Symptoms of bronchitis

Written by Han Shun Li
Pulmonology
Updated on September 05, 2024
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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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Written by An Yong Peng
Pulmonology
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Can you eat taro with acute bronchitis?

Patients with acute bronchitis can appropriately eat taro, but it is recommended that they avoid spicy, greasy, and cold foods; however, eating taro is still acceptable. Patients with acute bronchitis should also avoid drinking alcohol, coffee, strong tea, and smoking. Additionally, they should avoid excessive fatigue, staying up late, and other similar situations. For acute bronchitis patients, it's important to provide symptomatic cough treatment and monitor their condition. Although some acute bronchitis cases are caused by viral infections, and most patients have viral infections, these patients do not necessarily require antibiotic treatment. However, if a patient has conspicuous purulent sputum, it could be an indication of bacterial bronchitis, or even a possible complication with pneumonia, and these conditions require active investigation and might need anti-infection treatment.

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Written by Han Shun Li
Pulmonology
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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.

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Written by An Yong Peng
Pulmonology
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The difference between bronchitis and tracheitis.

Bronchitis and tracheitis are not standardized diagnoses. For bronchitis, it often refers to acute bronchitis, while tracheitis often refers to chronic bronchitis. Acute bronchitis is an infectious respiratory disease, which mostly presents with symptoms of coughing, and may also be accompanied by sputum production and chest tightness. However, the condition of the patient is usually completely curable. Chronic bronchitis, on the other hand, is a chronic respiratory disease. This condition can manifest as chronic cough, sputum production, and chest tightness, and the patient's condition may progress gradually, even possibly complicating with chronic respiratory failure and cor pulmonale. Therefore, chronic bronchitis and acute bronchitis are two completely different diseases. Additionally, it is important to note that sometimes bronchitis may also refer to chronic bronchitis, and tracheitis may also refer to acute bronchitis, so it is impossible to completely distinguish between bronchitis and tracheitis.

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Written by Li Jian Wu
Pulmonology
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How to manage acute bronchitis

First, it is important to rest in bed during the acute phase, drink plenty of water, keep warm, and the main principle is to control the infection and provide symptomatic treatment. For instance, patients with significant fever and those whose sputum has turned purulent should choose antibiotics early, such as intramuscular penicillin injections or oral co-trimoxazole. Generally, the medication can be stopped 1-3 days after the fever subsides. For symptomatic treatment, antipyretic analgesics such as aspirin can be used to address symptoms like fever, headache, and general fatigue. Regularly, one should strengthen their cold resistance through exercise, it is suggested to wash the face with cold water throughout the year, and to exercise more to boost immune capabilities. Pay attention to environmental hygiene, improve occupational and public health standards. Prevent the inhalation of irritant gases and dust into the respiratory tract. (Medication should be used under the guidance of a doctor based on specific circumstances.)

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Written by Li Jian Wu
Pulmonology
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Do you need to be hospitalized for acute bronchitis?

Acute bronchitis is a condition that develops quickly, occurs suddenly, and often has severe symptoms, for which hospital treatment is recommended. Hospitalization allows for effective monitoring of the condition and offers better medical facilities, including oxygen therapy and sputum extraction to relieve discomfort. The main treatment principle, apart from symptomatic treatment, involves choosing sensitive antimicrobial agents for anti-inflammatory treatment. Chest X-rays, complete blood counts, mycoplasma tests, and C-reactive protein tests can be carried out to diagnose the specific type of pathogenic infection. If acute bronchitis is caused by bacterial infection, intravenous administration of penicillin-type antibiotics can be used for anti-inflammatory treatment to control the infection. (Medications should be used under the guidance of a doctor, depending on specific circumstances.)