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.

Treating Acute Bronchitis and the Use of Antibiotics

Posted by admin | Posted in medicine | Posted on 22-02-2009

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Around twenty million prescriptions for infections of the respiratory tract are written every year. The common diagnoses include URIs, otitis media, pharyngitis, sinusitis, and acute bronchitis; and take note, this is happening in the US alone. If you try to combine all prescriptions around the world, perhaps it can reach to billions.

Studies have shown that around 70% of adults and children diagnosed with acute bronchitis receive unnecessary antibiotics. Some clinical studies were documented showing primary care physicians prescribing antibiotics though literature suggests non-prescription of antibiotics in the case of acute bronchitis.

At present, there are a growing number of patients developing antibiotic resistance. Experts in the field of infectious disease claim that the scenario is rapidly increasing and that it is because of the unnecessary antibiotic prescriptions made by the physicians. If this kind of approach is duplicated over and over again, the entire world will be gravely affected.

Adult patients with acute bronchitis but with no underlying pathology are very much different from patients having COPD. The latter is usually treated with antibiotics. Since most cases of acute bronchitis are caused by viral infections, antibiotic therapy is not recommended. Viral bronchitis is characterized by purulent sputum which definitely indicates that there is no bacterial infection. With the right supportive care, acute bronchitis will disappear in a maximum period of seven days. If symptoms worsen after seven days, this is still considered as a non-viral course of action, but the patient can already use antibiotics.

Most patients with acute bronchitis complain about their non-productive and annoying cough. Physicians usually give aerosolized bronchodilators to reduce coughing. Normal patients are allowed to use bronchodilators for a couple of days.

Not all patients need antibiotics, especially in the case of bronchitis. There are however, certain exceptions to the use of antibiotics. Here are some of the situations:

1. Ten days of protracted cough – only a small number of patients having viral bronchitis develop protracted cough; and if a 48 hour trial using bronchodilator does not show cough relief, the prescription of an antibiotic is quite reasonable. The pathogens causing the protracted cough can include mycoplasma pneumoniae, bordetella pertussis, and Chlamydia pneumoniae. The pathogens mentioned are vulnerable to antibiotics such as macrolide. The most commonly prescribed antibiotic is azithromycin because it only has few side effects compared to erythromycin. You will be prescribed to continue with azithromycin for at least five days which can cost around $38.

2. Bronchitis patients with aggravating symptoms. If this is the case, the patient must be re-evaluated for possible bacterial infection. Remember that acute bronchitis is a viral infection that disappears after five to seven days; and if you observe that the symptoms are getting worse, you must tell your doctor immediately.
 
3. Patients with underlying cystic fibrosis and COPD. Patients having cystic fibrosis tend to have staphylococcus aureus, otherwise known as gram-negative infections.  Patients with COPD often need antibiotic to treat haemophilus influenzae and streptococcus pneumoniae.

4. A viral influenza outbreak can complicate how acute bronchitis is treated. This is important when the flu season begins. During this season, bacterial complications are common among adults. And if your acute bronchitis worsens after seven to ten days, you might be given an antibiotic.

These are four special cases when acute bronchitis can be given antibiotics, but under normal conditions, the prescription of these drugs must not be made.

Educating the patient is a very important matter. They often have misconceptions as to the use of antibiotics. Physicians and doctors should show their expertise and since they are the ones equipped with the right knowledge, they must educate their patients in the proper use of antibiotics. Try to tell them that not all illnesses or diseases require the use of antibiotics. Once your patients are aware of this important fact, they may not ask for any antibiotic, not unless the situation calls for its use.

As patients, you should not expect an antibiotic prescription every time you visit the doctor. Be thankful if antibiotics are not required because you can cut your medicine costs. Instead, you can use the money to buy vitamins that will make your body strong and healthy to avoid diseases such as acute bronchitis.

Tracheal Bronchitis and the New Bacteria

Posted by admin | Posted in bronchitis | Posted on 21-02-2009

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Sometimes, it can be very confusing to distinguish one illness from another. The symptoms are similar and oftentimes, misdiagnosis can occur. This is the reason why medical practitioners must be very careful in their chosen field so that they can give an accurate diagnosis, coupled with the right medication or treatment.

