The difference between acute bronchitis and bronchitis

Written by Han Shun Li
Pulmonology
Updated on September 10, 2024
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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 Wang Xiang Yu
Pulmonology
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Is chronic bronchitis treatable?

Chronic bronchitis exists, but before treating it, we must first have a correct understanding of the disease. Chronic bronchitis is a long-term illness that can have a slow onset and may last for decades, with the possibility of acute exacerbations throughout one's life. Moreover, there is no cure for chronic bronchitis yet. Currently, the treatment for patients with chronic bronchitis mainly depends on the stage of the disease and its symptoms. Most of the time, patients are in the remission phase. The primary treatment during this phase involves addressing risk factors. For instance, patients who smoke must quit smoking, as most patients experience significant relief from cough and phlegm after quitting. Additionally, patients with a history of dust exposure or harmful gas exposure should avoid further contact as much as possible. Furthermore, when the condition is stable, patients may engage in physical exercise to improve their physical condition and prevent colds. A small number of patients may experience respiratory infections and repeated aggravations, in which case, consider using immunomodulators or traditional Chinese medicine as adjunctive therapies. Patients with chronic bronchitis may experience acute exacerbations of their condition, meaning an increase in cough and phlegm, or the appearance of purulent sputum that is difficult to expectorate. In these cases, the main treatment method is still anti-infection therapy. Commonly used anti-infection medications include quinolones, macrolides, and cephalosporins. Some patients may experience frequent and severe cough and phlegm, and have difficulty expectorating the mucus. In such cases, mucolytic and cough suppressant medications are required for symptomatic treatment, commonly using drugs such as ambroxol, bromhexine, and eucalyptus menthol. A few patients may also experience wheezing, known as asthmatic bronchitis, which may require the use of anti-asthmatic medications such as aminophylline and various nebulized medications. (Note: The use of specific medications should be under the guidance of a doctor.)

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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
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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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Chronic bronchitis etiology

The etiology of chronic bronchitis is not very clear at present, and it is now believed to be caused by the long-term interaction of various factors. The most closely related factors are harmful gases or particles that act on the respiratory tract for a long time, causing damage to some structures of the respiratory tract, such as cigarette smoke, fumes, dust, irritating gases, sulfur dioxide, nitrogen dioxide, etc. These physicochemical factors cause damage to the airways. Additionally, some infectious agents, such as bacteria, mycoplasma, or viral infections, along with some immune-related factors, are believed to play a certain role in the development of chronic bronchitis.

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Written by Liu Xiao Li
Pulmonology
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Symptoms of chronic bronchitis

The symptoms of chronic bronchitis primarily include coughing, expectorating phlegm, or accompanied by wheezing. Coughing generally occurs mainly in the morning, with bouts of coughing or expectoration during sleep. The sputum is white, viscous, or serous foamy, and is more prevalent in the morning. Getting up or changing body position can stimulate expectoration. In patients with prominent wheezing symptoms, it is referred to as asthmatic bronchitis, and some may also develop bronchial asthma. However, the presence of emphysema can manifest as shortness of breath after labor or activity. If the condition persists for three months each year, for two consecutive years or more, it can be clinically diagnosed as chronic bronchitis.