Causes of bronchitis

Written by Li Jian Wu
Pulmonology
Updated on September 04, 2024
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Bronchitis is mostly caused by the invasion of pathogenic bacteria into the body, affecting the bronchi. Common pathogens include Streptococcus pneumoniae, rhinovirus, adenovirus, mycoplasma, chlamydophila, and it might also be due to infection by pathogenic bacteria such as Bordetella. It often occurs when the body's immune system is compromised, due to staying up late, being exposed to cold, lack of sleep, or getting wet in rain. During the acute phase, symptoms such as high fever, chills, coughing, spitting phlegm, and breathing difficulty may occur. It's important to detect and treat it early to prevent it from turning into chronic bronchitis.

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How many days of IV treatment are required for acute bronchitis?

Acute bronchitis is mostly caused by viral infections, and there is generally no specific medication for it. Therefore, patients with acute bronchitis usually do not need IV therapy. However, if a patient with acute bronchitis also has significant gastrointestinal symptoms, poor appetite, or even drinks less water, IV therapy is needed. The purpose of IV therapy is not to treat the virus but to hydrate the patient and prevent dehydration. Of course, when a patient with acute bronchitis has purulent sputum, it indicates a bacterial infection. In this case, IV therapy can be considered. The usual treatment duration for acute bacterial bronchitis is 5-7 days, but this must also take into account the patient's specific conditions and results of tests like the complete blood count, and cannot be generalized.

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How is acute bronchitis diagnosed?

Acute bronchitis can generally be diagnosed by combining clinical symptoms and corresponding auxiliary examinations. Common symptoms initially include fever, headache, and sore throat, followed by cough, chest pain, difficulty breathing, sputum production, and wheezing. Routine blood tests, C-reactive protein, and mycoplasma tests are necessary, along with a chest X-ray. The X-ray may reveal increased and thickened pulmonary markings, confirming the diagnosis of this disease. Antibacterial drugs are selected based on the infecting pathogen, and symptomatic treatment is administered.

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How long will acute bronchitis take to get better?

Generally, if the disease is detected early and diagnosed, prompt intravenous administration of penicillin antibiotics will lead to recovery in about a week. During the acute phase of inflammation when fever occurs, the diet should consist of liquid or semi-liquid foods, and fever-reducing pain relievers such as compound aspirin or ibuprofen may be taken. If symptoms such as difficulty breathing and wheezing occur, medications like salbutamol or aminophylline can be used to relieve these symptoms, focusing mainly on anti-inflammatory treatment and symptomatic therapy. (Please use medications under the guidance of a doctor.)

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Symptoms of bronchitis

If it is acute bronchitis, the onset is usually quite sudden and symptoms may include fever, cough, and expectoration. Some patients may experience bloody sputum or symptoms like chest tightness and shortness of breath. Coughing and expectoration often continue for two to three weeks, after which most patients can recover. If it is chronic bronchitis, the onset is often gradual, and symptoms such as coughing, expectoration, and wheezing occur repeatedly. The episodes each year may last for more than three months.

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How is acute bronchitis treated?

Firstly, general treatment involves plenty of rest, drinking water, quitting smoking, avoiding strenuous activities, and so on. Secondly, medication is used, starting with symptomatic treatment. For example, for a cough with little or no phlegm, cough suppressants can be used; for thick sputum, expectorants are needed; antipyretic analgesics can be used for fever; and if there is bronchospasm accompanied by chest tightness and shortness of breath, asthma medication is necessary. Additionally, the use of antibiotics is dependent on evidence of bacterial infection, and common types such as macrolides, penicillins, and cephalosporins must be used under the guidance of a physician.