Bronchitis is defined as a condition characterized by the irritation and inflammation of the bronchial tubes and this is divided into different classifications, namely: acute tracheal bronchitis, chronic bronchitis (simple to complicated), and bronchiectasis.

This condition still remains to be a major threat to the health of millions of people. In the US, bronchitis ranks fourth as a leading death cause. Controlling the illness recently got complicated because of the new transformations in the illness’ nature.
A new and nasty bacteria emerged that can resist or tolerate conventional antibiotics. These bacteria are forcing doctors and physicians to re-evaluate and re-examine their practices and methods pertaining to bronchitis and pneumonia.

The researches conducted by disease specialists are not that valuable since the cultured data or bacteria are already dead by the time it is to be tested. Therefore, the specific etiology and preferred treatment course are not determined. That is why doctors and physicians are forced to focus more on their knowledge and skill about the illness. What they usually do is to conduct a physical examination that is largely based on the things that they observe or see, and they would give the proper treatment. The diagnosis made by these doctors and physicians are empiric and intuitive; but a scientific and systematic approach is still important to design an antimicrobial therapy.

Antibiotics must satisfy certain criteria such as efficacy in the treatment of bronchitis, safety, and convenience and cost-effectiveness. The ideal antibiotic for bronchitis and other respiratory disorders are those that:

- offer action against principal respiratory organisms
- pharmacokinetic
- optimal pharmacologic
- pharmacodynamic profiles
- experimental response rates are high
- tissue penetration is good
- profiles of drug-interaction
- side effects are low
- bacterial resistance is developed slowly

Amoxicillin, macrolides and cephalosporins are considered as traditional antibiotics and are greatly used in antimicrobial therapy.  Their usefulness varies, as well as incidence of resistance among bacteria.

Last 1999, gatifloxacin and moxifloxacin were released and these medications offered better options for the treatment of respiratory diseases. Since new ones are introduced, some drugs are pulled out from circulation because of their hazardous side effects.

In managing tracheal bronchitis and other respiratory illnesses, the doctors and physicians must have a great understanding of all organisms involved in the infection, and a thorough awareness of potential therapies that are quite effective. In treating tracheal bronchitis, there are various strategies being utilized.

Today, physicians are having a controversy as to what course of medication and treatment is required if the patient has symptoms of tracheal bronchitis. Generally, the patients are treated quickly. The patients are expecting that once they paid for a consultation, they are already entitled to get an antibiotic. The doctor must educate his patients and tell them that if they have a cough for a day or two, they should not rush into the doctor’s clinic. They have to wait about five to seven days. Viral infections disappear, but if your bronchitis is caused by bacteria, the coughing will continue. Then, that is the time that they should go the doctor.

In fact, most specialists recommend non-treatment if the cough doesn’t persist for at least five days. The time allows development and elimination of the viral infection that will disappear even without using antibiotics. If after such time the cough persists, then the doctor can now prescribe an antibiotic. If the patient has tracheal bronchitis and coughs (with sputum) for several days, but with no fever or pneumonia, COPD, or emphysema, it is customary for physicians and doctors to give antibiotics.

With further studies underway, perhaps new antibiotics will be developed to treat tracheal bronchitis and other classifications of bronchitis. Patients can look forward for a much better line of antibiotics to treat their condition. Let’s just hope that before those nasty bacteria settle into the bronchial tubes, new antibiotics are already available to combat them. For the mean time, prevention is the best way to combat the illness.

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.

Chronic Bronchitis and Emphysema Handbook: A Guide to a Healthy Living

Posted by admin | Posted in bronchitis | Posted on 06-02-2009

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The Chronic Bronchitis and Emphysema Handbook were written by Francois Haas and Shiela Sperber Haas. Both authors are gifted scientists besides being compassionate people.

This handbook is a bestseller in terms of guiding patients who suffer from emphysema and bronchitis. Thus, revision and expansion were done to provide the most recent information. These diseases are discussed in a way that patients can easily understand. Proper care of bronchitis and emphysema are also posted. Through this handbook, patients can restore their vitality and improve their relationship towards other people.

The authors of this handbook provide facts and useful information on finding the appropriate treatment and obtaining its full advantages. Clearly written and helpful, find out what are the contents of The Chronic Bronchitis and Emphysema Handbook.

