The Difference between Viral and Bacterial Bronchitis

Posted by admin | Posted in bronchitis | Posted on 23-02-2009

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People suffer from illnesses or diseases due to viruses and bacteria; but sometimes, environmental factors also play an important role in triggering such illnesses. When a person becomes ill, his life is naturally affected. And this includes his relationship with his family, colleagues, and friends. That is why, may experts stress the need for a healthy lifestyle in order to prevent these illnesses.

Inflammation of your bronchial tubes is a condition called bronchitis. This illness can be caused by viral infections, bacterial, and allergens. There is a great difference between a viral bronchitis and a bacterial bronchitis. Most people may not be able to distinguish between the two, and only a professional can evaluate and diagnose a person’s condition.

The most common cause of bronchitis is viral infection. If the bronchitis is viral in nature, you may experience several symptoms like wheezing, burning pain, difficulty in breathing, headache and other symptoms. Bronchitis caused by viruses is not that serious, and can disappear without medications. Usually, home remedies are enough to relieve bronchitis symptoms.

If the illness is caused by a virus, you may only have mild fever and you don’t feel that sick. You might cough up with little or even no mucus at all. While with bacterial bronchitis, you will have higher fever and cough (with discolored, dark, and thick mucus).

Bronchitis can become serious if you’re suffering from another disease like asthma, cystic fibrosis, or COPD. If this is the case, home treatments are not enough.

Your doctor knows the right treatment suited for your condition. By performing the necessary physical examination and considering your symptom’s history, an accurate diagnosis can be obtained. If you’re only suffering from a mild condition, using the stethoscope is enough to examine your lungs, but with severe or prolonged symptoms, the best way is to have your chest x-rayed.

Treatment of bronchitis also differs between one that is caused by a virus and that of bacteria. Viral bronchitis can be resolved without undergoing any treatment. But this doesn’t mean that you will take your condition for granted. You can do simple things like increasing your fluid intake; this helps in reducing congestion especially when you have fever. You must also take a rest and if you feel muscle pains, you can use acetaminophen. If you can’t withstand the symptoms, you can purchase cough expectorants and suppressants to thin the mucus. Having a steamy shower can also open your airways thereby allowing mucus expulsion.

If you’re bronchitis is caused by bacteria, your doctor will usually prescribe an antibiotic like erythromycin, tetracycline, and amoxicillin. The antibiotic prescribed is dependent on the type of bacterial infection. You can experience side effects such as nausea, vomiting, abdominal pain, and diarrhea. There are certain bacteria that are resistant to drugs, and just recently, FDA approved a drug suited for these kinds of bacteria. The drug is called gemiflaoxacin mesylate. This is a tablet that needs to be taken orally once a day for five days. If you use this drug, you may experience rashes, diarrhea, and nausea.

Remember that a viral bronchitis can’t be treated with antibiotics because your condition might become worse. Don’t just use any medication without consulting first with your doctor to ensure that you’re on the safe side.

It is essential that you rest to make exertion of the mucus easier. Later on, you can do cardio respiratory exercises moderately as this can help regain the normal functions of your lungs, and expel remaining mucus.

A good way to avoid viral and bacterial bronchitis is to have good hygiene. Getting immunizations can also lessen the risk of getting bronchitis. Make sure that you also avoid cigarettes, smoke, fumes, and other environmental factors that might trigger bronchitis. This way, your lungs can filter the pollutants easily.

You can get sick every now and then especially if you have many unhealthy habits and if you live in a polluted environment; and this can happen whether you like or not. This is the sad reality that many people have to bear. Strive to be healthy and while you’re alive and kicking, try to save some money so that in the event you get sick, you can handle the medical costs without worrying.

Signs and Symptoms of Bronchitis: Knowing More about Bronchitis

Posted by admin | Posted in symptons | Posted on 19-02-2009

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There are quite a lot of different respiratory diseases today. You have to consider that being affected with one of the respiratory diseases, it can have a negative impact in your daily activities. You will not be able to do some tasks, you will have difficulty breathing and you will also deprive your body of the sufficient amount of oxygen it needs.

One kind of respiratory illness is called bronchitis. This particular illness can have negative impact in your daily life. It is also considered as one of the most common respiratory illnesses today that can affect anyone at anytime. Although bronchitis can happen anytime, most cases occur during the winter months. And, people who are usually affected with this kind of respiratory illness are people who live in areas where there is a high amount of air pollution, usually in large cities. People who have weak lungs are also easily affected by bronchitis. Anyone can be affected by this illness. However, most of the time, infants, children, the elderly and people who smoke tobacco are usually the ones who are frequently affected by bronchitis.

First of all, there are basically two kinds of bronchitis. One is acute bronchitis and the other is called chronic bronchitis. In acute bronchitis, it will usually last for about 10 to 12 days only providing that you have it properly diagnosed by a professional and get it treated properly.

