Bronchitis history and symptoms: Difference between revisions

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==Overview==
==Overview==
'''Bronchitis''' is an [[inflammation]] of the [[bronchus|bronchi]] (medium-size airways) in the [[lung]]s. ''[[Acute bronchitis]]'' is usually caused by [[virus]]es or [[bacteria]] and may last several days or weeks (10 days). '''Chronic bronchitis''' is not necessarily caused by infection and is generally part of a syndrome called [[chronic obstructive pulmonary disease]] (COPD); it is defined clinically as a persistent [[cough]] that produces [[sputum]] (phlegm) and mucus, for at least three months in two consecutive years.
Bronchitis presents with respiratory symptoms, including [[cough]] and [[sputum]] production, as well as some constitutional symptoms.
 
==History==
==History==
* [[Bronchitis]] is common in patients with a history of smoking, low socio-economic status, residing in industrial or heavy pollutant areas, and exposure to toxic substance. Thus, obtaining a personal and socio-economic history is very important.
'''Acute bronchitis''' presents with recent onset [[cough]] and [[fever]], usually accompanied with constitutional symptoms.<br>'''Chronic bronchitis''', by definition, is a chronic condition with productive cough and [[dyspnea]] lasting more than 3 months for 2 consecutive years.  
* Bronchitis is usually a diagnosis of exclusion. Thus, past medical history to rule out asthma, and allergic history is important.


==Symptoms==
==Symptoms==


The symptoms of either type of [[bronchitis]] may include:  
===Acute Bronchitis===
Symptoms of [[Acute bronchitis history and symptoms|acute bronchitis]] are typically related to irritation of airways. Constitutional symptoms may also be present.<ref name="pmid21121518">{{cite journal |vauthors=Albert RH |title=Diagnosis and treatment of acute bronchitis |journal=Am Fam Physician |volume=82 |issue=11 |pages=1345–50 |year=2010 |pmid=21121518 |doi= |url=}}</ref>
* '''Bronchial irritation symptoms:'''
:*[[Cough]]
:*[[Hoarseness]]
:*[[Phlegm]] production
<font size="1">Note that despite common sense, phlegm production does not necessarily indicate bacterial infection.<ref name="pmid21121518">{{cite journal |vauthors=Albert RH |title=Diagnosis and treatment of acute bronchitis |journal=Am Fam Physician |volume=82 |issue=11 |pages=1345–50 |year=2010 |pmid=21121518 |doi= |url=}}</ref></font>
* '''Constitutional Symptoms:'''
:*[[Chest pain]]
:*[[Fever]]
:*[[malaise]]
:*[[Myalgia]]


*[[Cough]] with [[sputum]] production (clear, yellow, green, or even blood-tinged) is the (commonest) symptom. Initially, it may be difficult to distinguish a acute bronchitis from upper respiratory tract infection. However, a cough lasting > 5 days indicates a diagnosis of Bronchitis. Cough usually last for 1-2 weeks in acute bronchitis. Even after [[acute bronchitis]] has cleared, you may have a dry, nagging [[cough]] that lingers for several weeks. A yellow-green sputum production is more likely to be a [[bacterial infection]].
===Chronic Bronchitis<ref>[http://www.nhlbi.nih.gov/health/dci/Diseases/Copd/Copd_SignsAndSymptoms.html U.S. National Heart Lung and Blood Institute - Signs and Symptoms]</ref>===
* [[Sore throat]], runny nose.
:*Productive cough
*[[Fatigue]], muscle aches
:*Shortness of breath  
*[[Fever]] -- uncommon and may suggest other diagnosis for instance pneumonia or Influenza.
:*[[Hemoptysis]]
*[[Shortness of breath]], worsened by [[exertion]] or mild activity
*[[Wheezing]]
*[[Chest discomfort]]
* Difficulty in breathing and blue discoloration of extremities can be seen in late stages of the disease


Additional symptoms of [[chronic bronchitis]] include:                                                                             
:Additional symptoms of [[chronic bronchitis]] include:                                                                             
*Ankle, feet, and leg [[swelling]]                                                                                              
:*Peripheral [[edema]]                                                                              
*Blue-colored lips from low levels of [[oxygen]]                                                                                 
:*[[Cyanosis]]                                                                                 
*Frequent [[respiratory]] [[infections]] (such as [[colds]] or the [[flu]])
:*Frequent [[respiratory]] [[infections]] (such as [[colds]] or the [[flu]])


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Inflammations]]
[[Category:Pulmonology]]
[[Category:General practice]]
[[Category:Overview complete]]
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Latest revision as of 17:16, 18 September 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]; Nate Michalak, B.A.

Bronchitis Main page

Patient Information

Overview

Causes

Classification

Acute bronchitis
Chronic bronchitis

Differential Diagnosis

Overview

Bronchitis presents with respiratory symptoms, including cough and sputum production, as well as some constitutional symptoms.

History

Acute bronchitis presents with recent onset cough and fever, usually accompanied with constitutional symptoms.
Chronic bronchitis, by definition, is a chronic condition with productive cough and dyspnea lasting more than 3 months for 2 consecutive years.

Symptoms

Acute Bronchitis

Symptoms of acute bronchitis are typically related to irritation of airways. Constitutional symptoms may also be present.[1]

  • Bronchial irritation symptoms:

Note that despite common sense, phlegm production does not necessarily indicate bacterial infection.[1]

  • Constitutional Symptoms:

Chronic Bronchitis[2]

Additional symptoms of chronic bronchitis include:

References

  1. 1.0 1.1 Albert RH (2010). "Diagnosis and treatment of acute bronchitis". Am Fam Physician. 82 (11): 1345–50. PMID 21121518.
  2. U.S. National Heart Lung and Blood Institute - Signs and Symptoms


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