Archive for the ‘Bronchitis’ Category

Tell-Tale Signs of Chronic Bronchitis

Saturday, May 31st, 2008

Bronchitis is defined as a disease with acute inflammation of the respiratory tract. The term is basically coined from the Greek words bronchos, which means windpipe, and itis, meaning inflammation. Bronchitis takes place when the trachea or windpipe and the bronchi (both small and large) become inflamed which is likely caused by an infection or other factors.

Bronchitis has two types, acute and chronic. Acute bronchitis is mainly caused by viral or bacterial infections and from the acute word itself, it is only for a short period of time, but that is another story.

Chronic bronchitis, on the other hand, is a long term bronchial inflammation consequently followed by a raise in the production of mucus. It is also a type of chronic obstructive pulmonary disease (COPD), which is a group of respiratory diseases that hampers with normal breathing.

Chronic bronchitis can be caused by no specific factor but cigarette smoking is believed to be the major culprit of the illness. Following smoking, other causes may include environmental pollution (especially air pollution) and bacterial or viral infections.

To be considered as chronic bronchitis, the patient must experience cough and expectorations (meaning with phlegm or sputum) for no less than 3 months in a year for two successive years. Furthermore, other factors that may cause symptoms such as TB (tuberculosis) or other respiratory health problems must be excluded.

As a category of COPD, primary symptoms of chronic bronchitis are mucus expectoration, cough, and dyspnea or labored breathing during physical exertion. These symptoms commonly deteriorate over time. Persistent cough and mucus expectoration usually come first years before the development of aberrations in the airflow of the respiratory tract.

Dyspnea or labored breathing, due to its severity, more often than not causes interference in the patients day to day activities. Loss of weight is fairly not uncommon since eating needs a certain amount of physical exertion and the sometimes only breathing itself can be energy consuming for the patient.

There will come a time when the patient will find it difficult to even participate in mild exercise because of dyspnea. As bronchitis progresses, labored breathing will be experienced by the patient even at rest. Then the patient will become in danger of acquiring more respiratory infections and respiratory insufficiency, which consequently raises the danger for both chronic and acute respiratory failure.

Other warning signs of chronic bronchitis may include swelling of the feet, abnormal lung signs, heart failure, and bluish discoloration of the lips and skin.
Symptoms may be similar to other respiratory problems; therefore it is advisable that the patient should consult a physician. This is due to the fact that chronic bronchitis is frequently associated with other diseases of the respiratory system such as asthma, tuberculosis, sinusitis, pulmonary emphysema, and other upper respiratory infections.

Moreover, there are numerous examinations that are utilized by the medical professionals to identify chronic bronchitis. These tests or examinations may include the following:

? Pulmonary function tests, which assist in calculating the lungs capacity to appropriately exchange oxygen and carbon dioxide through use of a spirometry and peak flow monitoring (PFM). Spirometry is an apparatus that is used by the doctor to evaluate the function of the lungs. PFM is a tool that is utilized to determine the greatest speed in which an individual can exhale or blow air out of the lungs. PFM helps in assessing how the malady is being controlled

? Pulse Oximetry. This is a small apparatus that measures the quantity of oxygen in blood.

? Chest X-ray. This fairly common diagnostic test is used to create images of the internal tissues, organs, and bones unto a film.

? Arterial Blood Gas or ABG. This is a blood test that is employed to assess the lungs capacity to supply with oxygen and eliminate carbon dioxide. This also helps in measuring the acidity of the blood.

? CT Scan or Computed Tomography. This is an amalgamation of x-rays and computer technology to produce sectional imagery of the body. This imaging device illustrates a comprehensive picture of any part of the body.

Although once a person acquires chronic bronchitis, which usually lasts a lifetime, this illness can be controlled. Treatments are utilized mainly to alleviate the symptoms. Nevertheless, the patient can still live a comfortable life if provided with a proper management of the symptoms. It may not be curable but it is manageable.