Acute bronchitis can be caused by a viral or bacterial infection. However, there are rare cases where fungus infection can also cause acute bronchitis. You can know if you have acute bronchitis by knowing about its signs and symptoms. Here are the signs and symptoms that you may experience if you have acute bronchitis:

• Mild chest pain
• Mild fever
• Wheezing when breathing
• Shortness of breath
• Persistent and expectorating cough
• Vibration of chest when breathing
• Chillness
• Mild pain on throat
• Squeezing and painful sensation around the eyes

You cannot determine whether the bronchitis is caused by a virus or by bacteria unless you consult your physician where they may order you to go on laboratory testing. The laboratory test results will provide information whether your bronchitis is caused by a virus or by bacteria.

The doctor will then prescribe you a medication that you should take in order to cure the illness. Also, the doctors will advice you on different kinds of home remedies to alleviate the signs and symptoms. They may also schedule you for another visit to determine if there are any other illnesses besides the bronchitis.

Chronic bronchitis is considered as a long term illness that needs careful management and care. One of the main contributors for chronic bronchitis is by inhaling irritants, such as toxic fumes and especially cigarette smoke. Chronic bronchitis can cause permanent damage to your respiratory system where it can make it difficult for you to live your daily life. The chronic bronchitis can last for three up months and in worse cases, it can last up until 2 consecutive years.

You have to remember that this disease is contagious and you should take the necessary precaution in avoiding transmitting the disease, especially inside the household. You can do this by humidifying the environment and by covering your mouth with a damp handkerchief of towel when coughing.

Chronic bronchitis is a long term illness that needs special care and management in order for the patient to recover from the illness and also help let the bronchial tube in its healing process. You have to consider quitting smoking and avoid dusty places if it is possible. You can use the different methods to alleviate the symptoms in acute bronchitis as well.

Another important factor that you should consider is your hygiene. A good hygiene will help in the treatment of the illness. You should always wash your hands frequently and thoroughly. It is also important that you should get a lot of rest, eat the right kinds of food, and drink lots of fluid.

If you notice the early signs and symptoms of bronchitis, you should immediately act on it and treat it in order to prevent it from worsening. With early detection, diagnosis and treatment, you can take control of your life once again and free yourself from bronchitis.

Pathophysiology of Acute Bronchitis

Posted by admin | Posted in bronchitis | Posted on 18-02-2009

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Today, it is important that you should maintain a healthy body in order for it to fight off any diseases that it may come in contact with. In order to function properly in society and always be a productive member of society, you should always be healthy. However, there are some cases where people suffer from differing kinds of diseases that can significantly affect their daily life.

One such disease that is considered to be common among many people is called bronchitis. Bronchitis is an illness where the bronchial tubes get inflamed. Because of this, people with this kind of illness can have difficulty in breathing and suffer from mild fever. There are mainly two types of bronchitis that affects people. One is called acute or short-term bronchitis, and the other is chronic or long-term bronchitis. Acute bronchitis is easy to treat with the proper diagnosis and management.

First of all, acute bronchitis offers several signs and symptoms that you should be aware of in order to detect the disease and stop it on its tracks. The symptoms for acute bronchitis will include hacking cough with mucus, headaches, squeezing sensation around the eyes, chest tightness, mild fever, and difficulty in breathing. As you can see, the signs and symptoms of acute bronchitis is very similar to the common cold.

People mainly affected by this illness are infants, children, the elderly, tobacco smokers, and people who have weak respiratory systems. People who live in highly polluted areas are also commonly affected by acute bronchitis. You have to consider that you should get this illness treated in order for it to not develop into chronic bronchitis. Bronchitis can happen anytime of the year but it will usually happen during the winter months.

Treatment will include getting a lot of rest, humidifying the home with humidifiers, inhaling steam, taking a long shower, and drinking a lot of non-caffeinated and non-alcoholic beverages. However, if the bronchitis is caused by bacteria or by fungus, it is important that you should consult your doctor about it where they can prescribe some anti-bacterial or anti-fungal medications.

Here is a closer look of acute bronchitis to better understand its pathophysiology or how it works.

Usually bronchitis occurs after the person was infected with cold or infection. The virus that causes the common cold can also be the virus that can cause bronchitis. Acute bronchitis can also happen by inhaling irritants that can damage and inflame the bronchial tubes. Cigarette smoke and other chemical fumes inhaled can significantly damage your bronchial tubes. The inflammation causes the airway to constrict and therefore, causes you to have difficulty in breathing. If left untreated or if you continue inhaling irritants such as cigarette smoke, the acute bronchitis will eventually develop into its chronic form where it can permanently damage your bronchial tubes and tissues surrounding it.

This is the prognosis is of acute bronchitis.

