How to treat chronic bronchitis?

Written by Liu Xiao Li
Pulmonology
Updated on September 18, 2024
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Chronic bronchitis is divided into acute exacerbation phase and remission phase. The treatment during acute exacerbation mainly focuses on controlling infections, and administrating antitussive, expectorant, and asthma-relieving medications. To control infections, antibiotics are empirically selected based on the common pathogens in the area. If the pathogen can be cultured, an antibiotic sensitive to the organism can be chosen based on the test. Oral administration is generally sufficient. In severe cases, medication can be administered intravenously. Patients with asthma are given bronchodilators. During the remission phase, treatment involves quitting smoking, avoiding inhalation of harmful gases and other harmful particles, strengthening physical health, preventing colds, and for patients with repeated respiratory infections, vaccines or immunomodulators may be administered to enhance immunity.

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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 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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Does chronic bronchitis hurt?

Chronic bronchitis, commonly known as "chronic bronchitis", generally does not involve pain. The main symptoms of chronic bronchitis are coughing and expectorating phlegm, which may or may not be accompanied by wheezing. The coughing and expectorating in chronic bronchitis are typically long-term and gradual, with recurrent episodes. The symptoms are usually more pronounced in the morning, characterized by white, sticky phlegm, and generally do not involve chest pain or pain in other areas. If a patient with chronic bronchitis experiences pain in various parts of the body, it is typically considered that they might have other concurrent illnesses.

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Written by Han Shun Li
Pulmonology
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Differences between acute bronchitis and chronic bronchitis

Generally speaking, acute bronchitis has a sudden onset, with patients often experiencing symptoms such as fever, coughing, and coughing up phlegm, and some patients may have wheezing. With effective treatment, recovery usually occurs within two to three weeks. Chronic bronchitis, on the other hand, typically has a longer course of illness with recurring symptoms, including coughing, coughing up phlegm, chest tightness, and wheezing. The duration of the illness often exceeds two years, with episodes typically lasting more than three months each year.

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Written by Wang Xiang Yu
Pulmonology
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Is chronic bronchitis contagious?

Chronic bronchitis refers to some chronic non-specific inflammation of the bronchial mucosa and surrounding tissues. Its main symptoms are coughing and expectoration, so many people are concerned about the contagion from patients with chronic bronchitis. However, chronic bronchitis itself is not a contagious disease and is not considered for acute infectious disease management. This means that most of the time, it is relatively safe to be in contact with patients suffering from chronic bronchitis. Nonetheless, there are some exceptions, such as certain cases where a chronic bronchitis patient might also be afflicted with mycoplasma infections or certain viral infections, such as H1N1 influenza, H3N2 influenza, or other infections like tuberculosis. In such cases, the chronic bronchitis patient may potentially be infectious.