Cause of Bronchitis and Tests Done To Determine It

Tuesday, May 27th, 2008

The most common disease associated with respiratory system is bronchitis. It is often accompanied by a cold or flu and affects people regardless of age. If your immune system is weak or you are a chain smoker, then you are greatly exposed to develop chronic bronchitis. In few cases, developing asthmatic bronchitis is also possible.

Smoking is considered to be a serious cause of bronchitis which can lead to other complications like pneumonia. The substances found in cigarettes as well other tobacco causes bronchial tubes irritation. Environmental pollution and exposures to chemicals can also lead to developing chronic bronchitis. In addition, second-hand smokes as shown in some studies can also cause chronic bronchitis.

Mostly, chronic bronchitis is diagnosed among metal molders, grain handlers, coal miners, and other dust-related occupation. Symptoms of chronic bronchitis worsen if air pollutants and sulfur dioxide also increases.

However, bronchitis is brought about by viruses. Within a few days, these viruses may disappear without medications. If bacteria is the cause of bronchitis, then antibiotics is needed to completely overcome it.

Bronchitis can either be chronic or acute. Acute bronchitis generates extreme symptoms. It normally clears up immediately if viruses caused it. Chronic bronchitis produces milder symptoms but later on can aggravate. This is often persistent with recidivating character. Chronic bronchitis requires continuous treatment to prevent symptoms from recurring.

Bronchitis manifests different symptoms including coughs, breath shortness, soreness, discomfort, excessive mucus production, headache, wheezing, chest pain, and fever. Fever is present due to bacteria infections posing any possible complications.

Among the COPD (chronic obstructive pulmonary diseases) illnesses, bronchitis mostly affects more people. And despite its large affected population, it is usually misdiagnosed. Insufficient clinical examination can misinterpret bronchitis with allergies, asthma, and sinusitis.

The doctor will ask your medical background which includes pervious and recent smoking habits. Your endurance is also questioned whether or not it is easy for you to climb stairs or walk a long distance. Using a stethoscope, the doctor will examine your chest and back and listen to your normal breathing. In this way, signs of bronchitis can be determined.

However, the best way to confirm the presence and seriousness of bronchitis is to undergo PFT or pulmonary function tests. Keep in mind that these tests can be done if causes are known. It includes:

1. Spirometry. An instrument called spirometer is utilized to measure the air inhaled and exhaled from your lungs. Air volumes are measured to determine the ability of your lungs to hold and exhale air.

2. Peak flow meter. It measures the PEFR (peak expiratory flow rate). PEFR is the maximum quantity of air that you can exhale upon forced exhalation.

3. Chest x-ray. This is suggested by a doctor to know if pneumonia problems are present. Mild x-ray changes can be a sign of chronic bronchitis.

4. ABG (arterial blood gas) test. This determines the amount of carbon dioxide and oxygen in your blood. A blood is drawn from your artery. The procedure can make you very uncomfortable. Analysis of your blood gas is useful if oxygen therapy can be advised in case your blood oxygen is very low.

5. Additional tests are necessary if other problems related to your health are involved. If infections are present, sputum and blood tests as well as cultures are conducted to determine the causes of infections.

There are different factors when considering treatments for bronchitis. If it is not caused by bacteria, unblocking the obstruction from the airways is done. Medical treatments inhaled medications helpful in unblocking the air passages of your respiratory tract. Bronchodilators are widely used for asthmatic bronchitis and chronic bronchitis.

Bronchitis inflamed the bronchial tubes, mucous membrane, and other tissues and organs associated with the breathing process. Once these fragile organs of the respiratory get irritated and inflamed, excessive mucus is produced so that external agents such as irritants and dusts cannot penetrate. Excess mucus clogs the air passage and blocks the air from going into the lungs. This is the time when a person experiences cough, wheezing, or breathing difficulty.

Basically, bronchitis is not easy to diagnose. It is because its symptoms are also present in other respiratory diseases such as asthma and sinusitis. But these careful laboratory analyses and physical examinations help a lot.

