The difference between bronchitis and tracheitis.

Written by An Yong Peng

Pulmonology

Updated on February 12, 2025

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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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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.

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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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What should be avoided with acute bronchitis?

Patients with acute bronchitis should be cautious about not consuming spicy and greasy foods such as chili peppers, black pepper, mustard, onions, ginger, and garlic. These foods have certain irritants that might worsen the condition of acute bronchitis, hinder recovery, and increase the difficulty of treatment. Additionally, it's important to avoid greasy foods as they are high in calories and not easily digestible, which could burden the digestive system. Consuming such foods might cause gastrointestinal discomfort, symptoms of which may include abdominal pain, diarrhea, or bloating. Therefore, it's advised to steer clear of both spicy and greasy foods. Also, beverages like carbonated drinks, strong tea, and coffee should be avoided as they contain substances that could be irritating and may adversely affect overall health, not conducive to the patient's rest.

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What medicine is used for acute bronchitis?

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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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.