How is bronchitis diagnosed?

Written by Li Jian Wu
Pulmonology
Updated on September 05, 2024
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In clinical practice, if bronchitis is suspected, it is not very difficult to confirm the diagnosis. It generally involves combining clinical symptoms with results from routine blood tests, chest X-rays, or CT scans for a definitive diagnosis. Most cases will show thickened bronchial or lung markings, and an increase in the total number of white blood cells in the blood. The main symptoms include coughing, expectoration, and difficulty breathing. Diagnosis can be confirmed by combining personal medical history, physical signs, and laboratory test results, allowing for timely anti-inflammatory treatment.

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Written by Li Jian Wu
Pulmonology
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Symptoms of bronchitis in children

The symptoms of bronchitis in children mainly present as symptoms of upper respiratory tract infection. At the onset of the disease, symptoms such as chills, cold fear, high fever along with a runny nose and sneezing will appear, followed by coughing, expectorating phlegm, chest pain, and difficulty breathing. Severe cases may show signs of flaring nostrils, rapid breathing, and the three concave sign. Some patients may also experience symptoms like high fever leading to coma, so it is important to promptly use sensitive antimicrobial drugs and anti-inflammatory treatments, while also managing the fever to prevent febrile convulsions. (Medications should be used under the guidance of a doctor based on the specific circumstances.)

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Written by Li Jiao Yan
Neonatology
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Symptoms of bronchitis in children

Pediatric bronchitis is an infection of the bronchial mucosa caused by various pathogens. Clinical presentations commonly begin with symptoms of upper respiratory infection such as nasal congestion, sneezing, runny nose, or low-grade fever, followed by coughing as the main symptom. Initially, the cough is dry, later accompanied by phlegm. Symptoms can be more severe in infants and young children, often including fever, vomiting, and diarrhea, generally without systemic symptoms. Auscultation of the lungs reveals coarse breath sounds, with fixed and scattered dry rales, and medium to coarse moist rales. Infants and young children often have difficulty expelling phlegm, which may be audible in the throat and lungs as a rattling sound. If the infant or young child has wheezing bronchitis accompanied by eczema, or other allergic histories, they may develop pronounced symptoms of difficulty breathing, and may even progress to asthma.

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Written by Li Jian Wu
Pulmonology
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How is bronchitis treated?

If the body suffers from bronchitis, how should it be treated? When the body has inflammation, the main principle is to choose antimicrobial drugs for anti-inflammatory treatment. Patients with mild symptoms can be treated with anti-inflammatory drugs either orally or by intramuscular injection. If oral medication alone does not produce clear effects, or if symptoms do not improve, a drug sensitivity test can be done. Based on the test results, administer a sensitive antibiotic intravenously. At the same time, it's also important to choose antipyretic analgesics to relieve fever symptoms, as well as medications that thin the mucus for symptomatic treatment.

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Written by Hu Bai Yu
Pulmonology
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How to treat bronchitis in children?

For pediatric bronchitis, it is primarily important to determine the cause of the infection in the child and to treat the disease based on its cause. Choose corresponding sensitive antibiotics or antimicrobial drugs for treatment. If coughing and expectoration are severe, it may be necessary to use some antitussive and expectorant drugs. Moreover, if the child shows signs of wheezing or obvious suffocation, nebulized inhalation can be used for treatment to relieve symptoms. It is generally advisable to be cautious; if the baby shows signs of breathing difficulty, it is best to take the baby to the hospital for a chest X-ray. Typically, this will only reveal a coarse lung texture, but if the pathogen causing bronchitis in children is complex, then combined medication may be required for treatment.

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Written by Li Jian Wu
Pulmonology
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How is bronchitis treated?

In clinical settings, bronchitis is treated in two main ways. The first approach includes general and symptomatic treatment. The second and most crucial approach is the use of sensitive antimicrobial drugs to kill the pathogens and provide anti-inflammatory treatment. Increased water intake and the use of antipyretic analgesic drugs for fever symptoms are recommended. It is necessary to identify whether the infection is bacterial, viral, or mycoplasmal, and to use sensitive antimicrobial drugs to kill the pathogens. Once the inflammation subsides, the symptoms caused by bronchitis will gradually diminish and fade away.