Making breathing easy... as breathing
Making breathing easy... as breathing

Bronchitis

Bronchitis is an inflammation of the bronchial tube mucosa,
it could be acute and chronic. 

In acute bronchitis viruses and bacteria seem to be the most responsible. They reach the bronchial tube with the inspired air, with the blood or they are microorganism already present in the respiratory mucous. If it looks like an isolated case, it is not a condition in itself serious, the situation changes when there are other debilitating diseases and affects children and the elderly. 

Even chronic bronchitis are caused by bacteria and viruses, but their main cause is the chronic irritation of bronchial tree (from mouth and nose to lungs) for routine inhalation of dust and irritant gases, for which it is often found in some categories of workers, other times are favored by chronic inflammation of the upper airways, such as nasopharyngitis and rhinitis or disorders of the pulmonary circulation or ventilation.


Even in this case we have congestion, inflammation and mucus formation at the level of the bronchial tube. Cough lasts consecutively for three months and returns for at least two years. It is a disease that is often underestimated as it starts slowly, but progresses slowly over the years and can lead to severe respiratory failure. The causes of its occurrence are not yet fully understood, however, the prime suspects are cigarette smoke, smog pollution, some viruses and bacteria, and constant exposure to some substances such as for those who do certain jobs.

 

Symptoms

Acute bronchitis usually appears after cooling, usually it starts with a small fever with cough accompanied by pain in the sternum, which increases coughing. Sometimes there is also an inflammation of the trachea and the pain can be extended to the whole chest because of cough, which in turn is a defense mechanism of the organism to expel excess mucus formed due to inflammation. From this the main symptom of bronchitis is a cough with phlegm, with abundant expectoration, mild fever, headache, sore throat and hoarseness.

The first symptom of chronic bronchitis is a cough with expectoration of mucus and sputum, fever usually does not occur, but rarely, however, and in a modest way, these symptoms may have frequent exacerbations during the winter, with the temperature changes, with the 'humidity and wind. Breathing is always associated to a difficulty, which becomes more evident during the efforts.







Diagnosis

The doctor with stethoscope easily identifies the presence of phlegm so as to easily formulate the diagnosis, as is easily listen wheezing, although the x-ray could be useful to diagnosis.

Even chronic bronchitis are caused by bacteria and viruses, but their main cause is the chronic irritation of bronchial tree (from mouth and nose to lungs) for routine inhalation of dust and irritant gases, for which it is often found in some categories of workers, other times are favored by chronic inflammation of the upper airways, such as nasopharyngitis and rhinitis or disorders of the pulmonary circulation or ventilation. Even in this case we have congestion, inflammation and mucus formation at the level of the bronchial tube.

Cough lasts consecutively for three months and returns for at least two years.
It is a disease that is often underestimated as it starts slowly, but progresses slowly over the years and can lead to severe respiratory failure. The causes of its occurrence are not yet fully understood, however, the prime suspects are cigarette smoke, smog pollution, some viruses and bacteria, and constant exposure to some substances such as for those who do certain jobs.
 

Therapy

Treatment for acute bronchitis is the administration of antibiotics, expectorants, thinners, antipyretic and sedative for coughs; also decongestants inhaled aerosol are useful. For chronic bronchitis prevention is very important in order to prevent its occurrence or to avoid its progress if it is already occurred, so cigarette smoke should be avoided, appropriate measures against smog (masks or transfers) and in the workplace should be taken. If the trend has not blocked, there is the risk to have more serious problems such as emphysema and heart failure. When there are also infections, adequate pharmacological therapy is indicated, such as antibiotics. To thin the mucus and prevent obstruction is important to drink fluids in an appropriate manner and with an aerosol hot and humid with mucolytics. In general, the cough reflex  should be not suppress, as it is the only way that the body has to remove mucus in excess blocking normal breathing.