How to treat acute bronchitis

Written by Han Shun Li
Pulmonology
Updated on April 03, 2025
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Acute bronchitis is an acute inflammation of the bronchial mucosa, often accompanied by symptoms such as fever, cough, and productive cough. So, how should one treat acute bronchitis? Firstly, it's important to rest, stay warm, drink plenty of water, consume a light and easily digestible diet, and ensure that nutrition is adequate. Additionally, if the cause is a pathogenic infection, such as a bacterial infection, it is necessary to choose an effective antibiotic for treatment. Furthermore, symptomatic treatment is necessary; antitussive drugs can be used for a dry cough, expectorants for a productive cough, and antipyretic analgesics for fever. If there is bronchial spasm accompanied by chest tightness and asthma, asthma medications may be used.

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Written by An Yong Peng
Pulmonology
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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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Written by Han Shun Li
Pulmonology
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Acute Bronchitis Clinical Symptoms

Acute bronchitis is a relatively common disease. The common symptoms include coughing and expectoration. Typically, it begins with a dry cough, or with a small amount of mucous sputum, which gradually turns into mucopurulent or purulent sputum, and the amount of sputum gradually increases. The coughing may worsen, and occasionally, the sputum may be tinged with blood. Some patients may also experience fever and wheezing. Generally, coughing and expectoration can last for two to three weeks.

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Written by Li Jian Wu
Pulmonology
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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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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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Pulmonology
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Is acute bronchitis contagious?

Is acute bronchitis contagious? First, we need to understand what is acute bronchitis. What factors can cause acute bronchitis? It is currently believed that many factors including biological, physical, chemical irritants, or allergies can lead to acute bronchitis. Among these factors, biological factors are the most common, especially infections by microbes, which include viruses, bacteria, mycoplasma, and chlamydia. These can potentially be transmitted to other people through droplets or other methods. Common agents include influenza viruses and chlamydia. Other factors can also cause bronchitis, such as cold air, irritant gases, or smoke irritation, as well as allergens like pollen and dust. These cases generally are not transmitted by infection, so they do not spread to other people.