Does acute bronchitis produce phlegm?

Written by Liu Jing Jing
Pulmonology
Updated on June 04, 2025
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Acute bronchitis is characterized by the presence of phlegm and is caused by pathogen infections such as viruses, bacteria, mycoplasma, and chlamydia. These infections lead to congestion and edema in the airway mucosa. During this process, goblet cells proliferate, and mucus glands increase their secretion leading to an increase in phlegm. The excess phlegm can encapsulate pathogens and dust particles, which are then expelled from the body through the movement of cilia, a normal defensive response of the body. As the airway inflammation gradually improves, the amount of phlegm tends to decrease. If the phlegm is particularly viscous, treatment may include the use of medications that thin the phlegm to aid its expulsion.

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Written by Han Shun Li
Pulmonology
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Can you exercise with acute bronchitis?

Common symptoms of acute bronchitis include coughing and expectoration. Some patients may experience chest tightness and shortness of breath. It is generally advised to rest during the illness period, as exercise is not recommended. Exercise increases lung capacity and the volume of air entering and leaving the airways, which can directly stimulate the respiratory tract, leading to worsened symptoms such as coughing and chest tightness. Additionally, after physical activity, the consumption of oxygen increases, which may lead to breathing through the mouth. This means the air bypasses the nasal cavity's filtering and warming, directly irritating the respiratory tract and exacerbating the symptoms of acute bronchitis. Therefore, it is advised to rest and avoid exercise, especially high-intensity activities, during an episode of acute bronchitis.

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Written by Hu Bai Yu
Pulmonology
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What can you eat with acute bronchitis?

Patients with acute bronchitis should eat light, warm, and easily digestible foods. Foods like porridge, noodles, or rice are recommended. Mainly focus on consuming warm, well-cooked, and easy-to-digest foods. Additionally, porridges such as vegetable porridge, yam porridge, millet porridge, and pumpkin porridge are suitable options. It is also advisable to include some greens such as lettuce, bok choy, or tofu, as well as milk. The important thing is to avoid spicy, greasy, raw, or irritating foods. It is also important to eat smaller, more frequent meals to avoid overburdening the intestines and causing indigestion. When eating, chew slowly and drink plenty of water to help boost metabolism and enhance immunity. Concurrently, engage in appropriate exercises to strengthen the body and facilitate a quicker recovery from illness.

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Written by Liu Jing Jing
Pulmonology
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Can acute bronchitis cause coughing up blood?

Acute bronchitis can potentially lead to coughing up blood. This is because acute bronchitis involves the infection of the bronchi by pathogens such as viruses, bacteria, and mycoplasma, leading to congestion and swelling of the airway mucosa. Patients often exhibit symptoms such as coughing, expectoration, and fever. If coughing is severe, it could rupture small blood vessels, causing symptoms of coughing up blood. If blood is present in the cough, hemostatic treatment is needed. However, not all instances of coughing up blood are due to acute bronchitis. Other possible causes of coughing up blood include lung tumors, pneumonia, tuberculosis, and pulmonary embolism. Therefore, if symptoms of coughing up blood occur, chest X-rays or a chest CT scan should be conducted to confirm the diagnosis.

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Written by Wang Chun Mei
Pulmonology
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Can acute bronchitis recur?

Acute bronchitis is a very common inflammatory disease of the respiratory system, typically quite severe, mainly due to the body's low immune function, exposure to cold, rain, or infection by certain viruses or bacteria. Symptoms in patients include fever, cough, sputum production, shortness of breath, and chest tightness. Usually, acute bronchitis can be completely cured within about one to two weeks with timely and effective anti-infective treatment, cough suppression, expectorants, and asthma relief. Once effectively and completely cured, acute bronchitis is not prone to recurrence. The so-called recurrence may occur if the patient's acute bronchitis was not 100% fully cured, or if medication was stopped too soon, leading to the re-emergence of clinical symptoms such as cough and sputum production shortly after treatment.

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Written by Han Shun Li
Pulmonology
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Is acute bronchitis asthma?

Acute bronchitis and bronchial asthma, although both are bronchial disorders, are not the same disease; acute bronchitis is not asthma. Acute bronchitis is an acute inflammation of the bronchial mucosa caused by various pathogenic factors, with common symptoms being fever, cough, and expectoration. Some patients may also experience chest tightness and wheezing. Treatment primarily involves antibiotics and cough suppressants with expectorants. Asthma, on the other hand, is characterized by chronic inflammation of the airways, high reactivity, and widespread variable reversible airflow limitation, with clinical manifestations mainly including recurrent episodes of wheezing, shortness of breath, chest tightness, or coughing. Treatment primarily involves bronchodilators such as theophylline, receptor agonists, and anti-inflammatory medications represented by corticosteroids, thus the treatments also differ.