If you are suffering from acute bronchitis, it is recommended that you should stop smoking or at least lessen your cigarette or tobacco consumption. If it is possible, you should avoid dusty areas. You can also consider installing air filters in your home if you live in an area where there is heavy percentage of air pollution.

Acute bronchitis is the last up to 10 to 12 day.  However, acute bronchitis is usually followed by flu or call.  You have to consider the bronchitis is contagious and can be transmitted by air through coughing. This is why it is important for you to carry a damp handkerchief or towel for you to cover your mouth if you need to cough.

If the coughing persists for more than a month, there may be other illnesses that are inside your body, such as pneumonia. It is also important that you should observe the mucus secretion. If there is blood present, you should immediately consult your physician for further diagnosis.

These are the things you should know about acute bronchitis. With the proper management and care, you will be able to stop it on its tracks and prevent it from developing into its chronic form. If you experience symptoms associated with bronchitis, you should consult your doctor immediately. They will perform some tests to determine what is causing the bronchitis whether it is viral or bacterial infection.

Recognizing Symptoms and Seeking Advice on Infant Bronchitis

Posted by admin | Posted in symptons | Posted on 14-02-2009

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To define bronchitis simply, it is just a cold which spread out throughout the bronchial tubes of your lungs. Bronchitis has its own degrees of severity. It can range from a very mild condition without any fever then becomes very serious. Normally, cough is present. This can be extremely dangerous especially for infants. They may experience shortness of breath. Squeaky noises can be heard as the infant breathes. If you observe these signs in your child, then you better call a doctor.

Bronchitis usually occurs when infection happens in the upper respiratory system. It displays abrupt onset symptoms and it is seldom considered as a separate entity during childhood. It is often accompanied with dry, hacking, persistent cough which can last for two to three days and low-grade fever. Coughing can worsen at night and sometimes causes chest pain. The tachypnea rate in one minute is more than sixty breaths.

Bronchitis in infants is basically attributed to a viral infection. But sometimes the symptoms are also apparent in infants having bacterial pneumonia. These cause serious or fatal consequences if not treated immediately.

- Cough and cold are commonly considered as infection of the upper respiratory caused by viruses.  These cold viruses lower the resistance of the throat and nose causing secondary infections. It is not true that exposure to a cold atmosphere without wearing a hat, or getting wet can cause a cold.

Colds in infants are milder and can last for about seven to ten days. It is manifested by a runny, stuffy, or bubbly nose accompanied by mild coughing. Positioning your infant with his or her head elevated can aid him or her comfortably breathe. Avoid direct contacts with your infant if you have colds. Simple, regular hand washing is effective in preventing colds. It is not advised to give medicines to your infant without proper prescriptions.

You should always be aware of your infant’s condition. If he or she has a cough and whether or not a fever is present, proper treatment is required. The normal health of your infant is your first consideration.

- The breathing patterns of your infant can be distorted. Respiration is considered normal if exchange of gases (such as oxygen) in the lungs occurs. The measurement of breathe is taken per minute.

Mothers need to observe the breathing rates of their infants for one minute. Abdominal movements are noticeable. Infants below one year old must have at least 40-60 respirations in one minute. One year old babies must have 25-35 breaths in one minute. Toddlers should have 20-40 respiration per minute. However, crying can increase respiratory rates while sleeping decreases it.

- Strep and sore throats can also affect infants. This condition is manifested by inflammation of the tonsils which produces pain in the throat and accompanied sometimes by fevers. Swallowing can be very difficult. An itchy throat is often associated with colds. Toddlers having strep throat can be irritable, have low-grade fever, losses their appetite, have swollen glands, and have yellow thick spots on their tonsils.

Streptococcus is a bacteria causing strep throat. Cold viruses and allergies are also included. Sore throats linked with colds can be transmitted to another person by direct contacts on the secretions.

Antibiotic treatment can help alleviate the symptoms and later on cure the strep throat. It is necessary to seek advice from a health care professional to obtain treatment recommendations. This can prevent strep throat complications such as rheumatic or scarlet fever.

Bronchitis affects infants as well as young children because their airways are still very small and are blocked easily. Bronchitis normally occurs until the infant reaches two years old. However, its peak occurrence mostly affects infants aging 3-6 months old. Children who are mostly affected by bronchitis are male children, children living in crowded conditions, children who are exposed to cigarette smokes, and children who are not breastfed.

Although infant bronchitis is a mild disease, there is always a risk for more severe cases requiring hospitalization. It can include prematurity, lung or heart disease, and weak immune system. Infants who are diagnosed with bronchitis can develop asthma in the future.

Mothers should understand these important facts about bronchitis. They can avoid hysterics and late response if their infants show negative health symptoms associated with bronchitis.

Some Treatment Steps to Heal Chronic Bronchitis

Posted by admin | Posted in diagnosis | Posted on 08-02-2009

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A severe type of bronchitis is often referred to as “chronic bronchitis,” where the main air passageway of your lungs continues to swell and commonly recurs. 

