How is acute bronchitis diagnosed?

Written by Li Jian Wu
Pulmonology
Updated on September 11, 2024
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Acute bronchitis can generally be diagnosed by combining clinical symptoms and corresponding auxiliary examinations. Common symptoms initially include fever, headache, and sore throat, followed by cough, chest pain, difficulty breathing, sputum production, and wheezing. Routine blood tests, C-reactive protein, and mycoplasma tests are necessary, along with a chest X-ray. The X-ray may reveal increased and thickened pulmonary markings, confirming the diagnosis of this disease. Antibacterial drugs are selected based on the infecting pathogen, and symptomatic treatment is administered.

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Written by Li Jian Wu
Pulmonology
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How is acute bronchitis diagnosed?

Acute bronchitis can generally be diagnosed by combining clinical symptoms and corresponding auxiliary examinations. Common symptoms initially include fever, headache, and sore throat, followed by cough, chest pain, difficulty breathing, sputum production, and wheezing. Routine blood tests, C-reactive protein, and mycoplasma tests are necessary, along with a chest X-ray. The X-ray may reveal increased and thickened pulmonary markings, confirming the diagnosis of this disease. Antibacterial drugs are selected based on the infecting pathogen, and symptomatic treatment is administered.

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Written by Han Shun Li
Pulmonology
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Symptoms of bronchitis

If it is acute bronchitis, the onset is usually quite sudden and symptoms may include fever, cough, and expectoration. Some patients may experience bloody sputum or symptoms like chest tightness and shortness of breath. Coughing and expectoration often continue for two to three weeks, after which most patients can recover. If it is chronic bronchitis, the onset is often gradual, and symptoms such as coughing, expectoration, and wheezing occur repeatedly. The episodes each year may last for more than three months.

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Written by Han Shun Li
Pulmonology
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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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Written by Li Jian Wu
Pulmonology
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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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Written by Li Jian Wu
Pulmonology
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How long will acute bronchitis take to get better?

Generally, if the disease is detected early and diagnosed, prompt intravenous administration of penicillin antibiotics will lead to recovery in about a week. During the acute phase of inflammation when fever occurs, the diet should consist of liquid or semi-liquid foods, and fever-reducing pain relievers such as compound aspirin or ibuprofen may be taken. If symptoms such as difficulty breathing and wheezing occur, medications like salbutamol or aminophylline can be used to relieve these symptoms, focusing mainly on anti-inflammatory treatment and symptomatic therapy. (Please use medications under the guidance of a doctor.)