chronic bronchitis respiratory failure - Understand Chronic Bronchitis - Diagnosis And Treatment Methods Explained
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Understand Chronic Bronchitis - Diagnosis And Treatment Methods Explained

One of the manifestations of chronic bronchitis is a productive cough accompanied by phlegm, which obstructs the free flow of air in the bronchial tubes. Chronic bronchitis is a long-term disorder that can last as long as two years. It is the fourth largest killer in the United States of America, and around ten million people fall victim to this disorder every year. About 40,000 deaths due to chronic bronchitis have been recorded annually. It is considered to be the most common chronic obstructive pulmonary illnesses (CODP).


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Risk Over time, harmful substances in tobacco smoke can permanently damage the airways, increasing the risk for emphysema, cancer, and other serious lung diseases. People at risk for acute bronchitis include: The elderly, infants, and young children, Smokers, People with heart or lung disease. Passive smoke exposure is a risk factor for chronic bronchitis and asthma in adults. Smoking (even for a brief time) and being around tobacco smoke, chemical fumes, and other air pollutants for long periods of time puts a person at risk for developing the disease. Overall, tobacco smoking accounts for as much as 90% of the risk. Secondhand smoke or environmental tobacco smoke increases the risk of respiratory infections, augments asthma symptoms, and causes a measurable reduction in pulmonary function. Malnutrition increases the risk of upper respiratory tract infections and subsequent acute bronchitis, especially in children and older people.

Mortality rate after the diagnosis of chronic bronchitis is fifty percent. The terminal event of chronic bronchitis is respiratory failure. Respiratory failure is due to bacterial infections characterized by purulent sputum, fever, and poor ventilation symptoms. The other factors responsible for respiratory failure are seasonal changes, infections of the upper respiratory system, medications, and prolonged exposure to polluting and irrtating agents.

The condition called bronchitis is the inflammation of the bronchial tree; tonsillitis is the inflammation of to tonsils localized on the posterior side of the mouth. Both diseases are caused mainly by bacteria or viruses, but can also be unleashed by polluting factors or different substances causing irritation. The most common cause of tonsillitis is still the bacteria Streptococcus with its preferred localization in the mouth and throat.

Treatment Treatment depending on the symptoms and cause, may include: Antibiotics to treat acute bronchitis that appears to be caused by a bacterial infection or for people who have other lung diseases that put them at a greater risk of lung infections, Bronchodilators, which open up the bronchi, may be used on a short-term basis to open airways and reduce wheezing, Cool-mist humidifiers or steam vaporizers can be helpful for wheezing or shortness of breath. Early recognition and treatment, combined with smoking cessation, significantly improve the chance of a good outcome. With severe bronchitis, your fever may be as high as 101' to 102' F and may last for 3 to 5 days even with antibiotic treatment. However, if influenza is the suspected cause, treatment with an antiviral drug may be helpful.

Streptococcus in tonsillitis must be attacked parenteral Penicillin; in severe cases of more than six tonsillitis attacks per year surgery to remove the tonsils is indicated. Tonsillectomy is also necessary when the inflammation obstructs the throat.

Airway biopsies can reveal submucosal and mucosal inflammation, hyperplasia of goblet cells, and abnormal smoothness of the muscles on the small noncartilaginous air passage.

Conclusion Bronchitis is an inflammation of the air passages within the lungs and may be accompanied by signs and symptoms of an upper respiratory infection, including: Soreness and a feeling of constriction or burning in your chest, Sore throat, Congestion, Breathlessness, Wheezing, Slight fever and chills, Overall malaise.

The ratio between the measured forced expiratory volume (FEVI) and the forced vital capacity (FVC) defines the severity of chronic bronchitis. One of the signs of severe and long-term chronic bronchitis is progressive decline of FEVI rates. Factors such as age affect the elasticity of the lungs due to which the pulmonary testing of most adults over middle age show a 30ml decline in FEVI. In addition, the blocking of the bronchi due to an increase in the production of sputum does not always indicate chronic bronchitis. Pulmonary testing documents the reversible characteristics of air passage obstruction, and this helps physicians properly diagnose this disorder.