Smoking is the main culprit for the presence of chronic bronchitis. Firsthand smoking is at a high risk to develop the said illness. Moreover, even if you don’t smoke but you are prone to inhale smoke from cigarettes and belches or breathe in irritants then you are most likely to develop chronic bronchitis. 

Once you observe the following symptoms then it is best to consult with your physician for you may be suffering from chronic bronchitis:

? Productive cough with abundant mucus and sometimes there is blood in your cough.

? Difficulty in breathing which is triggered by slight activities.

? Infections in the respiratory systems. 

? Easily weakened by non-strenuous activity

? Swollen feet, ankle or leg

? Persistent headaches 

When the above-mentioned signs are observed by you or your physician, your doctor will request for a series of tests to determine proper treatments. Most medical practitioner states that there is no absolute cure for chronic bronchitis. What you can do is give aid to the discomfort, pain and symptoms brought by the said illness. There are specific treatments to help you deal with chronic bronchitis. 

1. Bronchodilators

The primary aim of this treatment is to help you breathe easier. What it does is open the air passageway in your lungs to alleviate the briefness of breath as well as wheezing. 

Bronchodilators are divided into three subgroups such as beta2-agonists, anticholinergics, and xanthines.

Beta2-agonists are used to reduce the symptoms brought by chronic bronchitis by relaxing the airways in your lungs. Salbutamol and Terbutaline are some common types of beta2-agonists.

Anticholinergics are drugs used to help patients with chronic bronchitis breathe easier. However, it works differently compared to beta2-agonists. “Atrovent” is an example of this drug.

Xanthine comes from the “alkaloids” group wherein it is utilized to treat the symptoms of bronchitis. Others conclude that Xanthine can reduce the swelling of the air passageway of the lungs. 

2. Corticosteroids 

To prevent too much swelling and irritation of bronchial tubes, corticosteroids may be used. It is usually taken by inhaling the drug. However, there are patients who are prescribed to take the said medication in tablet form. These patients are the ones who experience severe lung infection. 

Misuse or overuse of this drug may result to hazy vision, repeated urination and the need to drink plenty of liquids.

3. Supplemental Oxygen

Not all individuals with chronic bronchitis need to have supplemental oxygen. If you have extremely low oxygen in your blood or you have minor damage in the lungs, then it is recommended that you undergo this kind of treatment. 

A cylinder or concentrator is used to deliver the oxygen you need into your body. With a use of “nasal prongs” you will be able to breathe in the oxygen supply that is required for you to take.
 
With the presence of oxygen, you will be able to sustain the normal level of oxygen in your blood which your body needs. Additionally, it enables you to breathe easier. 

4. Flu and pneumonia shots 

Flu shot is a vaccine to safeguard individuals from the “influenza virus.” The shot is commonly administered in the arms every year. Equally important is a pneumonia shot. With this vaccine, you will be protected from the infection “pneumococcal.”

There are short-term side effects when you get the above-mentioned shots such as reddishness of the injected body part, swelling or soreness. However, these are temporary side effects as reaction of the body to the vaccine. 

5. Antibiotics 

Antibiotics for chronic bronchitis are used to treat secondary bacterial infection. Telithromycin with a brand name “Ketek” is a widely used antibiotic for chronic bronchitis.

Apart from the suggested medication as chronic bronchitis treatment, it is also helpful to practice the following steps:

? You need to stop smoking, if you are a smoker. If you are non-smoker, you need to stay away from an environment with smokes and irritants. 

? You need to change your lifestyle by properly eating variety of foods from the food pyramid, getting enough exercise as well as getting ample of rest.

? It may be helpful if you can join support group programs. By doing so, you will be able to fully understand and accept your condition. It will also help you encounter other treatment methods which you can try.

Tell-Tale Signs of Chronic Bronchitis

Posted by admin | Posted in bronchitis | Posted on 07-02-2009

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Bronchitis is defined as a disease with acute inflammation of the respiratory tract. The term is basically coined from the Greek words bronchos, which means windpipe, and itis, meaning inflammation. Bronchitis takes place when the trachea or windpipe and the bronchi (both small and large) become inflamed which is likely caused by an infection or other factors.

Bronchitis has two types, acute and chronic. Acute bronchitis is mainly caused by viral or bacterial infections and from the acute word itself, it is only for a short period of time, but that is another story.

Chronic bronchitis, on the other hand, is a long term bronchial inflammation consequently followed by a raise in the production of mucus. It is also a type of chronic obstructive pulmonary disease (COPD), which is a group of respiratory diseases that hampers with normal breathing.

Chronic bronchitis can be caused by no specific factor but cigarette smoking is believed to be the major culprit of the illness. Following smoking, other causes may include environmental pollution (especially air pollution) and bacterial or viral infections.

