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.

Watch Out for the Sign of Bronchitis

Posted by admin | Posted in bronchitis | Posted on 20-02-2009

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Each person is looking for a sign that may have a significant meaning to his life. When he wants something and is not sure whether he will pursue it or not, he would usually stop and ask for a certain sign. Even when the Lord Jesus was born, the sign was a star that led the magi to his manger. Different signs for different events or happenings take place everyday.

What if you have a disease or illness? Will you still be asking for a sign? Naturally, a person will exhibit some sort of signs or symptoms associated with the disease. There are many diseases known all over the world; and each disease or illness has their own signs and symptoms.

Bronchitis is a common respiratory disease that affects millions of people in the entire world. Though oftentimes it can be misdiagnosed, medical practitioners are trying their best efforts to give an accurate diagnosis based on the signs shown by their patients. There are two types of bronchitis, acute and chronic bronchitis.

Acute bronchitis is a mild or moderate form of bronchitis while chronic bronchitis is a severe condition that needs appropriate medication and treatment. Each type of bronchitis can be easily determined by physicians or doctors because of the different signs and symptoms exhibited by the patient.

Acute Bronchitis Signs

- similar to that of cold symptoms
- wheezing
- painful cough
- chest and throat pain
- fever
- coughs up pus
- generally unwell

Chronic Bronchitis Signs

- productive and persistent cough
- excessive mucus secretion in airways
- mild fever and chest pain
- breathlessness
- has acute bronchitis episodes
- winter cough that disappears in summer

Bronchitis shows signs similar to other upper infections of the respiratory tract which includes soreness, burning feeling or constriction in the chest, congestion, sore throat, wheezing, breathlessness, overall malaise, chills and with slight fever. This is why bronchitis may be misdiagnosed for other respiratory infections like chronic sinusitis because the signs felt by the individual are very similar. Chronic sinusitis is an infection in your nose’ bone, and one of its signs include a green or yellow, thick postnasal discharge coupled with unceasing cough. This is usually triggered when an individual tries to clear mucus from his or her throat.

Signs of bronchitis are impossible to detect, especially that of acute bronchitis as the respiratory system has constricted contractions. If acute bronchitis remains untreated, in time complications may occur that can bring about chronicisation and asthmatic bronchitis. Adults, children, and newborns suffering from emphysema are at a great risk.

A premature treatment or diagnosis can manipulate negatively the establishment of signs and symptoms. If you want to improve the signs of bronchitis, you must do physical exercises like aerobic exercise. This is helpful in sustaining breathing after you’re cured of bronchitis. Bronchitis patients need to do a lot of normal walking exercises. There are also cardio exercises that you can perform to ameliorate breathing, fortify muscles, and calm the bronchitis patient.

When you already have bronchitis, whether acute or chronic, you should refrain from eating dairy products because these things increase mucus secretion and can aggravate the infection. By eating dairy products, the bacteria multiply quickly.

If you want to further improve the bronchitis signs that you feel, you can use pepper, garlic, and stock (from chicken) especially if you have acute bronchitis. This aids in the dilution of mucus, as well as its elimination. You can also put yourself under eucalyptus therapy to calm the irritation in your lungs and bronchial tubes to improve respiration. Apply warm compresses and take warm baths to clear mucus and help in stabilizing the breathing process. And if you’re a smoker, you’d better quit as soon as possible and take the necessary precautions. Also try to avoid second-hand smoke because it’s even more harmful.

Signs and symptoms of diseases serve as a warning to patients having the illness. Once you do experience some of the signs, then you can immediately seek the help of a physician or doctor. This way, you can prevent complications and be able to treat the disease at an early stage. Look for a reputable and experienced doctor to get the proper diagnosis.

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.

Is Bronchitis Contagious: Clearing Your Mind from Doubts

Posted by admin | Posted in bronchitis | Posted on 15-02-2009

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Learning about the issues concerning chronic and acute bronchitis progression can answer your question if it is really contagious.

