BronchitisWhat are the Symptoms and Treatments

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.

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.

Cough and colds are considered ordinary illnesses by many individuals. However, it is unusual if it persists for more than a week. It may be something else. It may be bronchitis. 

Bronchitis is a respiratory condition wherein the bronchial tubes are irritated and swelled which is most of the time is accompanied by pain.

There are two types of bronchitis – acute and chronic. A viral infection is the primary cause why an acute bronchitis develops. It usually arises after a sore throat or cold and last for one to two weeks.

You need to watch out for the following symptoms of acute bronchitis:

? Throbbing Cough – a cough is an abrupt and recurring contraction of the thoracic cavity which produces a distinct sound.
? Runny nose – studies show that a runny nose is a mere irritation to an individual who has acute bronchitis. When you are inflicted with a runny nose, gently blow from your nose.
? Wheezing – there is obscurity in breathing with a distinct wheezing sound.
? Sore throat – this is a pain or scratchiness in one’s throat.
? Recurrent headache – this is a condition wherein pain is felt in the head. Sometimes pain can be felt in the neck or upper back.
? Chills – with this condition you may feel cold with quivering and paleness. There are instances that chills are accompanied by a sudden increase in temperature in the body. 
? Slight fever – sometimes termed as “pyrexia,” wherein there is a raise in the temperature of your body. A fever is considered slight or low grade if it falls between 38 to 39 °C.
? Malaise – this is a general term to describe an individual’s uneasiness, fatigue or ill health.
? Back pain – this is a condition where there is the presence of soreness in the back area which occur from the bones, nerves, muscles or joints. 
? Muscle pain – medically termed as “myalgia,” wherein there is soreness in the muscles in your body. 

Chronic bronchitis is the other type of the said illness. Compared to acute, when an individual has chronic bronchitis it denotes that the he has too much phlegm in the air passageway causing a successive and prolific cough. After three months of successive and prolific cough and other related symptoms, then you are most likely positive for a chronic bronchitis.

The above-mentioned symptoms of acute bronchitis are also applicable for chronic bronchitis; however the symptoms are more severe. Apart from the above-mentioned symptoms, here are the distinct symptoms of chronic bronchitis: 

? Cyanosis – it is a condition wherein the skin turns into a bluish color. The bluish color is due to the presence of “deoxygenated hemoglobin” in the vessels of your blood. 
? Edema – it is a condition where an organ or tissue swells because of excessive fluid in the lymph. Feet and ankles are the most common sites for edema to occur. 
? Heart failure – it is a condition where there is function disorder in the cardiac which results to the inability of heart to pump adequate amount of blood throughout the body.
? Clubbed fingers – it is a condition associated with heart and lung problems wherein the fingers and fingernails are deformed.
? Dyspnea – it is a condition where you will experience difficulty and shortness in breathing. 
? Shortness of breathing due to exertion (exercising or overworking)
? Too much airway mucus secretion
? Abnormal lung signs
? Repeated infections in the lungs and respiratory tract

There are some symptoms of bronchitis which resembles other respiratory problems. With this regard, it is best to consult with your physician to identify if you are indeed suffering from either acute or chronic bronchitis. Your physician will then assess your medical history as well as evaluate the physical exam he will do. To further assess the condition, other tests may be prescribed by your physician. 

An ordinary cough or cold should not be taken for granted; it must be cured as soon as possible to prevent other severe illnesses such as bronchitis to occur. You are one unfortunate individual if you will be inflicted with chronic bronchitis since there you will have to undergo long-term treatment. Medical studies show that there is no cure for chronic bronchitis.

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Bronchitis is a common respiratory disorder that can occur to any age. It is usually associated with flues and colds. When the complication is left uncured, this can lead to pneumonia. Bronchitis attack the immune system of a vulnerable person especially the smokers.

Bronchitis can be classified as acute bronchitis or chronic bronchitis, depending upon the span of the occurrence of the symptoms. Pulmonary specialists give detailed diagnosis and the treatments to particular types of bronchitis.