Tips are provided on finding the best doctor. The treatment options which are very important to patients are thoroughly discussed. You will never worry about HMO’s since guidelines on dealing with them are also provided. Companies providing supplemental oxygen are listed. Even new techniques of surgery are posted to give patients wider options on how technological advances can help treat their diseases.

Anxiety and stress management are included so that patients never lose hope. Preventing symptoms of bronchitis and emphysema are incorporated to improve the quality of life of the patients. The accessibility of their wide helpful resources either by web or phone is easy. You can also read newsletters from experts keeping you informed of the latest developments associated with bronchitis and emphysema.

However, before purchasing this handbook, it is better to read some consumer’s review. In this way, you will have an idea of how useful and effective it is.

- Some people find this handbook very repugnant. It contains grim and frightening illustrations.  Thus the wicked line drawings of “blue bloater” and “pink puffer” looks like depiction of the dark ages regarding hell. People with COPD (chronic obstructive pulmonary disease) never denied the fact that they are going to face death younger than their cohorts.

- Those who are more than fifty five years old may feel that hopes are robbed from them. This handbook failed to encourage them to lead worthwhile lives. Instead they suggest reading “courage books” offering stories of dignity, capability to cope, and hope. 

- A licensed psychotherapist who read the entire book never recommends it. Some contents associated with facing anxiety and depression may damage the patients psychologically.

- Some medical doctors find this handbook a very useful tool. It is because COPD is clearly discussed in plain English. In fact, COPD sufferers can easily learn and understand facts about the disease. This is appropriate for COPD dummies.

- Some people have given their testimonials how this handbook has helped them a lot. One reviewer said that the breathing exercises found in this handbook helped his father with serious emphysema condition. His father’s heart failed to function so the doctors let him breathe through an oxygen tank to keep his heart out of fibulation. But after doing the exercises, his condition slowly becomes better until oxygen is not anymore needed.

- The 1990 handbook edition helped one of the patients who were diagnosed with emphysema. He even considered this handbook superb since it immediately toured him and learn about emphysema taking away his ignorance. The firm foundation of the handbook is the posted break through in medical advances. It includes herbal therapy and LVRS or Lung Volume Reduction Surgery. Changes in the practices associated with health insurance ensure that COPD patients can still get the best quantity and quality of treatment. 

Living with COPD can be the most overwhelming and exhausting burden. Patients as well as their caregivers may continually live in fear of air running out, their abilities prematurely dwindle, and struggle in their fragility.

Some people who are close with people with bronchitis and emphysema are usually depressed, angry, and frightened. However, doctors are treating their COPD patients in the best way possible. But the problem is that many doctors only focus on the medical aspects of treating COPD rather than giving rehabilitation.

The Chronic Bronchitis and Emphysema Handbook can help people with COPD as well as their families to achieve a more realistic perspective of the disease. This can allow them to live calmly and confidently although they have chronic bronchitis or emphysema.

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.

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.

Pediatric Bronchitis: The Scourge of Childhood

Posted by admin | Posted in bronchitis | Posted on 25-01-2009

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Bronchitis is a lower respiratory tract problem that is manifested by an inflammation and/or infection of airways which includes the trachea and larger air tubes that carry oxygen into the lungs. There are two kinds of bronchitis: acute (short-term) bronchitis and chronic (long-term) bronchitis.

Acute bronchitis is usually followed by a viral infection, primarily upsetting the nasal cavity, sinuses, and the throat and then extending to the larger bronchial airway passages. Other times, the patient may acquire a bacterial infection. This goes to show that the inflamed respiratory tract will be infested by bacteria.

Very young children, infants, children who are constantly exposed to smoke (such as parents who are smokers), and children afflicted with a pre-existing lung or heart disease are at risk of getting acute bronchitis.

On the other hand, chronic bronchitis is manifested by overproduction of bronchial mucus causing a productive cough. As the disease progresses from constant inflammation (which may exclude infection) can obstruct the flow of air into the lungs eventually causing difficulty in breathing and severe damage in the respiratory tract.

Chronic bronchitis is a category of COPD (chronic obstructive pulmonary disease). COPD is a respiratory problem that develops for a long time which will eventually hinder the patient from breathing normally causing difficulty in physical exertion and may require a supply of oxygen regularly.

