Chronic bronchitis auscultation characteristics

Written by Wang Xiang Yu
Pulmonology
Updated on September 05, 2024
00:00
00:00

Most patients with chronic bronchitis, for the most part, show no abnormalities upon lung auscultation. This means their breath sounds are relatively clear, without diminished or enhanced breath sounds, nor any dry or wet rales typically heard. This is the case for the majority of patients; however, a small number of patients during acute exacerbations might present with some dry or wet rales at the back or the base of the lungs. Moreover, these rales may disappear after the patient coughs, indicating that in chronic bronchitis, the sounds heard upon auscultation can change and are not constantly present. You might hear dry or wet rales one moment, and after the patient coughs or receives treatment, these sounds could potentially alleviate. Additionally, if a patient with chronic bronchitis starts to wheeze or develops asthma, they might exhibit sounds such as wheezing or prolonged expiration.

Other Voices

doctor image
home-news-image
Written by Wang Xiang Yu
Pulmonology
1min 18sec home-news-image

How to cure chronic bronchitis completely?

At present, there is no cure for chronic bronchitis, and most treatments are mainly aimed at alleviating its symptoms. The treatment is mainly divided into two parts, one is the treatment during the acute exacerbation phase, which means that if a patient with chronic bronchitis experiences acute worsening of symptoms such as coughing and expectoration, or if accompanied by wheezing, fever, etc., then the main treatment methods might include anti-infection measures, expectorants to relieve cough, or treatments to alleviate wheezing. Most patients with chronic bronchitis are likely in the remission phase most of the time, and the primary treatment during this phase is initially to address factors that might trigger chronic bronchitis, such as insisting that patients who smoke quit smoking, and for those who have been exposed to dust or smoke, it is crucial to resolve triggering factors and avoid contact with harmful gases or inhalation of harmful particles. The next step is to enhance physical fitness and prevent colds. Chronic bronchitis patients can engage in appropriate physical exercise based on their condition, and those who suffer from long-term recurrent infections might consider pursuing immunotherapy.

doctor image
home-news-image
Written by Wang Xiang Yu
Pulmonology
1min 6sec home-news-image

Does chronic bronchitis cause chest tightness?

Chronic bronchitis is commonly known as "old chronic bronchitis." Its main symptoms are coughing and expectoration. These symptoms are chronic and recurrent, and the onset is gradual. Coughing and expectoration are usually more pronounced in the morning and may consist of white, sticky phlegm or frothy sputum. Occasionally, there may be blood in the phlegm, but significant hemoptysis or chest pain generally does not occur. A small portion of chronic bronchitis patients may experience wheezing, which some of them might describe as chest tightness, meaning that chest tightness can occur in some chronic bronchitis patients. Those experiencing wheezing are referred to as having asthmatic bronchitis. Additionally, some patients may also have coexisting conditions like bronchial asthma or, in later stages, chronic obstructive pulmonary emphysema, which can also lead to symptoms of chest tightness, shortness of breath, or respiratory difficulty.

doctor image
home-news-image
Written by Wang Xiang Yu
Pulmonology
1min 51sec home-news-image

Can chronic bronchitis be treated?

Chronic bronchitis, commonly known as "chronic obstructive bronchitis," is treatable. The primary symptoms of chronic bronchitis are coughing and expectoration. If the disease occurs for more than three months each year, for two consecutive years, while excluding other organic diseases, chronic bronchitis can be diagnosed. Treatment for chronic bronchitis is divided into two parts. During acute exacerbations, which typically present with worsened coughing and expectoration, increased sputum volume, or the presence of purulent sputum and possibly accompanied by wheezing and fever, the main treatment is anti-infection. The primary medications for anti-infection are antimicrobial drugs, which include macrolides, quinolones, cephalosporins, etc. Additionally, treatment can be aimed at alleviating symptoms of coughing and expectoration and might include expectorants and cough suppressants, such as ambroxol. For wheezing, medications like aminophylline or nebulized treatments may be necessary. Most of the time, patients with chronic bronchitis are in a remission phase. The primary treatment here initially involves addressing known triggers, such as insisting smokers quit and minimizing exposure to dust or harmful gases at work. Chronic bronchitis patients are encouraged to exercise moderately, strengthen their physique, and prevent colds. For patients who experience repeated respiratory infections, vaccination or immune modulators, such as BCG, may be considered. Always follow a physician’s guidance regarding specific medication use.

doctor image
home-news-image
Written by Hu Bai Yu
Pulmonology
1min 31sec home-news-image

Chronic Bronchitis Clinical Characteristics

Chronic bronchitis often presents with symptoms of coughing, which are long-term, recurrent, and progressively worsen. Coughing is a very prominent manifestation of this condition. For mild cases, symptoms typically flare up during the winter and spring seasons, especially noticeable upon waking in the morning, with less coughing during the day. In the summer and fall, the coughing may lessen or disappear. In severe cases, patients may experience coughing throughout the year. It's crucial to take note and, under a doctor's guidance, use corresponding anti-inflammatory and anti-infection medications, along with cough suppressants and expectorants to alleviate symptoms. Another characteristic is the presence of phlegm, typically white mucous sputum or serous foamy sputum. It's advised to use expectorants for treatment. During treatment, avoid smoking and alcohol, and maintain a light diet. Additionally, if there are symptoms of asthma or wheezing, it may be necessary to take medications to alleviate these symptoms. (Note: The answer is for reference only; medication should be administered under the guidance of a professional physician and should not be taken blindly.)

doctor image
home-news-image
Written by Han Shun Li
Pulmonology
43sec home-news-image

The difference between acute bronchitis and bronchitis

What is the difference between acute bronchitis and bronchitis? Generally speaking, in terms of the duration of the disease, bronchitis can be classified into acute bronchitis and chronic bronchitis. Acute bronchitis is a type of bronchitis. It is often caused by infections, physical and chemical factors, allergies, etc. Patients may experience fever, cough, and expectoration, and the duration usually lasts 2 to 3 weeks. In the case of chronic bronchitis, the course of the disease is longer, with symptoms such as repeated coughing, expectoration, and wheezing, and the symptoms persist and do not improve.