Acute bronchitis has the shorter duration of symptoms. It is accompanied by symptoms like flu, persistent cough, difficulty in breathing, congestion, and wheezing. The wheezing sound is common to people suffering from acute bronchitis. This occurs when the air in the bronchial tubes are hindered by the inflammation.  Acute bronchitis can either be caused by bacteria or viruses. These elements infect the breathing passages, thus constricting the proper function of the respiratory system.

However, acute bronchitis can be cleared up for days.  With proper medication and sufficient treatment, the patient suffering from acute bronchitis can be cured.

On the other hand, chronic bronchitis is the long term occurrence of the symptoms. It can last for some months or even years. Certain environmental factors can trigger the chronic bronchial infection such as dust, certain odor and cigarette smoke. Unfortunately, not only the smokers are exposed to bronchitis, but those who can inhale their spute out.

Chronic bronchitis also requires intense and persistent treatment until the full recovery of the patient. If this ailment is not properly addressed, the symptoms can reoccur and even aggravate to a certain degree of complication. The treatment of chronic bronchitis shall depend on the triggering factor.

In any manner, bronchitis has primer symptoms. These are coughing, excessive mucus, fever, pains in the chest, inflammation, discomfort, and wheezing. The symptoms of bronchitis can also lead to other respiratory problems such as sinusitis, asthma and complicated pneumonia.

Although bronchitis is a common respiratory disease, it is also often misdiagnosed. Because of this, Para clinical and physical examinations must be conducted in order to establish the accurate diagnoses. With the help of the laboratory analysis and pulmonary tests, the most vital signs of bronchitis become eminent.

In any case, bronchitis must be given attention before its further damage. When the cause of the infection is bacteria, antibiotics can work best to cure this respiratory illness. Fever is a chief indication that the bronchitis is due to bacteria. About 80% of patients prescribed with antibiotics can successfully find relief in five to ten days. However, only the physician can prescribe the right medication according to the diagnosis and laboratory tests. It must be noted that the improper administration of antibiotics can harm the patient.

Antibiotics have reported side effects such as diarrhea, rashes and abdominal pains. These side effects cannot be neglected as they can cause another set of discomfort to the patient. Nevertheless, they can be accepted during absolute necessity and the useful effects are denser.

When bronchitis is caused by viruses and other agents, antibiotics don’t work. The only way to deal with such case is to rest longer, maintain the patient’s humidity at a higher level, and keep the body hydrated by taking in more fluids. This will last for some days and if the symptoms persist for two weeks, a doctor must already be called. The condition could have drastically stirred to become pneumonia or asthma bronchitis.

Other than bacteria and viral infections, there are other causes of bronchitis. These are the obstructions in the bronchial tubes due to the inflammation in the respiratory tract, organs, tissues and mucous membranes. Because of the irritation, the secretion of mucus is increased. The mucus gather in the bronchial tubes causing the difficulty in breathing, coughing and the wheezing sound.

Bronchodilators are drugs administered to those who had difficulty in breathing. They help in reestablishing the respiration process. They are mostly used for patients suffering from chronic bronchitis and asthma.

Indeed, it is important to know the cause of the bronchitis. Such knowledge will lead to the proper treatment of the illness. While certain medications can be administered to the patient as first aid measure, the doctor must still be consulted. It is also proper to notify him about those medications given to the patient.

When the inside layer of your bronchial tubes begin to swell, you are most likely to develop bronchitis. Once this happen, your air passageway will be filled with mucus or phlegm. 

Bronchitis itself cannot be cured. What you need to do is treat the symptoms of bronchitis as well as alleviate the discomfort and pain which comes with the symptoms. 

These days, there are suggested and prescribed medicines to combat bronchitis.

Antibiotic

Antibiotic is used to slow down or destroy the development of bacteria. Recently, medical studies show that Telithromycin is an alternative choice to treat bronchitis.

It is believed that antibiotics help relieve the symptoms which come together with bronchitis such as reducing cough and colds.

There are adverse side effects if your body is not used to taking antibiotics such as irritated stomach, loose bowel movement, and skin irritations and to some extent seizures.