Chronic bronchitis is the infection and inflammation of mucosal membranes and bronchial tubes, which generates excessive mucus production. These high levels of mucus production in the person’s respiratory tract are only the inflammatory response of the body to the bronchial infection and irritation. Excess mucus disturbs the normal respiratory process by reducing significant amounts of air going to the lungs. The chronic bronchitis symptoms include difficult breathing, breath shortness, wheezing, discomfort, chest pain, and cough produced by mucus.

Chronic bronchitis can generate time-persistent and recurrent symptoms which can intensify as its progresses. Chronic bronchitis displays characteristics of productive coughs, greater susceptibility to respiratory tract’s viral and bacterial infections, and little responsiveness when treated by medications. Chronic bronchitis can last for tree months or more and reoccurs after two years. Today, there is still no specific treatment for chronic bronchitis.

Compared to sufferers of acute bronchitis, patients who are diagnosed with chronic bronchitis never respond to antibiotics treatments that well. The excess mucus in the bronchial tubes can facilitate bacterial proliferation and other organisms which causes infections. The disease can become very severe on the area where infections occur. Cilia barriers or the respiratory system’s natural defenses are ineffective to antibiotics for curing chronic bronchitis completely. Thus treating chronic bronchitis is focused on relieving the existing symptoms to prevent further development of other complications.

Patients in their incipient stages of chronic bronchitis perceived symptoms usually at night or in the morning. Patients who have advanced chronic bronchitis suffer from inflamed respiratory tract because of mucus obstruction. This condition generates persistent and intense cough or also known as the “smokers cough”. Sufferers of chronic bronchitis can also acquire pulmonary problems and may develop severe lung diseases such as emphysema and pneumonia.

As time goes on, patients with chronic bronchitis may experience poor blood oxygenation and hypoventilation or accelerated, shallow breathing. Complicated chronic bronchitis may also result to cyanosis or a condition wherein the skin turns bluish suggesting that pneumonia or emphysema is present.

Smoking alone cannot be considered as the main cause of developing chronic bronchitis. However, the illness occurs in most cases on regular smokers. Keep in mind that smoking contributes greatly on bacterial proliferation slowing down the process of healing the respiratory organs and tissues. Sometimes, asthma is often linked with chronic bronchitis due to similarities of symptoms. But patients who suffer both from chronic bronchitis and asthma may experience relapse of symptoms and shows unresponsiveness to medical treatments.

In some cases, chronic bronchitis becomes the consequences of mistreated or untreated acute bronchitis and other diseases associated with respiratory system. Chronic bronchitis is also caused by too much exposure to airborne pollutants such as chemicals and dusts.

Acute bronchitis is general are caused by infections of the lungs. Ten percent of these infections are bacterial in origin, ninety percent are viral. However, chronic bronchitis is caused by more than one factor. Acute bronchitis which repetitively attacks a person can irritate and weaken the bronchial airways resulting to chronic bronchitis.

Another culprit of chronic bronchitis is industrial pollution. Higher rates of patients are metal molders, grain handlers, cola miners, and works with continuous exposures to dusts. High sulfur dioxide concentrations present in the atmosphere also worsen chronic bronchitis symptoms. However, if it is an asthmatic bronchitis, it is not contagious.

Bronchitis can be contagious if the bacteria and viruses are transmitted to another person by indirect or direct contact. The fluid from the nose or mouth of the infected person can spread out by coughing, sneezing, sharing the same utensils and drinking glasses, and touching handkerchiefs or tissues. 

Bronchitis caused by viral colds is not considered contagious because the virus can finish its cycle for a few days. But patients with bronchitis, who still display cold symptoms, can be contagious. If the person is sick for more than ten days, then you don’t have to worry since it is only the aftermath resistance of bronchitis. But if the condition never yet exceed the ten day period, then it is contagious. Beware of catching particles when the patient coughs because you can be inflicted with the virus. The viral infection caused by flu and colds are contagious. Healthy people should never worry but needs extra care.

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.

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.