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In bronchitis, the occurred inflammation affects the cills on the bronchial mucosa and lowers their movements so they cannot evacuate mucus and foreign particles no more. Also the mucus secretion is stimulated and the phenomenon of coughing appears during bronchitis. Triggers of bronchial inflammation are especially inhaled dust or pollutants, smoking, but also viral determinants such as Rhinoviruses, Adenoviruses, Influenza and Epstein-Barr.

Tobacco and infectious agents are major causes of chronic bronchitis and although found in all age groups, it is diagnosed most frequently in children younger than 5 years. In 1994, it was diagnosed in more than 11 of every 100 children younger than 5 years. Fewer than 5% of people with bronchitis go on to develop pneumonia. Most cases clear up on their own in a few days, especially if you rest, drink plenty of fluids, and keep the air in your home warm and moist. If you have repeated bouts of bronchitis, see your doctor.

Most people can treat their symptoms at home. However, if you have severe or persistent symptoms or if you cough up blood,you should see your doctor. The doctor will recommend that you drink lots of fluids, get plenty of rest, and may suggest using an over-the-counter or prescription cough medicine to relieve your symptoms as you recover. If you do not improve, your doctor may prescribe an inhaler to open your airways. If symptoms are severe, the doctor may order a chest x-ray to exclude pneumonia.

Studies reveal that more than 90 percent of the people who contract chronic bronchitis comprise smokers. About 15 percent of the cigarette smokers are ultimately diagnosed with respiratory disorders charaterized by obstruction of the airways. Biopsies of bronchial samples of people who have quit smoking thirteen years ago still reveal persistent marks of bronchial inflammation.

Causes of Chronic Bronchitis Certain lifestyle habits such as cigarette smoking is mainly responsible for chronic bronchitis. People who live in highly polluted atmospheres also fall prey to this disorder. The above-mentioned factors weaken the lungs and the body's immune system to such as extent that the person is easily infected by bacteria and viruses that attack the respiratory system.

If not treated bronchitis can become chronic and increase the risk of lung cancer, contribute to apparition of asthma or make the pulmonary tract more vulnerable to infections. Complications of untreated tonsillitis might be obstruction of mouth and upper airways and an abscess that could spread in the entire body. Especially untreated Streptococcus causes heart, kidney, skin and liver damages.

Tonsils have an immune and evacuating function but viral or bacterial infection hinders the drainage leading to inflammation and pain. Most important infectious factors in tonsillitis are Streptococcus group A and viruses like Herpes simplex I, Adenovirus, Enterovirus, Epstein-Barr and the flu causing viruses Influenza and Parainfluenza.

The potential severe complications of long-term infection left untreated must imply more interest in healing the inflammation and treating the primer infection. Researches to find better and right cures are made all over the world.

Sputum culture is done in case of patients who have not been hopitalized but display acute exacerbations of chronic bronchitis. It is one of the methods used to determine the requirement for antibiotic therapy. Protected-tip sputum cultures are done in case of patients who are in hospitals especially if atypical organisms are suspected to cause the excarberation.

 
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Tests to Determine Chronic Bronchitis A series of tests are necessary to determine a variety of factors. Needless to say, testing is also essential to make a correct diagnosis of the condition. The results of tests also confirm the extent to which the air passages are obstructed. Some of the tests include pulmonary function testing, blood tests, chest radiograph, electrocardiogram, biopsies, and sputum cultures.

Electrocardiograms pinpoint distrubances, such as arterial fibrillation or flutter and atrial tachycardia having "P" pulmonale, in the supraventricular rhythm.

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Tonsillitis is diagnosed only by checking the swollen tonsils with a spatula and collecting a pharyngeal probe to determine if the infection is bacterial or viral. Bacterial infection will require antibiotics but viruses won' respond to such treatment.

Tests conducted on patients suffering from chronic bronchitis reveal yet another disturbing factor--the presence of three varieties of bacteria: Moxarella catarrhalis, Haemophilus influenzae, and Streptococcus pneumoniae.

Introduction Bronchitis is a respiratory disease in which the mucous membrane in the lungs bronchial passages becomes inflamed and usually occurs in the setting of an upper respiratory illness and is observed more frequently in the winter months. It may be short-lived (acute) or chronic, meaning that it lasts a long time and often recurs and can have causes other than an infection. Bronchitis can also occur when acids from your stomach consistently back up into your food pipe, a condition known as gastroesophageal reflux disease, or GERD. Both adults and children can get it. If you are a smoker and come down with the acute form, it will be much harder for you to recover. If you continue smoking, you are increasing your chances of developing the chronic form which is a serious long-term disorder that often requires regular medical treatment. If you suffer from chronic bronchitis, you are at risk for developing cardiovascular problems as well as more serious lung diseases and infections, and you should be monitored by a doctor.

