What medicine is used for acute bronchitis?

Written by Han Shun Li
Pulmonology
Updated on September 23, 2024
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Generally speaking, two types of medications are needed. One is for symptomatic treatment, and the other is antibiotic therapy.

Symptomatic treatment: If there is coughing without sputum or little sputum, cough suppressants can be used. If there is coughing with sputum, expectorants can be chosen. If there are symptoms of chest tightness or shortness of breath, asthma-relieving medications can be used. Fever can be treated with antipyretic and analgesic medications as appropriate.

Antibiotic treatment: It can only be used when there is evidence of bacterial infection. Commonly used antibiotics include penicillins, cephalosporins, macrolides, etc., and these medications should be used under the guidance of a physician.

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Acute bronchitis fever lasts for several days.

Generally, in cases of acute bronchitis, the fever may last for three to five days. This duration varies depending on each patient's constitution and the severity of their condition, so the timeframe differs for everyone. It is advised not to worry too much. By following the guidance of a doctor and actively carrying out symptomatic treatment, one can manage. If the body temperature exceeds 38.5°C, fever-reducing medications should be taken; otherwise, physical methods of cooling should be used. Drinking plenty of water helps promote excretion. Acute bronchitis typically has a sudden onset, usually accompanied by symptoms such as coughing, expectoration, or chest tightness and breathing difficulties. During such times, it's recommended to follow a doctor’s guidance and possibly use nebulized inhalation for treatment and symptom relief. This may involve inhaling steroids or bronchodilator medications to alleviate symptoms. Additionally, it is important to maintain fresh and flowing air indoors, with appropriate temperature and humidity levels.

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Symptoms of acute bronchitis exacerbation

Acute bronchitis is a very common type of lower respiratory tract infectious disease seen clinically, mainly caused by infections. The symptoms induced by acute bronchitis typically include fever, cough, shortness of breath, chest tightness, and other clinical symptoms. During the acute phase of acute bronchitis, if it is not effectively treated, the condition may spread further and worsen. Often, if acute bronchitis is not well-treated, the condition might spread downwards, causing pneumonia. Pneumonia can vary from mild to severe. In cases of severe pneumonia, the patient may experience symptoms such as coughing and fever, typically with body temperatures ranging from 39 to 40°C, and even chest tightness, shortness of breath, and respiratory difficulties. Therefore, acute bronchitis should be taken very seriously and treated promptly to prevent the spread of the condition and avoid lung infections, which could further exacerbate some symptoms.

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Is acute bronchitis serious?

Patients with acute bronchitis usually do not experience severe conditions. Acute bronchitis typically presents symptoms of dry cough and is generally self-limiting, usually not leading to severe consequences. However, it is important to note that patients with acute bronchitis may sometimes experience significant chest tightness and wheezing, which can be particularly prominent in children and may even lead to respiratory failure. Additionally, acute bronchitis can sometimes be associated with other conditions, such as bacterial pneumonia. If combined with bacterial pneumonia, it could also lead to severe complications like respiratory failure. In such cases, the patient's condition is relatively severe, and close observation of the condition is necessary.

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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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What to eat with acute bronchitis

For the diet of acute bronchitis, one should choose light, soft foods that are rich in vitamins and have a higher fiber content, such as fruits and vegetables. During a fever, the diet should primarily consist of liquid or semi-liquid foods, such as vegetable soup, millet porridge, dumpling soup, noodles, etc. Remember, during the acute phase of inflammation, do not consume overly greasy or high-calorie foods, avoid large amounts of meat and fish, and also refrain from smoking and drinking alcohol. Drink plenty of water, maintain fresh indoor air, and ensure proper ventilation and disinfection of indoor air.