To be considered as chronic bronchitis, the patient must experience cough and expectorations (meaning with phlegm or sputum) for no less than 3 months in a year for two successive years. Furthermore, other factors that may cause symptoms such as TB (tuberculosis) or other respiratory health problems must be excluded.

As a category of COPD, primary symptoms of chronic bronchitis are mucus expectoration, cough, and dyspnea or labored breathing during physical exertion. These symptoms commonly deteriorate over time. Persistent cough and mucus expectoration usually come first years before the development of aberrations in the airflow of the respiratory tract.

Dyspnea or labored breathing, due to its severity, more often than not causes interference in the patient’s day to day activities. Loss of weight is fairly not uncommon since eating needs a certain amount of physical exertion and the sometimes only breathing itself can be energy consuming for the patient.

There will come a time when the patient will find it difficult to even participate in mild exercise because of dyspnea. As bronchitis progresses, labored breathing will be experienced by the patient even at rest. Then the patient will become in danger of acquiring more respiratory infections and respiratory insufficiency, which consequently raises the danger for both chronic and acute respiratory failure.

Other warning signs of chronic bronchitis may include swelling of the feet, abnormal lung signs, heart failure, and bluish discoloration of the lips and skin.
Symptoms may be similar to other respiratory problems; therefore it is advisable that the patient should consult a physician. This is due to the fact that chronic bronchitis is frequently associated with other diseases of the respiratory system such as asthma, tuberculosis, sinusitis, pulmonary emphysema, and other upper respiratory infections.

Moreover, there are numerous examinations that are utilized by the medical professionals to identify chronic bronchitis. These tests or examinations may include the following:

? Pulmonary function tests, which assist in calculating the lungs’ capacity to appropriately exchange oxygen and carbon dioxide through use of a spirometry and peak flow monitoring (PFM). Spirometry is an apparatus that is used by the doctor to evaluate the function of the lungs. PFM is a tool that is utilized to determine the greatest speed in which an individual can exhale or blow air out of the lungs. PFM helps in assessing how the malady is being controlled

? Pulse Oximetry. This is a small apparatus that measures the quantity of oxygen in blood.

? Chest X-ray. This fairly common diagnostic test is used to create images of the internal tissues, organs, and bones unto a film.

? Arterial Blood Gas or ABG. This is a blood test that is employed to assess the lungs’ capacity to supply with oxygen and eliminate carbon dioxide. This also helps in measuring the acidity of the blood.

? CT Scan or Computed Tomography. This is an amalgamation of x-rays and computer technology to produce sectional imagery of the body. This imaging device illustrates a comprehensive picture of any part of the body.

Although once a person acquires chronic bronchitis, which usually lasts a lifetime, this illness can be controlled. Treatments are utilized mainly to alleviate the symptoms. Nevertheless, the patient can still live a comfortable life if provided with a proper management of the symptoms. It may not be curable but it is manageable.

Understanding the Foundation of Chronic Bronchitis

Posted by admin | Posted in bronchitis | Posted on 05-02-2009

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A medical diagnosis manifested by a productive cough of the sputum occurring for more than three months can be deemed as chronic bronchitis. It can occur consecutively for two years along with the obstruction on air passages. Pulmonary testing helps in proper diagnosis through documentation of reversible characteristics of airways obstruction.

The current foundations of chronic bronchitis management are sympathomimetic agents and inhaled ipratropium bromide. Although theophyllinne is a very important therapy, its usage is only limited to narrow therapeutic effects. Orally taken steroids are reserved from patients demonstrating improvements in airflow. Antibiotics also play an important role for alleviating acute exacerbations. Others include smoking cessation, nutritional and hydration support, supplemental oxygen, and strengthening respiratory muscles.

Chronic bronchitis is considered one of the most common COPD (chronic obstructive pulmonary disease) illnesses. In fact, this is the fourth major death cause in the U.S. There are approximately ten million Americans who are affected by COPD to some extent causing 40,000 deaths in a year.

The major risk factor in developing chronic bronchitis is cigarette smoking. More than ninety percent of the patients have smoking histories, although fifteen percent of cigarette smokers are diagnosed ultimately with obstructive disease of the airways. Studies revealed that persistent active markers of airway inflammation upon bronchial specimen’s biopsy are found in symptomatic ex-smokers, even if these people already halted their smoking habit for thirteen years.

There are three major bacterial pathogens found in people with chronic bronchitis. It includes Streptococcus pneumoniae, Moraxella catarrhalis, and Haemophilus influenzae. A speculative explanation between chronic bronchitis and infection interactions is due to the low colonization density of infectious agents on the lower respiratory tract which cause inflammatory reaction and triggers succeeding acute exacerbations.