Managing Bronchitis Symptoms and Knowing the Treatment

Friday, May 23rd, 2008

Inflammation of the respiratory tract that includes the trachea and the bronchus is known as bronchitis. This may be caused by viral or bacterial infection or constant exposure to pollutants (such as smoking and air pollution). There are two kinds, acute and chronic bronchitis.

Acute bronchitis usually takes place right after an infection of the upper respiratory tract has occurred like a sinus infection or the common cold. As for chronic bronchitis, there is no exact microorganism that can be pinpointed as a cause but smoking and environmental pollutants are believed to be the major culprits which then may be followed by bacterial or viral infection as the immune system becomes vulnerable.

Common symptoms of both kinds of bronchitis are nasal congestion, muscle pains, fever and chills, sore throat, poor sleep, and dyspnea (common in chronic bronchitis). Basically, the symptoms of bronchitis are similar to that of the common cold. It starts with an irritation at the back of the throat and as it gets worse, cough will enter the picture which may come with phlegm. If the phlegm is streaked with blood, it is best to consult a physician.

Cough is a universal symptom of bronchitis. This may be accompanied with sputum or not (dry cough). Sputum producing cough is a manifestation of an infection in the lower respiratory tract and the lungs. In acute bronchitis, cough may persist for more than fourteen days. Constant and vigorous coughing may leave the thoracic and abdominal muscles aching. Without proper medication, forceful coughing may even cause injury to the chest wall.

Uncomplicated bronchitis can be easily treated at home. Commonly, bronchitis (especially acute bronchitis) is caused by a viral infection. Virus-caused bronchitis is self-limiting and may require no major treatment except to alleviate symptoms and ease discomfort.

But if it is caused by bacterial infections, then antibiotics are prescribed. However, antibiotics should not be taken if bronchitis is caused by a virus. Doing so, will only be a waste of time and money. An over usage of antibiotics will only make certain types of bacteria to build resistance from the medication.

Since muscle aches can be experienced through the course of the disease, anti-pain medications may be taken such as acetaminophen and aspirin. But bear in mind that an over dosage of these type of medications may cause gastric bleeding. These should be taken with a full stomach. Furthermore, aspirin is contraindicated for children and pregnant women. Aspirin is thought to be highly associated with Reyes syndrome in children, and it may cause severe bleeding in pregnant women.

To ease irritation in the respiratory tract, a cool mist humidifier may be employed. Taking large amounts of liquid helps out to ease fever because it tends to cool down the body temperature. Liquid intake also thins out or liquefies the phlegm, making it easier to cough it out. Another way to loosen up the phlegm is by taking an expectorant such as quaifenesin.

Further medical treatment will depend on the causative factor of bronchitis. If the patient is experiencing severe uncontrollable coughing, cough suppressants may be prescribed by the physician. But the before prescribing it, the physician will most likely test the individual to rule out other diseases.

Another kind of medication is the bronchodilator. This causes the respiratory tract tissues to dilate or open up which then promotes easy passage of air to the lungs. It consequently reduces wheezing.

Again, antibiotics may be used. Other than the reason of bacterial-caused infection in uncomplicated bronchitis is because individuals suffering from long term lung problems are more prone to bacteria infections because of their weakened immune systems.

In later stages of chronic bronchitis, the patient may call for supplemental oxygen to assist him or her in breathing. This oxygen therapy may be given during exercise to avoid dyspnea. And the patient may as well be hospitalized if the disease has become very severe and has developed complications.

To avoid further complications, patients may be required to receive an annual flu vaccine, as well as pneumococcal vaccine every five to seven years. Other medical treatments may also include mucolytic agents, antitussive medications, and alpha1 antitrypsin therapy.

Other treatments that can ease the symptoms of bronchitis are the use of herbal medicines. These can be formulated as inhalants and tea. Still, consult your physician if these additional herbal medicines wont interfere with the primary treatment.