Does acute bronchitis cause fever?

Written by Wang Xiang Yu
Pulmonology
Updated on September 05, 2024
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First, we need to know that acute bronchitis refers to the acute inflammation of the bronchial mucosa caused by biological, physical, chemical stimulation, or allergens. The main symptoms in most patients are cough and expectoration. The cough usually presents as a dry cough or a small amount of viscous sputum. Over time, the amount of sputum may increase, or the cough may worsen. A small proportion of patients may have bloody sputum. The cough and expectoration can last for two to three weeks, and in very rare cases, some patients may develop chronic bronchitis if the condition does not resolve. However, for most patients, the primary manifestations are still localized, that is, symptoms like cough and sputum. Systemic symptoms, such as fever, generally present mildly.

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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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Written by Li Jian Wu
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How to manage acute bronchitis

First, it is important to rest in bed during the acute phase, drink plenty of water, keep warm, and the main principle is to control the infection and provide symptomatic treatment. For instance, patients with significant fever and those whose sputum has turned purulent should choose antibiotics early, such as intramuscular penicillin injections or oral co-trimoxazole. Generally, the medication can be stopped 1-3 days after the fever subsides. For symptomatic treatment, antipyretic analgesics such as aspirin can be used to address symptoms like fever, headache, and general fatigue. Regularly, one should strengthen their cold resistance through exercise, it is suggested to wash the face with cold water throughout the year, and to exercise more to boost immune capabilities. Pay attention to environmental hygiene, improve occupational and public health standards. Prevent the inhalation of irritant gases and dust into the respiratory tract. (Medication should be used under the guidance of a doctor based on specific circumstances.)

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How to treat acute bronchitis in children

There are two methods for treating bronchitis in children. One is general treatment, which includes drinking more water, maintaining an appropriate indoor temperature and humidity, and measuring body temperature to treat fever symptoms as necessary. The second method involves using antimicrobial drugs to kill the pathogens, which commonly include bacteria, viruses, mycoplasma, or other pathogens. This approach requires selecting medication based on the infecting pathogen, conducting drug sensitivity tests to choose the appropriate antimicrobial treatment, following the treatment course precisely, and conducting regular follow-ups to prevent complications.

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What to watch out for with acute bronchitis

Acute bronchitis is still relatively common in clinical practice. So, what should be paid attention to when one has acute bronchitis? First, it is important to rest, avoid staying up late, avoid fatigue, drink more water, and quit smoking. Second, regarding medication, it is necessary to use drugs scientifically under the guidance of a physician, including the use of antibiotics, cough suppressants, and expectorants, among others. Additionally, acute bronchitis should be taken seriously. It is important to cooperate fully with the doctor's treatment and not to neglect it, as neglect may delay treatment and lead to the transformation into chronic bronchitis, which would be more troublesome.

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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.