Subscribe
72
Wang Xiang Yu
Pulmonology
About me
Loudi Central Hospital, Department of Respiratory Medicine, attending physician, has been engaged in clinical work in respiratory medicine for many years, and has rich clinical experience in the diagnosis and treatment of respiratory system diseases.
Proficient in diseases
Specializes in common respiratory diseases such as upper respiratory tract infections, pneumonia, chronic bronchitis, emphysema, and tuberculosis.
Voices
Does acute bronchitis cause fever?
First, we need to know that acute bronchitis refers to the acute inflammation of the bronchial mucosa caused by biological, physical, chemical stimulation, or allergens. The main symptoms in most patients are cough and expectoration. The cough usually presents as a dry cough or a small amount of viscous sputum. Over time, the amount of sputum may increase, or the cough may worsen. A small proportion of patients may have bloody sputum. The cough and expectoration can last for two to three weeks, and in very rare cases, some patients may develop chronic bronchitis if the condition does not resolve. However, for most patients, the primary manifestations are still localized, that is, symptoms like cough and sputum. Systemic symptoms, such as fever, generally present mildly.
Does bronchiectasis cause fever?
Patients with bronchiectasis generally do not have a fever. However, if there is an acute exacerbation of bronchiectasis or if there is an additional infection, they might develop a fever. In cases where patients with bronchiectasis exhibit a fever, it generally indicates an infection or that their condition may be more severe compared to those without a fever. Under such circumstances, anti-infection treatment might be required. Moreover, the duration of the fever and its maximum intensity can reflect the severity of the infection to a certain extent.
What department should I go to for pneumothorax?
What department is pneumothorax treated in? For pneumothorax, we commonly see patients first in the emergency department, as the onset of pneumothorax is generally very sudden and the condition can be quite severe. The patient may suddenly experience difficulty breathing, and in most cases, this breathing difficulty is severe. Therefore, patients typically start by seeing the emergency internal medicine department. The doctors there will assess the patient’s condition and will consult with thoracic and cardiovascular surgery and respiratory medicine. If a closed thoracic drainage tube is needed, our surgeons will immediately perform the drainage. If the patient can be treated conservatively, they are usually then transferred to either respiratory medicine or thoracic and cardiovascular surgery for further treatment.
Can bronchial asthma be cured?
Bronchial asthma, to this day, cannot be completely cured. Many places claim under the guise of traditional Chinese medicine or ancient secret recipes that bronchial asthma can be fully cured, but these are false advertisements. So far, bronchial asthma is a manageable disease. Being manageable means that it can be treated; standardized treatment can make its recurrence quite rare, but it still cannot be completely cured. This means that once someone has bronchial asthma, they must understand that it is a lifelong disease, potentially recurring throughout life, and they need to manage it long-term.
Asthma belongs to what department?
When we talk about asthma, we generally refer to bronchial asthma, which is a respiratory system disease. Therefore, the primary department to consult is, of course, the Department of Respiratory Medicine. If an asthma patient's condition is relatively stable, they can see a respiratory specialist through outpatient services. In hospitals without a Department of Respiratory Medicine, such as community health service centers or township health clinics, they can choose to see a general practitioner, also known as an internist. If an asthma patient suffers an acute attack of bronchial asthma and the condition is critical, they must then visit the Department of Emergency Medicine. The emergency department will decide based on the patient’s condition whether they should be kept for observation in the emergency room, be admitted to the general respiratory department, or be sent to the ICU for further emergency treatment. Additionally, there is another type of asthma known as cardiac asthma, which is a cardiovascular disease. The first choice for these patients is to see a cardiologist, although in severe cases, they should visit the Department of Emergency Medicine.
Chronic bronchitis auscultation characteristics
Most patients with chronic bronchitis, for the most part, show no abnormalities upon lung auscultation. This means their breath sounds are relatively clear, without diminished or enhanced breath sounds, nor any dry or wet rales typically heard. This is the case for the majority of patients; however, a small number of patients during acute exacerbations might present with some dry or wet rales at the back or the base of the lungs. Moreover, these rales may disappear after the patient coughs, indicating that in chronic bronchitis, the sounds heard upon auscultation can change and are not constantly present. You might hear dry or wet rales one moment, and after the patient coughs or receives treatment, these sounds could potentially alleviate. Additionally, if a patient with chronic bronchitis starts to wheeze or develops asthma, they might exhibit sounds such as wheezing or prolonged expiration.
Chronic bronchitis radical cure medication
First, we still need to know what chronic bronchitis is. The medical definition of chronic bronchitis is chronic non-specific inflammation of the trachea, bronchial mucosa, and surrounding tissues. Here, we emphasize the chronic process, and the diagnostic criteria generally require that the condition persists for more than three months each year, for two consecutive years or more. Since the definition of the disease strongly emphasizes the chronic process, we must understand this disease and accept this fact. The symptoms of chronic bronchitis can last a long time and may recur throughout a person's life. So far, we have not found a cure for chronic bronchitis. Therefore, patients with chronic bronchitis do not need to believe those false advertisements, nor should they pursue a cure for chronic bronchitis and use antibiotics long-term, as these are not advisable approaches.
Can chronic bronchitis be treated?
Chronic bronchitis, commonly known as "chronic obstructive bronchitis," is treatable. The primary symptoms of chronic bronchitis are coughing and expectoration. If the disease occurs for more than three months each year, for two consecutive years, while excluding other organic diseases, chronic bronchitis can be diagnosed. Treatment for chronic bronchitis is divided into two parts. During acute exacerbations, which typically present with worsened coughing and expectoration, increased sputum volume, or the presence of purulent sputum and possibly accompanied by wheezing and fever, the main treatment is anti-infection. The primary medications for anti-infection are antimicrobial drugs, which include macrolides, quinolones, cephalosporins, etc. Additionally, treatment can be aimed at alleviating symptoms of coughing and expectoration and might include expectorants and cough suppressants, such as ambroxol. For wheezing, medications like aminophylline or nebulized treatments may be necessary. Most of the time, patients with chronic bronchitis are in a remission phase. The primary treatment here initially involves addressing known triggers, such as insisting smokers quit and minimizing exposure to dust or harmful gases at work. Chronic bronchitis patients are encouraged to exercise moderately, strengthen their physique, and prevent colds. For patients who experience repeated respiratory infections, vaccination or immune modulators, such as BCG, may be considered. Always follow a physician’s guidance regarding specific medication use.
What department should I go to for asthma?
The asthma we usually talk about mainly refers to bronchial asthma, which is a respiratory system disease. The most suitable department to consult for bronchial asthma is the department of respiratory medicine, and in places where no specific department of respiratory medicine exists, the department of general internal medicine can be consulted. However, the precondition for consulting these departments is that the patient's condition must be stable. If a patient with bronchial asthma experiences a severe acute attack and has serious breathing difficulties, they must seek treatment in the emergency department. Additionally, some types of asthma refer to cardiac asthma, which, as the name suggests, is a cardiovascular disease and thus requires consultation in the department of cardiology.
Is chronic bronchitis hereditary?
The etiology of chronic bronchitis is not very clear at present. It is considered that many factors work over a long period to cause chronic bronchitis. The most common factors include long-term irritation from harmful gases and particles, such as cigarette smoke, smog, dust, irritating gases like sulfur dioxide, nitrogen dioxide, etc., as well as infectious factors. There might also be a certain relationship with the occurrence of chronic bronchitis, but so far, no close relationship has been found between chronic bronchitis and genetics, and there is no evidence to prove that chronic bronchitis is a hereditary disease.