What Is Bronchitis?
Bronchitis is an irritation and inflammation of the bronchi in the lungs that causes a cough.
There are two types of bronchitis:
- Acute bronchitis (also called a “chest cold”)
- The most common type of bronchitis
- Caused by an infection
- Most often caused by viruses such as the common cold, influenza, or whooping cough
- Can also be caused by bacteria
- Lasts less than 3 weeks
- Chronic bronchitis
- A type of chronic obstructive pulmonary disease (COPD)
- Most often caused by smoking
- Cough lasts for 3 months or longer for 2 or more years in a row
Because acute bronchitis is usually caused by viruses and in some cases bacteria, it is contagious and you can catch acute bronchitis from someone who has it.
Chronic bronchitis is not contagious.
What Are Symptoms of Bronchitis?
Symptoms of acute bronchitis include:
- A nagging cough that lasts less than 3 weeks
- Coughing with or without mucus (mucus may be clear, yellow, or green)
- Cold or flu symptoms
- Stuffy nose
- Sore throat
- Headache
- Soreness in the chest
- Fatigue
- Mild headache
- Mild body aches
See a doctor if you have a cough and:
- Fever higher than 100.4°F (38°C)
- Chest pain when coughing
- Trouble breathing/shortness of breath
- Coughing up blood
- A barking cough that makes it difficult to talk
- Unexplained weight loss that accompanies the cough
- Symptoms do not improve after 3 weeks
- Repeated episodes of bronchitis
Symptoms of chronic bronchitis include:
- Coughing up mucus on most days for at least 3 months, for 2 years in a row
- Tiredness
- Shortness of breath
- Chest discomfort or tightness
What Causes Bronchitis?
How Is Bronchitis Diagnosed?
Acute bronchitis can often be diagnosed with a patient history and physical examination. No tests are usually needed. If the cause of the cough is unknown, a chest X-ray may be ordered.
Tests to diagnose chronic bronchitis may include:
- Chest X-ray
- Spirometry
What Is the Treatment for Bronchitis?
Treatment for bronchitis depends on whether it is acute or chronic.
Acute bronchitis usually goes away on its own, but it can take a few weeks. Acute bronchitis is generally not treated with antibiotics, because it is usually caused by a virus, and antibiotics kill bacteria, not viruses.
Home remedies may be used to relieve symptoms of acute bronchitis, such as:
- Rest
- Drinking plenty of liquids
- Drinking hot tea
- Sucking on lozenges, cough drops, or hard candy (young children should not be given lozenges or cough drops due to choking risk)
- Over-the-counter (OTC) cough and cold medicines
- OTC pain-relievers including acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) for cold or flu symptoms such as headache, muscle aches, or joint pain
- Inhaling warm, moist air, such as in the shower, over a kettle, or from a humidifier
- Don’t smoke and avoid secondhand smoke
Treatment for chronic bronchitis includes:
- Prescription medications
- Inhalers to help open up airways or reduce swelling in the airways
- Steroids for inflammation
- Oxygen
- Pulmonary rehab to learn exercises and ways to breathe that can help ease symptoms
Other steps to take for chronic bronchitis:
From
Lung Disease/COPD Resources
https://www.uptodate.com/contents/acute-bronchitis-the-basics?search=Bronchitis&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
https://www.uptodate.com/contents/chronic-bronchitis-the-basics?search=Bronchitis&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2
https://www.cdc.gov/antibiotic-use/bronchitis.html