Documentation which supports this concept is taken from various studies of patients affected by chronic bronchitis. The bacteria associated with IgE circulate in the body of the patients triggering histamine release after exposure to similar cultured bacteria of the lower respiratory tracts.  Added mechanisms including neurogenic inflammation is then developed causing chronic bronchitis symptomatic flare-ups. Thus the disease may continue because inflammatory mediators are sustained.

Diagnostic testing on the obstruction of the air passages must be done. Pulmonary function testing is recommended to determine how the patient responds to inhaled therapy such as bronchodilators. The obstructive disease of the airway is defined by the measured FEV1 (forced expiratory volume)/ FVC (forced vital capacity) ratio.

Most adults over their mid-life years, physiologic changes related to their age and elasticity of their lungs can cause a 30mL FEV1 decline in a year. Progressive declines of FEV1 rates means prolonged suffering from chronic bronchitis. The obstruction in the air passages caused by excessive sputum production can confirm chronic bronchitis diagnosis.

1. Blood tests. Advanced chronic bronchitis is determined through blood sampling taken from the artery. Usually, hypoxemia is very common characterized by ventilatory failure next to inflammation and bronchospasm. If ventilatory exchange of gas worsens, the condition is called concomitant hypercapnia. Testing through blood samples can also determine mild polycythemia.

2.  Chest radiograph. This tests although correlate poorly with chronic bronchitis symptoms in many patients, still, findings can be determined such as blebs, hyperinflation, bullae, peribronchial markings, and diaphragmatic flattening.

3. Electrocardiogram. This test is able to recognize disturbances in the supraventricular rhythm which include atrial flutter or atrial fibrillation, atrial tachycardia having “P” pulmonale.  Airway biopsy findings also include submucosal and mucosal inflammation, hyperplasia of goblet cell, and increased muscle smoothness on the small noncartilaginous air passage. 

4. Sputum cultures. This is limited for patients that have never been admitted in hospitals but displays acute chronic bronchitis exacerbations. It is because cultures of samples never reflect any presence of the organisms in bronchial distal levels. The sputum’s gram stain is a way of determining if antibiotic therapy is needed. Protected-tip sputum cultures are suggested for hospitalized patients especially if atypical organisms cause the exacerbation.

The whole ten years of mortality rate after the chronic bronchitis diagnosis is fifty percent. Respiratory failure after acute exacerbation is often the most terminal event. It is because bacterial infections often follow, characterized by fever, purulent sputum, and worst poor ventilation symptoms. Other precipitants include seasonal changes, infections of the upper respiratory, medications, and prolong exposure to pollutants and irritants.  However, understanding the role of mediators which cause inflammation in chronic bronchitis led on a better management of the disease.

Cause of Bronchitis and Tests Done To Determine It

Posted by admin | Posted in bronchitis | Posted on 04-02-2009

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The most common disease associated with respiratory system is bronchitis. It is often accompanied by a cold or flu and affects people regardless of age. If your immune system is weak or you are a chain smoker, then you are greatly exposed to develop chronic bronchitis. In few cases, developing asthmatic bronchitis is also possible.

Smoking is considered to be a serious cause of bronchitis which can lead to other complications like pneumonia. The substances found in cigarettes as well other tobacco causes bronchial tubes irritation. Environmental pollution and exposures to chemicals can also lead to developing chronic bronchitis. In addition, second-hand smokes as shown in some studies can also cause chronic bronchitis.

Mostly, chronic bronchitis is diagnosed among metal molders, grain handlers, coal miners, and other dust-related occupation. Symptoms of chronic bronchitis worsen if air pollutants and sulfur dioxide also increases.

However, bronchitis is brought about by viruses. Within a few days, these viruses may disappear without medications. If bacteria is the cause of bronchitis, then antibiotics is needed to completely overcome it.

Bronchitis can either be chronic or acute. Acute bronchitis generates extreme symptoms. It normally clears up immediately if viruses caused it. Chronic bronchitis produces milder symptoms but later on can aggravate. This is often persistent with recidivating character. Chronic bronchitis requires continuous treatment to prevent symptoms from recurring.

Bronchitis manifests different symptoms including coughs, breath shortness, soreness, discomfort, excessive mucus production, headache, wheezing, chest pain, and fever. Fever is present due to bacteria infections posing any possible complications.

Among the COPD (chronic obstructive pulmonary diseases) illnesses, bronchitis mostly affects more people. And despite its large affected population, it is usually misdiagnosed. Insufficient clinical examination can misinterpret bronchitis with allergies, asthma, and sinusitis.

The doctor will ask your medical background which includes pervious and recent smoking habits. Your endurance is also questioned whether or not it is easy for you to climb stairs or walk a long distance. Using a stethoscope, the doctor will examine your chest and back and listen to your normal breathing. In this way, signs of bronchitis can be determined.

