Is acute bronchitis serious?

Written by An Yong Peng
Pulmonology
Updated on November 16, 2024
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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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Written by Li Jian Wu
Pulmonology
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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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Written by An Yong Peng
Pulmonology
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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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Written by Wang Xiang Yu
Pulmonology
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Does acute bronchitis cause fever?

First, we need to know that acute bronchitis refers to the acute inflammation of the bronchial mucosa caused by biological, physical, chemical stimulation, or allergens. The main symptoms in most patients are cough and expectoration. The cough usually presents as a dry cough or a small amount of viscous sputum. Over time, the amount of sputum may increase, or the cough may worsen. A small proportion of patients may have bloody sputum. The cough and expectoration can last for two to three weeks, and in very rare cases, some patients may develop chronic bronchitis if the condition does not resolve. However, for most patients, the primary manifestations are still localized, that is, symptoms like cough and sputum. Systemic symptoms, such as fever, generally present mildly.

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Written by Wang Xiang Yu
Pulmonology
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Is acute bronchitis contagious?

Is acute bronchitis contagious? First, we need to understand what is acute bronchitis. What factors can cause acute bronchitis? It is currently believed that many factors including biological, physical, chemical irritants, or allergies can lead to acute bronchitis. Among these factors, biological factors are the most common, especially infections by microbes, which include viruses, bacteria, mycoplasma, and chlamydia. These can potentially be transmitted to other people through droplets or other methods. Common agents include influenza viruses and chlamydia. Other factors can also cause bronchitis, such as cold air, irritant gases, or smoke irritation, as well as allergens like pollen and dust. These cases generally are not transmitted by infection, so they do not spread to other people.

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Written by Han Shun Li
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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.