COPD and chronic bronchitis differences

Written by Wang Xiang Yu
Pulmonology
Updated on September 26, 2024
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COPD stands for Chronic Obstructive Pulmonary Disease, also commonly referred to as chronic obstructive lung disease. It is a chronic inflammation of the respiratory tract caused by inhalation of tobacco smoke, other types of smoke, harmful gases, or particulate irritants. This inflammation persists, eventually leading to structural changes in the airways, and symptoms such as coughing up phlegm and difficulty breathing. Chronic bronchitis is diagnosed primarily based on symptoms. Also known as chronic obstructive bronchitis, it is defined by symptoms of coughing, phlegm, or wheezing lasting more than three months per year and persisting for over two years, while excluding other diseases. There is a close connection between chronic bronchitis and COPD. If a patient with chronic bronchitis experiences worsening of their condition characterized by restricted airflow, as identified through pulmonary function tests indicating airflow limitation, they can then be diagnosed with Chronic Obstructive Pulmonary Disease. However, if a patient only exhibits symptoms of chronic bronchitis and maintains normal lung function, they cannot be diagnosed with Chronic Obstructive Pulmonary Disease under such circumstances.

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Written by Yuan Qing
Pulmonology
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How to use diet to supplement treatment for chronic bronchitis?

Chronic bronchitis primarily refers to a condition characterized by a frequent chronic cough, with the total duration of cough exceeding three months per year and recurring for two consecutive years. Through routine examinations, such as chest X-rays and pulmonary function tests, other conditions like pulmonary space-occupying lesions, bronchiectasis, tumors, tuberculosis, and asthma are ruled out. If the disease is predominantly characterized by coughing, it is referred to as chronic bronchitis. Chronic bronchitis is generally related to long-term exposure to smoke and dust. In terms of dietary support, traditional Chinese medicine believes that the lung is associated with the color white; therefore, it is suggested to consume more white-colored foods, which help to moisten the lungs, stop coughs, and transform phlegm. Foods such as lotus seeds, Job's tears, tofu, and Chinese yam are considered beneficial in the dietary treatment of chronic bronchitis.

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Written by Wang Xiang Yu
Pulmonology
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Chronic bronchitis radical cure medication

First, we still need to know what chronic bronchitis is. The medical definition of chronic bronchitis is chronic non-specific inflammation of the trachea, bronchial mucosa, and surrounding tissues. Here, we emphasize the chronic process, and the diagnostic criteria generally require that the condition persists for more than three months each year, for two consecutive years or more. Since the definition of the disease strongly emphasizes the chronic process, we must understand this disease and accept this fact. The symptoms of chronic bronchitis can last a long time and may recur throughout a person's life. So far, we have not found a cure for chronic bronchitis. Therefore, patients with chronic bronchitis do not need to believe those false advertisements, nor should they pursue a cure for chronic bronchitis and use antibiotics long-term, as these are not advisable approaches.

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Written by Wang Xiang Yu
Pulmonology
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How is chronic bronchitis diagnosed?

Chronic bronchitis: how is it diagnosed? First, we need to understand what chronic bronchitis is defined as. It refers to the chronic nonspecific inflammation of the trachea, bronchial mucosa, and surrounding tissues. We emphasize the chronic process, and currently, diagnosis is primarily based on clinical symptoms. This means the patient must exhibit symptoms such as coughing and expectoration, and these symptoms must persist for more than three months for at least two consecutive years. Additionally, it is crucial to exclude other diseases. Any organic disease that presents with symptoms of coughing, expectoration, and wheezing must be ruled out, such as tuberculosis, pneumoconiosis, lung abscess, lung cancer, heart disease, bronchiectasis, bronchial asthma, gastroesophageal reflux, and pulmonary interstitial fibrosis, among others.

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Written by Wang Xiang Yu
Pulmonology
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How to treat chronic bronchitis?

How to treat chronic bronchitis, first of all we need to know that chronic bronchitis can be divided into two phases, one is the remission phase, the other is the acute exacerbation phase. Since most patients are in the remission phase most of the time, that is, their symptoms of cough and expectoration are relatively stable, more or less the same every day, with no significant change in the amount and nature of the sputum, no purulent sputum, no significant increase in sputum, and no fever or other symptoms of infection. In such cases, the first step in treating chronic bronchitis patients is to target some possible causes of their condition, such as smokers must quit smoking. Most chronic bronchitis patients experience some relief in cough and expectoration after quitting smoking. Furthermore, some patients' chronic bronchitis may be due to exposure to dust or irritant gases. It is crucial to avoid contact with these harmful gases as much as possible. In addition, patients in a stable condition should engage in physical exercise, enhance their physical fitness, and prevent colds. Some chronic bronchitis patients who frequently suffer from respiratory infections can consider using immunomodulators or some traditional Chinese medicine to regulate immunity and enhance resistance. Additionally, since chronic bronchitis can acutely exacerbate, which means the patient’s condition has changed, their cough and expectoration frequency may increase, the amount of sputum may increase, or there may be some purulent sputum, or fever and other symptoms. In such cases, the primary treatment may still be infection control, commonly using antimicrobial drugs, often referred to as anti-inflammatory drugs. The types of anti-inflammatory drugs are numerous, the most common ones include penicillin, erythromycin, levofloxacin, amoxicillin, and some cephalosporins. In such cases, it is necessary to choose medication under the guidance of a doctor. Additionally, in these situations where the patient’s cough and expectoration are worsened, and sputum increases, medications for cough suppression and expectoration, commonly known as expectorants and cough relievers, are also needed. There are some proprietary Chinese medicines, such as licorice preparations, and Western medicines such as bromhexine and ambroxol as well. Moreover, a very small portion of patients may experience wheezing, meaning some patients might also have symptoms like chest tightness and shortness of breath. In such cases, it would be necessary to use bronchodilators under the guidance of a doctor, such as theophylline or doxophylline, and these medications must be used under medical supervision.

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Written by Wang Xiang Yu
Pulmonology
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Chronic bronchitis symptoms

Chronic bronchitis is also known as "old chronic bronchitis." From the name, it can be inferred that its cough and expectoration last for a long time and its onset is slow, which can manifest as acute exacerbation. The main symptoms of chronic bronchitis are cough and expectoration, either with or without wheezing. The cough in chronic bronchitis usually occurs in the morning, meaning that the cough is more pronounced upon waking up. The sputum is generally white, sticky, mucoid, or frothy, and may occasionally contain streaks of blood but generally is not associated with coughing up blood. In addition to coughing and expectoration, a small number of patients may experience wheezing or shortness of breath. In cases where the wheezing is more pronounced, it is also referred to as asthmatic bronchitis.