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What is Bronchitis?
Bronchitis is inflammation of the bronchi in the lungs
Both adults and children can get bronchitis.
Symptoms are similar for both
Infants usually get bronchiolitis, which involves
the smaller airways and causes symptoms similar to
asthma.
What are the kinds of bronchitis?
Acute bronchitis is usually
caused by viruses or bacteria and may last
several days or weeks.
Chronic bronchitis is not necessarily caused
by infection and is generally part of a
syndrome called
COPD
a persistent cough that produces sputum
(phlegm), for at least three months in two
consecutive years.
What are the symptoms of bronchitis?
Bronchitis may be indicated by:
| ► Expectorating cough |
► Shortness of breath (dyspnea) |
| ► Wheezing |
► Occasionally chest pains |
| ► Fever |
► Fatigue or malaise |
| ► Sputum characteristics do not correspond with a particular etiology |
Acute bronchitis often follows a cold or
infection.
The earliest clinical feature of bronchitis
is increased secretion of mucus by sub
mucosal glands of the trachea and bronchi.
Damage caused by irritation of the airways
leads to inflammation and infiltration of
the lung tissue by neutrophil. The
neutrophil release substances that promote
mucosal hyper secretion.
Neutrophil infiltrate the lung tissue, aided
by damage to the airways caused by
irritation.
Damage caused by irritation of the airways
leads to inflammation and leads to
neutrophil being present
Mucosal hyper secretion is promoted by a
substance released by neutrophil
Further obstruction to the airways is caused
by more goblet cells in the small airways.
This is typical of chronic bronchitis
Although infection is not the reason or
cause of chronic bronchitis it is seen to
aid in sustaining the bronchitis.
How to treat bronchitis?
In most cases, acute bronchitis is caused by
viruses, not bacteria and it will go away on its own
without antibiotics.
To treat acute bronchitis that appears to
be caused by a bacterial infection, or as a
precaution, antibiotics may be given, also to
treat bronchitis symptoms must be treated:
► Acetaminophen will help with fever and muscle aches.
► Drinking fluids is very important because fever causes the body to lose fluid faster. Lung secretions will be thinner and thus
easier to clear when you are well hydrated.
► A cool mist vaporizer or humidifier can help decrease bronchial irritation.
► Cough suppressant may be helpful. Preparations with Guiafenesin (will loosen secretions) Dextromethorphan
suppresses cough.
► Bronchodilator will help open airways and decrease wheezing e.g. Aironyl.
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