Bronchodilators

Bronchodilator is a medication which is breath into the mouth to treat bronchitis. This is done to open the bronchial tubes or the air passageway of the lungs. Some of the common brand names of this drug are Ventolin, Albuterol and Primatene.

Such medicine may act to give short or long term effect to the one taking it. Short effects aim to give speedy aid from the discomfort and pain. On the other hand, long-term effects help control and on some cases put off symptoms.

The amount of dosage varies from one patient to the other, depending on the severity of bronchitis. Your physician will prescribe you the proper dosage which you will need.

The possible side effects once this medication was taken may include nervousness, tremors in the muscle, fast heartbeat and queasiness.

Corticosteroids

Corticosteroids belong to the group of “steroid hormones.” This type of medication is utilized to help the patient suffering from bronchitis breathe easier.

Intake of this drug comes into two different forms. It can be given by mouth or it can be given intravenously.

Use of this medication has long-term side effects such as persistent infections, thinning of the skin, ulcers, and to some extent osteoporosis and cataracts. On the other hand, short-term side effects of Corticosteroids may include increase in weight, mood swings and increase in blood sugar and blood pressure.

This type of medicine should be taken under a direct and close supervision of your doctor.

Cough Suppressants and Expectorants

A cough suppressant is given to individuals who are suffering from bad cough without congestion in their nose. “Dextromethorphan” is an active ingredient of most cough suppressant. Some examples of cough suppressants are Vicks Formula and some Robitussin products. 

Over dosage of cough suppressants may result to vomiting, irritated stomach and sleepiness. 

Alternatively, cough expectorants works in a way wherein it thins the mucus which blocks air passageway. With cough expectorants, it is uncomplicated for you to cough. “Guaifenisin” is the major ingredients in cough expectorants which come in several brand names.  

You may encounter the following side effects upon intake of some cough expectorants which may include vomiting, headache, faintness and skin rashes. 

Although cough suppressants and expectorants can be readily bought over-the-counter, it is still best to consult a physician for prescription which will be suited to your condition.

Ibuprofen

Most physicians prescribe Ibuprofen to alleviate the discomfort and pain experienced by someone who is suffering from the symptoms of bronchitis. Some of the common brand names of Ibuprofen are Advil, Midol and Motrin.

Taking too much of this drug can lead to side effects which may include tight bowel movement, bloating, faintness, anxiety and a feeling of buzzing in the ears. 

Mucolytics

Mucolytic is a type of medication which liquefies thick mucus so that an individual suffering from bronchitis will have a reduced difficulty in breathing.

Some major types of mucolytics are referred to as “acetlycysteine, carbocisteine, and methylcysteine hydrochloride.”

If you are not attuned with this type of drug, you may develop the common side effects such as abrupt stiffness of the air passageway, fever, vomiting and sleepiness.

There are a wide variety of medicines to treat bronchitis or the symptoms causing the said illness. However, you should not instantly take the said medications without consulting your physician. By doing so, you will avoid possible side effects which can harm your life.

There are basically two kinds of bronchitis, acute and chronic bronchitis. These two may have the same last names but they vary from their causative effects and treatment prescribed to control the diseases.

Acute bronchitis is a short-term illness that becomes rampant during the cold seasons. It is usually followed by a viral infection and can go together with a bacterial infection. Acute bronchitis is self-limiting which clears itself within fourteen days but the cough may continue. Like any other upper respiratory tract infections, having acute bronchitis can raise chance of developing pneumonia.

People who are at risk of getting acute bronchitis are infants, very young children, and the old adults. This is due to the fact that infants and very young children still have underdeveloped immune systems, while the old adults, on the other hand, have immune systems that have become weaker due to ageing. Other group populations who are at risk are smokers and those with preexisting lung and/or heart ailments. People who are often exposed to pollution are also at risk of being afflicted with acute bronchitis.

Chronic bronchitis is also an inflammation of the respiratory tract with an accompaniment of phlegm expectoration and coughing. But in chronic bronchitis, the signs ands symptoms are at hand for no less than 3 months for two successive years.

