Causes of bronchitis

Written by Li Jian Wu
Pulmonology
Updated on September 04, 2024
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Bronchitis is mostly caused by the invasion of pathogenic bacteria into the body, affecting the bronchi. Common pathogens include Streptococcus pneumoniae, rhinovirus, adenovirus, mycoplasma, chlamydophila, and it might also be due to infection by pathogenic bacteria such as Bordetella. It often occurs when the body's immune system is compromised, due to staying up late, being exposed to cold, lack of sleep, or getting wet in rain. During the acute phase, symptoms such as high fever, chills, coughing, spitting phlegm, and breathing difficulty may occur. It's important to detect and treat it early to prevent it from turning into chronic bronchitis.

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How is acute bronchitis treated?

Firstly, general treatment involves plenty of rest, drinking water, quitting smoking, avoiding strenuous activities, and so on. Secondly, medication is used, starting with symptomatic treatment. For example, for a cough with little or no phlegm, cough suppressants can be used; for thick sputum, expectorants are needed; antipyretic analgesics can be used for fever; and if there is bronchospasm accompanied by chest tightness and shortness of breath, asthma medication is necessary. Additionally, the use of antibiotics is dependent on evidence of bacterial infection, and common types such as macrolides, penicillins, and cephalosporins must be used under the guidance of a physician.

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Is acute bronchitis serious?

Patients with acute bronchitis usually do not experience severe conditions. Acute bronchitis typically presents symptoms of dry cough and is generally self-limiting, usually not leading to severe consequences. However, it is important to note that patients with acute bronchitis may sometimes experience significant chest tightness and wheezing, which can be particularly prominent in children and may even lead to respiratory failure. Additionally, acute bronchitis can sometimes be associated with other conditions, such as bacterial pneumonia. If combined with bacterial pneumonia, it could also lead to severe complications like respiratory failure. In such cases, the patient's condition is relatively severe, and close observation of the condition is necessary.

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What medicine is used for acute bronchitis?

Generally speaking, two types of medications are needed. One is for symptomatic treatment, and the other is antibiotic therapy. Symptomatic treatment: If there is coughing without sputum or little sputum, cough suppressants can be used. If there is coughing with sputum, expectorants can be chosen. If there are symptoms of chest tightness or shortness of breath, asthma-relieving medications can be used. Fever can be treated with antipyretic and analgesic medications as appropriate. Antibiotic treatment: It can only be used when there is evidence of bacterial infection. Commonly used antibiotics include penicillins, cephalosporins, macrolides, etc., and these medications should be used under the guidance of a physician.

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How long does it take for an infusion for acute bronchitis?

The duration of infusion therapy for bronchitis should be determined based on the pathogen causing the infection, the patient's constitution, and specific symptoms; generally, there is no fixed time frame. In normal cases, if immunity is normal, acute bronchitis can be treated with infusion therapy for about seven to ten days, and patients with mild symptoms can fully recover in three to five days. If the patient is frail, has low immunity, or if the medication is not effective against the pathogen, the course of the disease may be longer, requiring up to half a month or even more than twenty days. The specific duration should be decided based on clinical symptoms and the pathogen involved.

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How to stop coughing in acute bronchitis?

Acute bronchitis is an acute inflammation of the bronchial mucosa caused by various pathogenic factors, with coughing being one of the common symptoms of acute bronchitis. So, how can patients stop coughing when they have acute bronchitis? If the cough is dry or there is little phlegm, antitussive and cough suppressant medications can be used. If the cough produces phlegm that is hard to expel, medications that thin the mucus should be chosen. Treatment can be administered orally or through nebulization. Additionally, drinking more water and having a lighter diet can also help suppress the cough.