Long-term contact and exposure with smokers is the main culprit of chronic bronchitis among children. Other predicaments that may cause the illness are allergies and air pollution.

To prevent children from acquiring this unfortunate disease, parents and/or guardians must teach proper hand washing to keep away from the spread of bacteria and viruses that causes bronchitis; reduce the incidence of exposure to air pollutants; and it is also recommended to get a flu vaccine. Quitting from cigarette smoking will very much help you and your loved ones from being afflicted with respiratory problems.

Both types of bronchitis have the same set of symptoms:

? easily tired
? wheezing
? difficulty in breathing which is worsened even by mild physical exertion
? chest aches
? cough with mucus ( if the mucus is blood streaked, then it is advisable to consult your paediatrician)
? rales (abnormal sounds heard in the lungs through the use of a stethoscope)

Tests to diagnose bronchitis may include the use of pulse oxymetry, arterial blood gas, pulmonary lung function tests, chest x-ray, and sputum or mucus analysis and evaluation.

If left untreated or under treated, bronchitis may progress into other forms of respiratory ailments such as pneumonia, emphysema, right sided heart failure, and pulmonary hypertension.

In any case, when there are no other infections present in acute bronchitis, it is treated just like the common cold. Treatment may include intake of lots of fluids, complete rest, use of humidifiers, and medications like Tylenol for fever and pain. Bear in mind that aspirin is contraindicated with children due to its association with Reye’s syndrome.

If the child is experiencing dry cough, then it is advisable to give cough suppressants for comfort’s sake. But if the cough is productive (with mucus or sputum) then it is best if the sputum be expectorated naturally. This is because the cough helps to bring out the mucus and other irritants from the lungs. When coughing is restrained, the sputum or mucus build ups in the already obstructed airways and can become a hotbed for bacterial pneumonia.

To induce coughing, expectorants may be used. These medications assist the child afflicted with bronchitis by thinning out the mucus in the lungs. To make sure of what type of medication is best for your child, it is best to consult your pediatrician.

Antibiotics on the other hand are prescribed to battle bacteria-caused bronchitis. It is imperative that the patient take the medication regularly as prescribed to avoid relapses. Children below eight years old are generally prescribed with amoxicillin instead of tetracycline. Tetracycline is contraindicated because it tends to create a discoloration in the teeth that has yet to come out in children.

As for chronic bronchitis, treatment will depend on the stage of the disease. In a child’s case, a change into a healthy environment is best indicated in addition to supervised exercise. Medications may include bronchodilators, which relaxes the bronchial tubes allowing easy flow of air into the lungs. Anti-inflammatory medications are also utilized which reduces swelling in the respiratory tract. If, unfortunately, the disease advances the child may require supplemental oxygen.

In all cases of diseases, prevention is still better than the cure. Parents who are health conscious should quit smoking to both protect their own health as well as their children. Also avoid places that are heavily polluted and eat a lot of nutritious food. The flu vaccine may also help in preventing such illnesses that causes disruptions to day to day living. Just remember to stay healthy!

Will my lungs repair themselves after quitting smoking and how long does it take?

Posted by admin | Posted in lungs | Posted on 22-01-2009

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I recently quit smoking and I'm very proud of myself because it was the hardest thing I have ever done. Now that I think I'm in the clear from going back to it, I'm wondering if my lungs will undue the damage I have done to them and how long it will take. I smoked for about 19 years.

Congratulations!

There are three general areas of damage caused by cigarettes:

- Functional problems. Things like no taste, no smell, hacking cough, energy level will return within a few days after quitting smoking.

- Cancer and heart disease. The risk of cancer drops gradually after quitting, and levels out after about 5 years at only slightly more than the average person. In other words, if you quit for at least 5 years and don't get cancer in that time, your chances of getting it are then only a little more than the average person. Similar arguments hold for your risk of heart disease.

- COPD (chronic obstructive pulmonary disease) - Emphysema, which is destruction of the walls of the alveoli, will never recover, but it will get worse with continued smoking. Chronic bronchitis, which is damage to the walls of the bronchioles, will sometimes get better, but again, it will get worse with continued smoking.

If that's not reason enough to quit smoking I don't know what else is. Good luck and congratulations again!

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