Can chronic bronchitis be treated?

Written by Wang Xiang Yu
Pulmonology
Updated on September 03, 2024
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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.

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Written by Hu Bai Yu
Pulmonology
1min 31sec home-news-image

Chronic Bronchitis Clinical Characteristics

Chronic bronchitis often presents with symptoms of coughing, which are long-term, recurrent, and progressively worsen. Coughing is a very prominent manifestation of this condition. For mild cases, symptoms typically flare up during the winter and spring seasons, especially noticeable upon waking in the morning, with less coughing during the day. In the summer and fall, the coughing may lessen or disappear. In severe cases, patients may experience coughing throughout the year. It's crucial to take note and, under a doctor's guidance, use corresponding anti-inflammatory and anti-infection medications, along with cough suppressants and expectorants to alleviate symptoms. Another characteristic is the presence of phlegm, typically white mucous sputum or serous foamy sputum. It's advised to use expectorants for treatment. During treatment, avoid smoking and alcohol, and maintain a light diet. Additionally, if there are symptoms of asthma or wheezing, it may be necessary to take medications to alleviate these symptoms. (Note: The answer is for reference only; medication should be administered under the guidance of a professional physician and should not be taken blindly.)

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Written by Li Jian Wu
Pulmonology
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Chronic Bronchitis Nursing Measures

Chronic bronchitis is a chronic inflammation of the respiratory system, which tends to be prolonged and recurrent. For those suffering from this disease, it is primarily important to quit smoking, which is a crucial preventive measure against acute attacks of chronic bronchitis. It is also essential to control occupational or environmental pollution to avoid the irritation of harmful gases such as dust and smoke. Additionally, it is advisable to strengthen the body through regular exercise, enhance immunity, and increase cold resistance. It is recommended to wash the face with cold water all year round to enhance the skin's ability to prevent and fight diseases. During the flu season, getting a flu vaccine to prevent the onset of a cold, reinforcing dietary hygiene, and enhancing health education is also advised.

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Written by Wang Xiang Yu
Pulmonology
1min 18sec home-news-image

How to cure chronic bronchitis completely?

At present, there is no cure for chronic bronchitis, and most treatments are mainly aimed at alleviating its symptoms. The treatment is mainly divided into two parts, one is the treatment during the acute exacerbation phase, which means that if a patient with chronic bronchitis experiences acute worsening of symptoms such as coughing and expectoration, or if accompanied by wheezing, fever, etc., then the main treatment methods might include anti-infection measures, expectorants to relieve cough, or treatments to alleviate wheezing. Most patients with chronic bronchitis are likely in the remission phase most of the time, and the primary treatment during this phase is initially to address factors that might trigger chronic bronchitis, such as insisting that patients who smoke quit smoking, and for those who have been exposed to dust or smoke, it is crucial to resolve triggering factors and avoid contact with harmful gases or inhalation of harmful particles. The next step is to enhance physical fitness and prevent colds. Chronic bronchitis patients can engage in appropriate physical exercise based on their condition, and those who suffer from long-term recurrent infections might consider pursuing immunotherapy.

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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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How to treat chronic bronchitis?

How to treat chronic bronchitis, first of all we need to know that chronic bronchitis can be divided into two phases, one is the remission phase, the other is the acute exacerbation phase. Since most patients are in the remission phase most of the time, that is, their symptoms of cough and expectoration are relatively stable, more or less the same every day, with no significant change in the amount and nature of the sputum, no purulent sputum, no significant increase in sputum, and no fever or other symptoms of infection. In such cases, the first step in treating chronic bronchitis patients is to target some possible causes of their condition, such as smokers must quit smoking. Most chronic bronchitis patients experience some relief in cough and expectoration after quitting smoking. Furthermore, some patients' chronic bronchitis may be due to exposure to dust or irritant gases. It is crucial to avoid contact with these harmful gases as much as possible. In addition, patients in a stable condition should engage in physical exercise, enhance their physical fitness, and prevent colds. Some chronic bronchitis patients who frequently suffer from respiratory infections can consider using immunomodulators or some traditional Chinese medicine to regulate immunity and enhance resistance. Additionally, since chronic bronchitis can acutely exacerbate, which means the patient’s condition has changed, their cough and expectoration frequency may increase, the amount of sputum may increase, or there may be some purulent sputum, or fever and other symptoms. In such cases, the primary treatment may still be infection control, commonly using antimicrobial drugs, often referred to as anti-inflammatory drugs. The types of anti-inflammatory drugs are numerous, the most common ones include penicillin, erythromycin, levofloxacin, amoxicillin, and some cephalosporins. In such cases, it is necessary to choose medication under the guidance of a doctor. Additionally, in these situations where the patient’s cough and expectoration are worsened, and sputum increases, medications for cough suppression and expectoration, commonly known as expectorants and cough relievers, are also needed. There are some proprietary Chinese medicines, such as licorice preparations, and Western medicines such as bromhexine and ambroxol as well. Moreover, a very small portion of patients may experience wheezing, meaning some patients might also have symptoms like chest tightness and shortness of breath. In such cases, it would be necessary to use bronchodilators under the guidance of a doctor, such as theophylline or doxophylline, and these medications must be used under medical supervision.