How to expectorate phlegm in chronic bronchitis

Written by Han Shun Li
Pulmonology
Updated on December 19, 2024
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Coughing up phlegm is a common symptom of chronic bronchitis. When patients with chronic bronchitis experience coughing up phlegm, they can initially use medications to expel the phlegm. They may choose some expectorant medications or bronchodilators to help expel the phlegm. If the phlegm is thick and sticky, cough suppressants should be used with caution to avoid affecting the expulsion of phlegm. Additionally, drinking more water and having a lighter diet can also facilitate the expulsion of phlegm. Another method is to use turning and patting on the back to help expel the phlegm. (Specific medications should be used under the guidance of a physician.)

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Written by Liu Xiao Li
Pulmonology
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How to treat chronic bronchitis?

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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What are the symptoms of chronic bronchitis?

Chronic bronchitis is also colloquially known as "old chronic bronchitis." From this name, we can tell that patients usually develop the disease slowly with a long duration, lasting for years, even decades. The symptoms, such as coughing and expectoration, can acutely worsen repeatedly. Most patients cough and produce phlegm mostly when indoors, particularly noticeable upon waking in the morning and also possibly at night. The phlegm is typically white, sticky, or serous and foamy; occasionally, it may be blood-streaked. During acute exacerbations of chronic bronchitis or when accompanied by an infection, pus-like yellow phlegm or green bloody sputum may appear. Additionally, a small number of patients may experience wheezing, also known as asthmatic bronchitis.

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Written by Wang Xiang Yu
Pulmonology
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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.

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Chronic bronchitis etiology

The etiology of chronic bronchitis is not very clear at present, and it is now believed to be caused by the long-term interaction of various factors. The most closely related factors are harmful gases or particles that act on the respiratory tract for a long time, causing damage to some structures of the respiratory tract, such as cigarette smoke, fumes, dust, irritating gases, sulfur dioxide, nitrogen dioxide, etc. These physicochemical factors cause damage to the airways. Additionally, some infectious agents, such as bacteria, mycoplasma, or viral infections, along with some immune-related factors, are believed to play a certain role in the development of chronic bronchitis.

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Is traditional Chinese medicine good for chronic bronchitis?

Chronic bronchitis primarily refers to a cough lasting more than two months per year and recurring for over two years; this condition is called chronic bronchitis. The occurrence of chronic bronchitis is usually related to long-term heavy smoking and exposure to polluted air. Traditional Chinese Medicine (TCM) has shown good effects in treating chronic bronchitis. Many elderly patients with chronic bronchitis, especially those who cannot take Western medicine or are allergic or have side effects, might consider trying Chinese herbal remedies. By taking Chinese medicine internally and using external methods, symptoms of chronic bronchitis can be well controlled. (Please use medication under the guidance of a physician.)