should be able to get back to your usual activities, including work, the next day but follow your doctor’s advice.

    If you do have any pain or discomfort, you can take over-the-counter painkillers such as paracetamol or ibuprofen. Always read the patient information leaflet that comes with your medicine. If you have any questions, ask your pharmacist for advice.

  • Side-effects Side-effects of bronchoscopy

    As with every procedure, there are some risks associated with a bronchoscopy. We haven’t included the chance of these happening as they are specific to you and differ for every person. Ask your doctor to explain how these risks apply to you.

    Side-effects are the unwanted but mostly temporary effects you may get after having the procedure. After a bronchoscopy, you may have a:

    • sore throat
    • cough
    • hoarse voice
    • a fever

    You might also cough up a little blood. This isn’t usually much at all.

  • Complications Complications of bronchoscopy

    Complications are when problems occur during or after the procedure. Complications of bronchoscopy are rare but can include:

  • FAQ: Bronchoscopy and your voice Will bronchoscopy affect my singing?

    When you have bronchoscopy, your doctor will pass the bronchoscope down your nose or mouth, and then to the back of your throat. This might make your voice hoarse and give you a sore throat after the procedure, so it’s best to let your voice return to normal before you sing.

    If you’re worried, ask your doctor before your procedure about whether you should rest your voice until any hoarseness goes away.

  • Other helpful websites Other helpful websites

    Further information

    Sources

    • Thoracic surgery. OSH operative surgery (online). Oxford Medicine Online. oxfordmedicine.com, published October 2011
    • Bronchoscopy. The MSD Manuals. www.msdmanuals.com, last full review/revision June 2013
    • Jain K, Wainwright C, Smyth AR. Bronchoscopy-guided antimicrobial therapy for cystic fibrosis. Cochrane Database of Systematic Reviews 2016, Issue 1. doi: 10.1002/14651858.CD009530.pub3
    • Du Rand IA, Blaikley J, Booton R, et al. British Thoracic Society guideline for diagnostic flexible bronchoscopy in adults. Thorax 2013; 68:i1–i44. doi:10.1136/thoraxjnl-2013-203618
    • Bronchoscopy. British Thoracic Society. www.brit-thoracic.org.uk, accessed 24 October 2016
    • Fiberoptic bronchoscopy. American Thoracic Society. www.thoracic.org, accessed 25 October 2016
    • Personal communication, Professor Howard Branley, Consultant in Respiratory Medicine, The Wellington Hospital, Hospital of St John and St Elizabeth, and Consultant Adviser in Respiratory Aviation Medicine to the UK Civil Aviation Authority (CAA), 8 December 2016
    • American Thoracic Society. Fiberoptic bronchoscopy. Am J Respir Crit Care Med 2015; 191(7–8)
  • Has our information helped you? Tell us what you think about this page

    We’d love to know what you think about what you’ve just been reading and looking at – we’ll use it to improve our information. If you’d like to give us some feedback, our short form below will take just a few minutes to complete. And if there's a question you want to ask that hasn't been answered here, please submit it to us. Although we can't respond to specific questions directly, we’ll aim to include the answer to it when we next review this topic.

    Let us know what you think using our short feedback form
  • Related information Related information

  • Author information Author information

    Reviewed by Rachael Mayfield-Blake, Freelance Health Editor, December 2016
    Expert reviewer Professor Howard Branley, Consultant in Respiratory Medicine
    Next review due December 2019

About our health information

At Bupa we produce a wealth of free health information for you and your family. We believe that trustworthy information is essential in helping you make better decisions about your health and care. Here are just a few of the ways in which our core editorial principles have been recognised.

  • Information Standard

    We are certified by the Information Standard. This quality mark identifies reliable, trustworthy producers and sources of health information.

    Information standard logo
  • HONcode

    This site complies with the HONcode standard for trustworthy health information:
    verify here.

    This website is certified by Health On the Net Foundation. Click to verify.

What our readers say about us

But don't just take our word for it; here's some feedback from our readers.

Simple and easy to use website - not alarming, just helpful.

It’s informative but not too detailed. I like that it’s factual and realistic about the conditions and the procedures involved. It’s also easy to navigate to areas that you specifically want without having to read all the information.

Good information, easy to find, trustworthy.

Meet the team

Nick Ridgman

Nick Ridgman
Head of Health Content







  • Dylan Merkett – Lead Editor
  • Graham Pembrey - Lead Editor
  • Laura Blanks – Specialist Editor, Quality
  • Michelle Harrison – Specialist Editor, Insights
  • Natalie Heaton – Specialist Editor, User Experience
  • Fay Jeffery – Web Editor
  • Marcella McEvoy – Specialist Editor, Content Portfolio
  • Alice Rossiter – Specialist Editor (on Maternity Leave)

Our core principles

All our health content is produced in line with our core editorial principles – readable, reliable, relevant – which are represented by our diagram.

An image showing or editorial principals

                  Click to open full-size image

The ‘3Rs’ encompass everything we believe good health information should be. From tweets to in-depth reports, videos to quizzes, every piece of content we produce has these as its foundation.

Readable

In a nutshell, our information is jargon-free, concise and accessible. We know our audience and we meet their health information needs, helping them to take the next step in their health and wellbeing journey.

Reliable

We use the best quality and most up-to-date evidence to produce our information. Our process is transparent and validated by experts – both our users and medical specialists.

Relevant

We know that our users want the right information at the right time, in the way that suits them. So we review our content at least every three years to keep it fresh. And we’re embracing new technology and social media so they can get it whenever and wherever they choose.

Our accreditation

Here are just a few of the ways in which the quality of our information has been recognised.

  • The Information Standard certification scheme

    You will see the Information Standard quality mark on our content. This is a certification programme, supported by NHS England, that was developed to ensure that public-facing health and care information is created to a set of best practice principles.

    It uses only recognised evidence sources and presents the information in a clear and balanced way. The Information Standard quality mark is a quick and easy way for you to identify reliable and trustworthy producers and sources of information.

    Certified by the Information Standard as a quality provider of health and social care information. Bupa shall hold responsibility for the accuracy of the information they publish and neither the Scheme Operator nor the Scheme Owner shall have any responsibility whatsoever for costs, losses or direct or indirect damages or costs arising from inaccuracy of information or omissions in information published on the website on behalf of Bupa.

  • British Medical Association (BMA) patient information awards

    We have received a number of BMA awards for different assets over the years. Most recently, in 2013, we received a 'commended' award for our online shared decision making hub.

Contact us

If you have any feedback on our health information, we would love to hear from you. Please contact us via email: healthinfo@bupa.com. Or you can write to us:

Health Content Team
Battle Bridge House
300 Grays Inn Road
London
WC1X 8DU

Find out more Close

Legal disclaimer

This information was published by Bupa's Health Content Team and is based on reputable sources of medical evidence. It has been reviewed by appropriate medical or clinical professionals. Photos are only for illustrative purposes and do not reflect every presentation of a condition.

The information contained on this page and in any third party websites referred to on this page is not intended nor implied to be a substitute for professional medical advice nor is it intended to be for medical diagnosis or treatment. Third party websites are not owned or controlled by Bupa and any individual may be able to access and post messages on them. Bupa is not responsible for the content or availability of these third party websites. We do not accept advertising on this page.

For more details on how we produce our content and its sources, visit the 'About our health information' section.

ˆ We may record or monitor our calls.