Chronic bronchitis may be caused by the inhalation of respiratory airway irritants. Airway irritants may be in the form of cigarette smoking or pollution or a combination of both. Because this disease advances gradually, middle aged individuals and the elderly are expected to be diagnosed with this malady.

The main objective for the treatment of both acute and chronic bronchitis is to alleviate the symptoms.

For acute bronchitis, treatment consists of lots of intake of fluids, quitting smoking, taking a break, humidifying the home environment, and medications (in case of fever and pain). Acetaminophen is the most prescribed medication to fight pain and fever. Another is aspirin, but this is contraindicated for children and pregnant women due to the fact that this drug is suspected to be the cause of Reye’s syndrome among children. For women, it may cause severe bleeding.

Anti-cough medicines are taken when the sufferer experiences dry cough (cough without phlegm). But if the individual is experiencing cough with phlegm, then it should be left as it is and let the phlegm come out naturally. This is because if cough is suppressed and the phlegm is contained within, then it will eventually accumulate in the air passages which will cause an obstruction and may become a hotbed for dangerous microorganisms.

Expectorants, on the other hand, are medications that help liquidify or thin out the thick mucus in the lungs to make it easier to cough out.

Moreover, if the physician has detected a bacterial infection then an antibiotic medication may be prescribed. Intake of antibiotic medications should be done religiously as the physician ordered because any lapse may only cause the return of the disease or worse, the bacteria may produce a strain that could become immune to the medication.

Antibiotic medications may include the following:
? azithromycin
? trimethoprim or sulfamethazole
? clarithromycin
? tetracycline or ampicillin
? amoxicillin (for children below eight years of age due to the fact that tetracycline causes discoloration on the teeth that have not come out)

As for chronic bronchitis, treatment is a bit more multifaceted than acute bronchitis. The physician would need to carefully evaluate the patient for other health problems before a treatment plan can be employed to control the disease. Including in the treatment plan are changes in lifestyle that will involve stoppage of smoking and keeping away from polluted environments. Regular exercise may also help in the control of the disease.

Medications for chronic bronchitis include anti-inflammatory medications and bronchodilators. Anti-inflammatory drugs decrease the inflammation in the respiratory tract tissues.

The following are commonly prescribed anti-inflammatory drugs:
? Corticosteroids (i.e. prednisone, can be taken either as an oral medication or through IV)
? Ipratropium (also reduces the amount of mucus produced)

Meanwhile, bronchodilators help loosen up the bronchial muscles which then permits increase air flow in the respiratory passages. These can be taken in orally or by inhalation through a nebulizer (an apparatus that transport medication to the respiratory tract). Bronchodilators may include the following:
? metaproterenol
? albuterol

With the advancement of chronic bronchitis, the individual afflicted may eventually require supplemental oxygen. And in the later stages of the disease, the patient may need to be in the hospital if he or she developed severe complications.

In addition to conventional medications, herbal medicines can be also included in the treatment plan. Herbal medicines may be inhaled (like eucalyptus) or taken as tea made from mullein or Verbascum thapsus, coltsfoot or Tussilago farfara, and anise seed or Pimpinella anisum.

There are numerous medications out there and it is best to consult the physician to know which drug can best help treat and/or control bronchitis.

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!

Bronchitis is an ailment of the airways manifested by the existence of sputum production and cough for at least three months in each of two successive years. From the name itself, bronchitis is the inflammation and infection of the bronchial tree. The bronchial tree is composed of tubes that bring air to the lungs. When these get inflamed and infected, the tubes swell and produce thick mucus inside of them which makes it difficult to breathe.

There are basically two kinds of bronchitis: acute (meaning short term) bronchitis and chronic (meaning long term) bronchitis. Acute bronchitis is mainly caused by viruses and bacteria. Chronic bronchitis on the other hand is caused by smoking or environmental pollutants that causes an irritation on the airways.