However, the best way to confirm the presence and seriousness of bronchitis is to undergo PFT or pulmonary function tests. Keep in mind that these tests can be done if causes are known. It includes:

1. Spirometry. An instrument called spirometer is utilized to measure the air inhaled and exhaled from your lungs. Air volumes are measured to determine the ability of your lungs to hold and exhale air.

2.   Peak flow meter. It measures the PEFR (peak expiratory flow rate). PEFR is the maximum quantity of air that you can exhale upon forced exhalation.

3. Chest x-ray. This is suggested by a doctor to know if pneumonia problems are present. Mild x-ray changes can be a sign of chronic bronchitis.

4. ABG (arterial blood gas) test. This determines the amount of carbon dioxide and oxygen in your blood. A blood is drawn from your artery. The procedure can make you very uncomfortable. Analysis of your blood gas is useful if oxygen therapy can be advised in case your blood oxygen is very low.

5. Additional tests are necessary if other problems related to your health are involved. If infections are present, sputum and blood tests as well as cultures are conducted to determine the causes of infections.

There are different factors when considering treatments for bronchitis. If it is not caused by bacteria, unblocking the obstruction from the airways is done. Medical treatments inhaled medications helpful in unblocking the air passages of your respiratory tract. Bronchodilators are widely used for asthmatic bronchitis and chronic bronchitis.

Bronchitis inflamed the bronchial tubes, mucous membrane, and other tissues and organs associated with the breathing process. Once these fragile organs of the respiratory get irritated and inflamed, excessive mucus is produced so that external agents such as irritants and dusts cannot penetrate. Excess mucus clogs the air passage and blocks the air from going into the lungs. This is the time when a person experiences cough, wheezing, or breathing difficulty.

Basically, bronchitis is not easy to diagnose. It is because its symptoms are also present in other respiratory diseases such as asthma and sinusitis. But these careful laboratory analyses and physical examinations help a lot.

Do Not Delay: Treatment for Bronchitis

Posted by admin | Posted in bronchitis | Posted on 03-02-2009

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An author once said that time and again medical science has demonstrated that with apt resources on proper treatment, diseases can be treated if not cured.

Bronchitis can be treated if you know the proper ways to make yourself better. Such information can also be helpful for your caregiver. 

Treating bronchitis depends on how mild or severe the condition is. Most physicians recommend “home treatment” when you are inflicted with acute bronchitis since the illness goes away after two to three weeks. 

Relieve your cough.

Since coughs can be annoying, you need to find ways to alleviate from coughing. The most effective action is to drink plenty of non-caffeinated fluids such as water and fruit juices. Studies show that water is the best expectorant to ease your cough as well as thin your mucus. 

Cough can be relieved by breathing steam from a hot shower, vaporizer or a pan of boiling water. The moist air soothes the air passageways which can help release the phlegm.

If you are a smoker, it is recommended that you discontinue from smoking. Substances from a cigarette are known to be irritants which can contribute to the severity of your cough.

Some foods can exacerbate your cough. Hence it is best to avoid eating spicy foods, dairy products, meat, oily and fried foods. 

Get enough rest.

The best way to combat the symptoms of acute bronchitis is to get ample of rest. By doing so, you will be able to get as much energy you need to fight the infection. 

Try getting sufficient sleep. If you can’t sleep due to inability to breathe well, try elevating the head of your bed. When you do that, the sinuses and nasal passages will have better drainage and it will not make a “tickle” in your throat.

Keep away from heavy food intake three hours before bedtime for you to be able to sleep well. Eating hours before bedtime increases your blood sugar which makes you hard to fall asleep. 

Make use of nonprescription medicines. 

There are recommended nonprescription medicines if you have acute bronchitis. These medicines are commonly given to alleviate fever and other discomfort brought by the symptoms. 

1. Acetaminophen – this is a drug commonly used to relieve soreness of the body as well as fever.
2. Ibuprofen – this type of drug is given to individuals to give aid to their fever.
3. Aspirin – this is a drug usually used as an “analgesic” to reduce minor pains and body aches. However, aspirins are not recommended for use to children unless advised by their physician.

If it cannot be prevented, there are suggested prescribed medications such as the following:

1. Inhaled betaz- agonists – this type of medication is usually prescribed for the presence of chronic cough. You or a caregiver should be cautious of the potential side effects such as tenseness and trembling.
2. Antibiotics – there are some antibiotics which are prescribed by physicians to treat individuals who are at danger to develop other complications. 

Chronic bronchitis usually entails long-term treatment compared to acute. Medical findings show that there is no cure for chronic bronchitis. The main objective for you to be able to treat this type of illness is to relieve you from the symptoms and to put off complications. 

Any substances which can irritate the respiratory tract should be avoided such as smoke from cigarettes or belches, strong scent from perfumes or colognes, dust mites, dander from pets, and fibers from fabric materials.

