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==


===Acute bronchitis===
===Acute Bronchitis===
*[[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]].
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>
* [[Sore throat]], runny nose.
* '''Bronchial irritation symptoms:'''
*[[Fatigue]], muscle aches
:*[[Cough]]
*[[Fever]] -- uncommon and may suggest other diagnosis for instance pneumonia or Influenza.
:*[[Hoarseness]]
*[[Shortness of breath]], worsened by [[exertion]] or mild activity
:*[[Phlegm]] production
*[[Wheezing]]
<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>
*[[Chest discomfort]]
* '''Constitutional Symptoms:'''
* Difficulty in breathing and blue discoloration of extremities can be seen in late stages of the disease
:*[[Chest pain]]
:*[[Fever]]
:*[[malaise]]
:*[[Myalgia]]


Additional symptoms of [[chronic bronchitis]] include:                                                                          
===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>===
*Ankle, feet, and leg [[swelling]]                                                                                             
:*Productive cough
*Blue-colored lips from low levels of [[oxygen]]                                                                               
:*Shortness of breath
*Frequent [[respiratory]] [[infections]] (such as [[colds]] or the [[flu]])
:*[[Hemoptysis]]


===Chronic bronchitis===
:Additional symptoms of [[chronic bronchitis]] include:                                                                           
* Cough with sputum expectoration for '''at least 3 months a year during a period of 2 consecutive years'''. The patient may give a history of seasonal worsening of cough (winters)followed by progression of cough from seasonal to perennial, increased frequency, duration and severity of symptoms.
:*Peripheral [[edema]]                                                                             
* Difficulty in breathing and blue discoloration of extremities can be seen in late stages of the disease.
:*[[Cyanosis]]                                                                               
*[[Shortness of breath]], worsened by [[exertion]] or mild activity
:*Frequent [[respiratory]] [[infections]] (such as [[colds]] or the [[flu]])
*[[Wheezing]]
*[[Chest discomfort]]


==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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