How to treat chronic bronchitis?

Written by Liu Xiao Li
Pulmonology
Updated on September 18, 2024
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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 Liu Xiao Li
Pulmonology
1min 4sec home-news-image

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
1min 51sec home-news-image

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.

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Written by Wang Xiang Yu
Pulmonology
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Does chronic bronchitis hurt?

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 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.

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Written by Wang Xiang Yu
Pulmonology
57sec home-news-image

What are the symptoms of chronic bronchitis?

Chronic bronchitis is also colloquially known as "old chronic bronchitis." From this name, we can tell that patients usually develop the disease slowly with a long duration, lasting for years, even decades. The symptoms, such as coughing and expectoration, can acutely worsen repeatedly. Most patients cough and produce phlegm mostly when indoors, particularly noticeable upon waking in the morning and also possibly at night. The phlegm is typically white, sticky, or serous and foamy; occasionally, it may be blood-streaked. During acute exacerbations of chronic bronchitis or when accompanied by an infection, pus-like yellow phlegm or green bloody sputum may appear. Additionally, a small number of patients may experience wheezing, also known as asthmatic bronchitis.