The difference between bronchitis and tracheitis.

Written by An Yong Peng
Pulmonology
Updated on February 12, 2025
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Bronchitis and tracheitis are not standardized diagnoses. For bronchitis, it often refers to acute bronchitis, while tracheitis often refers to chronic bronchitis.

Acute bronchitis is an infectious respiratory disease, which mostly presents with symptoms of coughing, and may also be accompanied by sputum production and chest tightness. However, the condition of the patient is usually completely curable.

Chronic bronchitis, on the other hand, is a chronic respiratory disease. This condition can manifest as chronic cough, sputum production, and chest tightness, and the patient's condition may progress gradually, even possibly complicating with chronic respiratory failure and cor pulmonale.

Therefore, chronic bronchitis and acute bronchitis are two completely different diseases. Additionally, it is important to note that sometimes bronchitis may also refer to chronic bronchitis, and tracheitis may also refer to acute bronchitis, so it is impossible to completely distinguish between bronchitis and tracheitis.

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Written by An Yong Peng
Pulmonology
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How many days of IV treatment are required for acute bronchitis?

Acute bronchitis is mostly caused by viral infections, and there is generally no specific medication for it. Therefore, patients with acute bronchitis usually do not need IV therapy. However, if a patient with acute bronchitis also has significant gastrointestinal symptoms, poor appetite, or even drinks less water, IV therapy is needed. The purpose of IV therapy is not to treat the virus but to hydrate the patient and prevent dehydration. Of course, when a patient with acute bronchitis has purulent sputum, it indicates a bacterial infection. In this case, IV therapy can be considered. The usual treatment duration for acute bacterial bronchitis is 5-7 days, but this must also take into account the patient's specific conditions and results of tests like the complete blood count, and cannot be generalized.

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Written by Li Jian Wu
Pulmonology
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Is acute bronchitis severe?

Acute bronchitis is an acute infectious disease of the respiratory tract that requires timely treatment. If not treated promptly, it may turn into chronic bronchitis or cause other complications, which are detrimental to health. Therefore, it is important to detect and treat the disease early. If the infection is due to Streptococcus pneumoniae or diplococcus, intravenous drip of penicillin antibiotics can be administered. During the acute phase, it is also advisable to choose antipyretic medications, as well as medications to dilute sputum and relieve bronchial smooth muscle spasms for symptomatic treatment. Early detection and treatment can help prevent complications.

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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 Li Jian Wu
Pulmonology
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What to eat with acute bronchitis

For the diet of acute bronchitis, one should choose light, soft foods that are rich in vitamins and have a higher fiber content, such as fruits and vegetables. During a fever, the diet should primarily consist of liquid or semi-liquid foods, such as vegetable soup, millet porridge, dumpling soup, noodles, etc. Remember, during the acute phase of inflammation, do not consume overly greasy or high-calorie foods, avoid large amounts of meat and fish, and also refrain from smoking and drinking alcohol. Drink plenty of water, maintain fresh indoor air, and ensure proper ventilation and disinfection of indoor air.

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Written by Li Jian Wu
Pulmonology
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Causes of bronchitis

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.