Differences between acute bronchitis and chronic bronchitis

Written by Han Shun Li
Pulmonology
Updated on September 30, 2024
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Generally speaking, acute bronchitis has a sudden onset, with patients often experiencing symptoms such as fever, coughing, and coughing up phlegm, and some patients may have wheezing. With effective treatment, recovery usually occurs within two to three weeks. Chronic bronchitis, on the other hand, typically has a longer course of illness with recurring symptoms, including coughing, coughing up phlegm, chest tightness, and wheezing. The duration of the illness often exceeds two years, with episodes typically lasting more than three months each year.

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Written by Yuan Qing
Pulmonology
1min 4sec home-news-image

How to use diet to supplement treatment for chronic bronchitis?

Chronic bronchitis primarily refers to a condition characterized by a frequent chronic cough, with the total duration of cough exceeding three months per year and recurring for two consecutive years. Through routine examinations, such as chest X-rays and pulmonary function tests, other conditions like pulmonary space-occupying lesions, bronchiectasis, tumors, tuberculosis, and asthma are ruled out. If the disease is predominantly characterized by coughing, it is referred to as chronic bronchitis. Chronic bronchitis is generally related to long-term exposure to smoke and dust. In terms of dietary support, traditional Chinese medicine believes that the lung is associated with the color white; therefore, it is suggested to consume more white-colored foods, which help to moisten the lungs, stop coughs, and transform phlegm. Foods such as lotus seeds, Job's tears, tofu, and Chinese yam are considered beneficial in the dietary treatment of chronic bronchitis.

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Written by Wang Xiang Yu
Pulmonology
1min 31sec home-news-image

Chronic bronchitis chest X-ray manifestations

Patients with chronic bronchitis may have completely normal chest X-rays or lung CT scans in the early stages, meaning that if a patient exhibits symptoms of chronic bronchitis, such as coughing and expectorating for more than three months continuously or over two consecutive years, they can still be diagnosed with chronic bronchitis even if their chest X-ray appears normal. Additionally, as chronic bronchitis progresses over time, some patients may develop thickening of the bronchial walls or interstitial inflammation in the small bronchioles and alveoli, etc. These conditions can manifest on chest X-rays as coarse, disordered lung textures in a net-like or strip-like pattern, or as patchy shadows, which are generally more evident in the lower fields of both lungs. Observing these changes on a chest X-ray can assist in diagnosing chronic bronchitis. Furthermore, as the disease progresses, some patients with chronic bronchitis may develop into chronic obstructive pulmonary disease (COPD) or pulmonary heart disease, and corresponding changes might be observable on chest X-rays. Additionally, patients with chronic bronchitis often experience acute exacerbations or concurrent infections, which may lead to patchy exudates visible on the chest wall.

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Written by Han Shun Li
Pulmonology
34sec home-news-image

Differences between acute bronchitis and chronic bronchitis

Generally speaking, acute bronchitis has a sudden onset, with patients often experiencing symptoms such as fever, coughing, and coughing up phlegm, and some patients may have wheezing. With effective treatment, recovery usually occurs within two to three weeks. Chronic bronchitis, on the other hand, typically has a longer course of illness with recurring symptoms, including coughing, coughing up phlegm, chest tightness, and wheezing. The duration of the illness often exceeds two years, with episodes typically lasting more than three months each year.

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Written by Liu Xiao Li
Pulmonology
54sec home-news-image

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.

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Written by Wang Xiang Yu
Pulmonology
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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.