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June 19, 2013
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Bronchitis

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Bronchitis Overview

Bronchitis is an acute inflammation of the air passages within the lungs. It occurs when the trachea (windpipe) and the large and small bronchi (airways) within the lungs become inflamed because of infection or irritation from other causes.

  • The thin mucous lining of these airways can become irritated and swollen.
  • The cells that make up this lining may leak fluids in response to the inflammation.
  • Coughing is a reflex that works to clear secretions from the lungs. Often the discomfort of a severe cough leads a person to seek medical treatment.
  • Both adults and children can get bronchitis. Symptoms are similar for both.
  • Infants usually get bronchiolitis, which involves the smaller airways and causes symptoms similar to asthma.
  • Asthmatic bronchitis occurs when asthma and bronchitis coexist. Asthma is a chronic inflammatory airway condition that leads to tightening of the muscles around the airways and swelling, both of which cause the airways to narrow. The combination of inflammation of the inner lining of the airways and mucus production can lead to severe wheezing and shortness of breath.

Picture of the lung, bronchi, and airways of the lung
Picture of the lung, bronchi, and airways of the lung

Bronchitis Causes

Bronchitis occurs most often during the cold and flu season, usually coupled with an upper respiratory infection.

  • Several viruses cause bronchitis, including influenza A and B, commonly referred to as "the flu."
  • A number of bacteria are also known to cause bronchitis, such as Mycoplasma pneumoniae, which causes so-called "walking pneumonia."
  • Bronchitis also can occur when a person inhales irritating fumes or dust. Chemical solvents and smoke, including tobacco smoke, have been linked to acute bronchitis.
  • People at increased risk of both getting bronchitis and of having more severe symptoms include the elderly, those with weakened immune systems, smokers, individuals with chronic obstructive pulmonary disease (COPD) or emphysema, and anyone with repeated exposure to lung irritants.

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Viewer Comments & Reviews

Bronchitis - Length Symptoms Lasted

The eMedicineHealth physician editors ask:

How long did the symptoms of your bronchitis last? Was there anything in particular that helped with pain/symptom relief?

Bronchitis - Diagnosis

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How was your bronchitis diagnosed?

Bronchitis - Symptoms

The eMedicineHealth physician editors ask:

What symptoms did you experience with your bronchitis?

Bronchitis Symptoms

Symptoms of acute bronchitis usually begin 3 to 4 days after an upper respiratory infection, such as a cold or influenza (flu). Symptoms usually include:

  • A cough, which is the main symptom of acute bronchitis. It may be dry at first (does not produce mucus) and after a few days may bring up mucus from the lungs (productive cough). The mucus may be clear, yellow, or green. Sometimes, small streaks of blood may be present.
  • A mild fever, usually less than 101 F. A higher fever may indicate pneumonia.
  • A general feeling of tiredness.
  • A sensation of tightness, burning, or dull pain in the chest under the breastbone that usually is worse when breathing deeply or coughing.
  • Whistling noises (wheezing) when breathing, especially during physical exertion.
  • Hoarseness.

SOURCE:
Healthwise

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Bronchitis is an inflammation of the bronchial tubes, or bronchi.

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