Bronchitis
Bronchitis is the inflammation of the bronchi. It may develop
suddenly, following a head cold (acute bronchitis), or it may persist or return
regularly for many years, causing progressive degeneration of the bronchi and
lungs (chronic bronchitis). Certain people are more susceptible than others; Men
are more of a target to bronchitis than women, out numbering them 10 to 1 the
reasons are unclear. Of course smokers are 50 times more likely to get chronic
bronchitis than non-smokers. Acute bronchitis is a bacteria or virus infection,
often following a cold smoking. People who have acute bronchitis usually have a
mild fever, soreness under breastbone, irritated by coughing. First they have a
dry cough then the cough later brings up green and yellow mucus. The cough may
persist to 4 to 6 weeks. Chronic bronchitis is produced by other chronic
problem: sinusitis, smoking, TB, etc. The Bronchi becomes thick, inelastic, and
accumulate mucus and pus in lower part of lungs instead of bringing discharges
up and out. The result is chronic cough, shortness of breath, sometimes spasm,
and frequent infection.
In acute bronchitis, the basic symptoms are a head
cold, fever and chills, running nose, aching muscles and possibly back pains.
This is soon followed by the obvious persistent cough. At first the cough is dry
and racking and eventually becomes phlegm. The persistent cough is worse at
night than during the day, and when the person breathes in smoke and fumes.
The main symptoms most recognized in chronic bronchitis is, again, a cough,
with sputum, often occurring in paroxysms. Other symptoms in chronic bronchitis
are dependant on how much, or how little, emphysema is present. This disorder
causes the lungs to become overstretched, making the breathing process
difficult. The chronic bronchitis with no emphysema tends to be overweight and
often has a bluish tinge to his or her lips due to lack of oxygen. Shortness of
breath only occurs during exercise and other strenuous activity. The bronchitis
with a great deal of emphysema, who has lost a lot of his or her oxygen cc
exchanging ability, due to the condition, is short of breath at all times. The
bronchitis with emphysema very often is underweight and, as the disease comes
worse, develops a barrel chest. The Chronic bronchitis also wheezes because of
the obstruction.
The causes of bronchitis are from viral or bacterial
infections, which spread to the chest. The body uses defense mechanisms to try
to prevent the viruses and bacteria from spreading the infections. Examples of
defense mechanisms are sneezing, coughing. There are also white blood cells to
help us the fight off the bacteria and viruses. However if new viruses and
bacteria enter our body then the white blood cells will have to take some time
to recognize the new viruses and bacteria. Fortunately, a different kind of
white blood cells try to fight off the bacteria and viruses as much as they can
but unfortunately as they are doing that, they are releasing other chemicals.
The chemicals enter the tissue that surrounds the trachea and they begin to
expand and swell up. As they expand, they squeeze the trachea. As a result, less
air can pass through the trachea causing a short of breath. Generally,
bronchitis occurs with greater frequency in winter, in damp, cold climates, and
in heavy polluted environments. The best treatment for acute bronchitis is bed
rest in a warm room. Cough medicines will relieve the cough and aspirin will
reduce the fever. Acute Bronchitis that is viral usually runs its course without
medication. A proper diet and avoidance of additional irritants such as smoking
are recommended. Steam inhalations are helpful in eliminating congestive mucus.
Antibiotics may be needed if the cause is bacteria. Treatment of chronic
bronchitis is more difficult. The patients lungs are already damaged and the
destruction of the airways are not easily renewed. Bronchial dilator drugs may
be given to the patient to relieve any such obstruction, while physiotherapy
will help the patient get rid of any sputum. Yoga and breathing exercises may
help shortness of breath. In severe cases, urgent hospital treatment may be
required. Oxygen may have to be given through the course of the illness. Postal
drainage can also be tried. This is when the patient lies on a bed, a large
cushion raising the groin, and smaller pillows supporting the chest. Tapping the
chest in this position causes the patient to cough up sputum. The patient should
stop smoking immediately, although this will not reverse the chronic bronchitis,
it will arrest it. Bronchitis is prevented by keeping good health habits and by
giving instant treatment to milder respiratory infections. Living in a clean
environment and not smoking or not inhaling cigarette smoke is strongly
recommended.