Methods of Managing Chronic Bronchitis Two methods of managing chronic bronchitis are in vogue at present--inhalation of ipratropium bromide and treatment through sympathomimetic agents. Theophyllinne is also an important therapy, but its uses are limited to a certain cases of the disorder. Patients who exhibit a remarkable improvement in airflow are not given any steroids. Antibiotics have a crucial part to play in the battle against acute infections. Supplemental oxygen is given to those patients who experience difficulties in breathing. Patients are also strongly advised to quit smoking for good, take plenty of nutritional supplements and fluids, and perform exercises to strengthen their respiratory muscles.

A sample of arterial blood is taken in order to do a blood test, which can determine conditions such as mild polychthemia. Chest radiographs reveal conditions such as blebs, diaphragmatic flattening, peribronchial markings, hyperinflation, and bullae. However, the test results cannot be taken as final proof of the existence of chronic bronchitis.

Bronchitis symptoms will most commonly begin to be manifest following a bout of the flu or the common cold. The body can't manage to heal itself fully, and symptoms such as heavy coughing will begin to be manifest, this coughing could be dry, or phlegmy. The cough produced by bronchitis can potentially last for several weeks, also bringing with it the possibility of pain in the chest and abdomen, as well as difficulty breathing to the point of wheezing.

The primer symptoms of bronchial inflammation are coughing with mucus expectoration, chest pains, dispneea (difficult breathing) and all signs of regular colds. Tonsillitis is characterized by symptoms like a sore throat and disfagia (pain while swallowing), fever, pain, nausea, anorexia and chills.

If these bronchitis symptoms persist for two weeks or longer or if your fever persists for several days you should see a doctor. He or she will check for signs of pneumonia. You should immediately see a doctor if at any time you cough up blood or see any signs of blood in your phlegm such as a rusty color. If your doctor diagnoses a virus there is little you can do because antibiotics do not fight viruses. In fact, misuse of antibiotics contributes to the development of drug resistant bacteria. You simply need to rest and wait for your body's own defenses to defeat the infection naturally. However you can take medications to relieve the symptoms of bronchitis such as cough and fever.

Advil, Tylenol, and aspirin are three of the most often used medications to treat bronchitis symptoms. However, aspirin is not advised for anyone eighteen years old or younger. A complication known as Reye's Syndrome can occur which could be fatal. Drinking a lot of liquids can help to avoid the dehydration normally associated with fever. It can also relieve an irritated throat from constant coughing. Another treatment for the cough is over the counter cough suppressants.

Symptoms Symptoms lasting up to 90 days are usually classified as acute; symptoms lasting longer, sometimes for months or years, are usually classified as chronic. Signs of Infectious bronchitis generally begins with the symptoms of a common cold: runny nose, sore throat, fatigue, chills, and back and muscle aches. The signs of either type of bronchitis include: Cough that produces mucus; if yellow-green in color, you are more likely to have a bacterial infection, Shortness of breath made worse by exertion or mild activity, Wheezing, Fatigue, Fever -- usually low and Chest discomfort. Additional symptoms include: Frequent respiratory infections (such as colds or the flu), Ankle, feet, and leg swelling, Blue-tinged lips due to low levels of oxygen.

Treating bronchitis requires painkillers like Ibuprofen or Acetaminophen, assisted breathing in acute bronchitis and ant biotherapy with macrolides if Chlamydia or Mycoplasma are present.

An understanding of the factors responsible for inflammation in chronic bronchitis makes it easier to manage, control, and treat this disorder.



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Most difficult to diagnose is bronchitis as it can easily be mistaken with asthma. Proper tests for diagnose are chest X-ray, listening breathing with the stethoscope, pulmonary function tests and collecting sputum for bacterial cultures.


More informations about asthmatic bronchitis or bronchitis symptoms can be found by visiting http://www.bronchitis-guide.com/

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More informations about asthmatic bronchitis or bronchitis symptoms can be found by visiting http://www.bronchitis-guide.com/


 
 
     
 
 





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