During pregnancy the woman’s body undergoes a lot of changes. Her body now consumes oxygen and nutrients not just for her own well-being but for the baby inside her as well. The health of a pregnant woman with respiratory problems can be quite a predicament for physicians. There are major factors that are involved when dealing with the health of pregnant women such as their anatomical and physiological alterations to pregnancy, balancing both fetal and maternal needs, and the pregnant woman’s vulnerability to diseases. Although there may be modifications in the care of pregnant women with respiratory health problems, such as, bronchitis, management and treatment of the said health predicament is similar to those of nonpregnant individuals.

Respiratory health problems have the possibility to get worse in pregnancy because of the rising uterus tends to squeeze the diaphragm, decreasing the dimension of available space in the lungs and the size of thoracic cavity just when lung function is essential to supply sufficient oxygen exchange for the mother and the fetus.

Moreover, histologic evaluations of the upper respiratory tract during pregnancy expose hyperemia (increase amount of blood), glandular hyperactivity (increase workload of the glands), increased mucopolysaccharide content, and increased phagocytic activity. These alterations seem to be caused by the increase in estrogen levels. As a result, pregnant women experience nose bleeding and nasal stuffiness.

Being knowledgeable enough about the changes in respiratory physiology among pregnant women is crucial to their care and management when they become affected by a respiratory disease. As you may well know, these changes permit the mother-to-be to meet the metabolic needs of the unborn child.

The following are signs and symptoms of bronchitis:

? Fatigue
? Low grade fever
? Chest aches
? Wheezing
? Labored breathing or dyspnea which is worsened by physical exertion
? Cough with sputum or mucus
? Rales, these are abnormal lung sounds that can be heard in the lungs through the stethoscope

To diagnose the disease, tests are utilized by the doctors in addition to the obvious signs and symptoms in the confirmation of the disease such as pulmonary lung function tests, pulse oxymetry, arterial blood gas, chest x-ray, and sputum examinations

Treatment for bronchitis in pregnant women is similar to those individuals who are not pregnant. In any case, if the disease is caused by a virus then an antibiotic is useless (which is prescribed for bacteria-caused bronchitis). Acute bronchitis is usually self-limiting and may clear out within a week. General treatment is comprised of complete rest, lots of fluid intake, use of humidifiers to clear out the lung congestions, and avoiding air pollutants such as smoking. Although aspirin is prescribed to common individuals, pregnant women are not allowed to take this since it can cause bleeding and may induce complications.

Furthermore, prevention is still better than the cure. And being in a vulnerable state, pregnant women should always be careful with their bodies like always wash their hands (to avoid bacterial or viral bronchitis) and stop smoking or avoid smokers. It is also recommended that pregnant women obtain a flu vaccine especially if they are going to be pregnant during the influenza season.  Although the vaccine will not wholly prevent the woman from getting afflicted with bronchitis, it will at least shield her from certain strains of virus caused respiratory illnesses.

Any respiratory predicament can create serious damage to the unborn child if allowed to progress until the mother’s oxygen- carbon dioxide exchange is altered and heavily compromised.

My mother has emphysema, and only recently quit smoking. Trouble is, since quitting, her health seems to be deteriorating. She's had problems with pain in her legs (she's also extremely sedentary, but this is the first time she's complained of pain), she feels far more fatigued, and though she was short of breath before, it's far more noticable now. Her cough is almost constant, and - as she terms it - exhausting. I'm looking for several things out of this question:
1) Are these symptoms "normal" for nicotine withdrawl in someone with emphysema?
2) Shoud we expect other symptoms?
3) What medicines or holistic remedies are recommended?
4) Is there anything that *I* can do to help her?

Thanks for your time!

Emphysema can not be reversed. The physical withdrawal is just hard and may cause a person who does not feel well and is inactive to be more aware of the discomfort. Just like you can work through pain if you are engages in something more interesting. I know 2 people who swore that their allergies got worse when they quit smoking - the theory being that the tar had been coating the lungs and keeping the allergens out. Sounds like crap to me, but they insist, so take it at that.
Just be supportive and upbeat, you have no control in this.

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