Does chronic bronchitis hurt?

Written by Wang Xiang Yu
Pulmonology
Updated on September 28, 2024
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Chronic bronchitis, commonly known as "chronic bronchitis", generally does not involve pain. The main symptoms of chronic bronchitis are coughing and expectorating phlegm, which may or may not be accompanied by wheezing. The coughing and expectorating in chronic bronchitis are typically long-term and gradual, with recurrent episodes. The symptoms are usually more pronounced in the morning, characterized by white, sticky phlegm, and generally do not involve chest pain or pain in other areas. If a patient with chronic bronchitis experiences pain in various parts of the body, it is typically considered that they might have other concurrent illnesses.

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Written by Han Shun Li
Pulmonology
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The difference between acute bronchitis and bronchitis

What is the difference between acute bronchitis and bronchitis? Generally speaking, in terms of the duration of the disease, bronchitis can be classified into acute bronchitis and chronic bronchitis. Acute bronchitis is a type of bronchitis. It is often caused by infections, physical and chemical factors, allergies, etc. Patients may experience fever, cough, and expectoration, and the duration usually lasts 2 to 3 weeks. In the case of chronic bronchitis, the course of the disease is longer, with symptoms such as repeated coughing, expectoration, and wheezing, and the symptoms persist and do not improve.

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Written by Liu Xiao Li
Pulmonology
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How to treat chronic bronchitis?

Chronic bronchitis is divided into acute exacerbation phase and remission phase. The treatment during acute exacerbation mainly focuses on controlling infections, and administrating antitussive, expectorant, and asthma-relieving medications. To control infections, antibiotics are empirically selected based on the common pathogens in the area. If the pathogen can be cultured, an antibiotic sensitive to the organism can be chosen based on the test. Oral administration is generally sufficient. In severe cases, medication can be administered intravenously. Patients with asthma are given bronchodilators. During the remission phase, treatment involves quitting smoking, avoiding inhalation of harmful gases and other harmful particles, strengthening physical health, preventing colds, and for patients with repeated respiratory infections, vaccines or immunomodulators may be administered to enhance immunity.

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Written by Wang Xiang Yu
Pulmonology
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How is chronic bronchitis diagnosed?

Chronic bronchitis: how is it diagnosed? First, we need to understand what chronic bronchitis is defined as. It refers to the chronic nonspecific inflammation of the trachea, bronchial mucosa, and surrounding tissues. We emphasize the chronic process, and currently, diagnosis is primarily based on clinical symptoms. This means the patient must exhibit symptoms such as coughing and expectoration, and these symptoms must persist for more than three months for at least two consecutive years. Additionally, it is crucial to exclude other diseases. Any organic disease that presents with symptoms of coughing, expectoration, and wheezing must be ruled out, such as tuberculosis, pneumoconiosis, lung abscess, lung cancer, heart disease, bronchiectasis, bronchial asthma, gastroesophageal reflux, and pulmonary interstitial fibrosis, among others.

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Written by Wang Xiang Yu
Pulmonology
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Chronic bronchitis symptoms

Chronic bronchitis is also known as "old chronic bronchitis." From the name, it can be inferred that its cough and expectoration last for a long time and its onset is slow, which can manifest as acute exacerbation. The main symptoms of chronic bronchitis are cough and expectoration, either with or without wheezing. The cough in chronic bronchitis usually occurs in the morning, meaning that the cough is more pronounced upon waking up. The sputum is generally white, sticky, mucoid, or frothy, and may occasionally contain streaks of blood but generally is not associated with coughing up blood. In addition to coughing and expectoration, a small number of patients may experience wheezing or shortness of breath. In cases where the wheezing is more pronounced, it is also referred to as asthmatic bronchitis.

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Written by Wang Xiang Yu
Pulmonology
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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.