Some physician will recommend the intake of antibiotics. However this is only suited for recurring infections. Additionally, the use of steroids such as Corticosteroids is sometimes prescribed to patients who do not act in response to recommended treatments. There are few doctors who prescribe this type of medication due to the many side effects it poses. Corticosteroid is only used when needed.

If your chronic bronchitis is considered severe then you will have to undergo “oxygen therapy.” This kind of therapy administers oxygen as a therapeutic modality wherein the oxygen supply is heightened. With a use of mask or nasal cannula, oxygen is being supplied to you.

Being well-informed about your illness most especially its treatment will give you a lot of benefit. Read a lot about how to treat bronchitis. Most importantly, talk with your physician and do not be afraid to ask questions if there are vague explanations which you cannot understand.

Bronchitis Remedy: Learn and Choose the Best

Posted by admin | Posted in diagnosis | Posted on 31-01-2009

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Bronchitis is a condition wherein air passages into the lungs are inflamed. It can either be chronic or acute. Acute bronchitis is caused by viral infection which begins in the sinuses or nose spreading to the air passages. It can be only considered a chronic bronchitis if the cough progress on the sputum for a minimum of three months within a year. Nevertheless, chronic bronchitis most often affects smokers. In some cases, COPD (chronic obstructive pulmonary disease) is diagnosed.

Both types of bronchitis display different symptoms. In acute bronchitis, wheezing, fever, fatigue, sore throat, cough producing mucus, and chest burning sensation are obvious. In chronic bronchitis, wheezing, chronic cough producing excessive mucus, inability to breath, blue-tinged lips, and swelling of the ankle, leg, and feet.

Virus causes acute bronchitis as well as bacteria. In general, acute bronchitis can be transmitted from one person to another. Chronic bronchitis is caused by cigarette smoking and long-term exposure to irritants including grain and dust and air pollution.

The doctor listens to your back and chest, examines your throat, draws blood, and takes cultures of lung secretions during check ups. If there is a possibility of COPD or pneumonia, the doctor can require you to undergo a chest x-ray.

Preventive care must be incorporated to avoid acute and chronic bronchitis. The simplest way is to keep away from irritants and air pollutants. Yearly flu and pneumococcal vaccination is advised to prevent infection leading to chronic bronchitis exacerbation or acute bronchitis.

The treatment approach also varies. Generally, viruses are cleared within seven to ten days in acute bronchitis. You can take cough medications containing expectorants, use humidifiers, and drink lots of fluids to relieve symptoms. Infections due to bacteria must be consulted first to your doctor. It is not recommended to take medicines without proper prescriptions. Most often, the doctors prescribe antibiotics. Others include bronchodilators, like Albuterol which can help in opening your airways and corticosteroids which is inhaled or taken orally to reduce inflammation and mucus. 

Changing your lifestyle is also a helpful remedy. You need to stop smoking. If possible, utilize a steam or humidifier in your bathroom. Make it a habit to drink lots of water and other fluids. If your infection is active, take your rest. Oxygen therapy at home can be also done if the levels of oxygen in your body are low due to chronic bronchitis.

Dietary and nutrition supplements are also recommended. Food experimentation can be done to see if changing your diet is effective or not in alleviating chronic bronchitis symptoms. Keeping careful records regarding how you feel. Eating dairy products should be lessened to reduce mucus production. Try avoiding milk, eggs, nuts, preservatives, additives, and food coloring. Instead, try adding garlic and onions. 

Scientific studies revealed that NAC or N-Acetyl-Cysteine can help in dissolving mucus as well as improve symptoms of chronic bronchitis. Zinc supplementation can enhance the activity of your immune system. It also protects you from infections including infections of the upper respiratory system and colds. Other supplements include bromalein, quercetin, vitamin c, and lactobacillus which also prevent the person from catching infections and relieve bronchitis symptoms.

Using herbs is proven to strengthen and treat diseases for many years. However, herbs may contain substances that are active. It may produce side effects upon interactions with other medications, supplements, or herbs. Herbs must be taken with proper prescription from a knowledgeable practitioner of herbal medications.

Barberry or berberis vulgaris helps improve immune system functions and fight infections. Eucalyptus or eucalyptus globules is good for treating common colds and coughs. Eucalyptus oil helps in loosening the phlegm. Peppermint or mentha x piperita is effective as decongestants. It contains menthol, thinning the mucus like an expectorant.  It provides calming and soothing effects for dry coughs and sore throats. Slippery elm or ulmus fulva is recognized by the U.S. FDA (Food and Drug Authority) as an effective and safe remedy for respiratory symptoms and sore throat. Stinging nettle or urtica dioica also acts as expectorants having anti-viral properties.

Homeopathy is some cases are applicable provided with standard medical attention. It is because physical, psychological, and emotional makeup of a person are taken into consideration before the procedure.

However, recovery chances of the patient are good using these remedies if bronchitis is diagnosed on each early stage.