The chronic cough in chronic bronchitis
Chronic bronchitis is medically interpreted as a chronicle respiratory condition characterized by cough and sputum release at least three months per year two years consecutive. The diagnose of chronic bronchitis is only established when other possible respiratory or cardiovascular diseases have been excluded.
The chronic bronchitis appears as an inflammatory damage of the bronchial tree due to an untreated acute bronchitis or due to chronicle smoking. The chronicle swelling of the bronchial walls and lumen are caused by external agents like smoke, inhaled pollutants, allergens connected with internal factors such as genetic and respiratory infections.
In time the chronic bronchitis produces a decrease of the respiratory inflow due to the thicken walls and to the pathological changes in pulmonary emphysema. In this case the inflammation has already affected the lungs, and the condition is known as COPD (chronic obstructive pulmonary disease).
Sudden acutisations of a chronic bronchitis can occur; patients present larger amounts of sputum, even pus sputum and acute breathing problems. A diagnose of chronic bronchitis exacerbations must be set after excluding other assembling diseases.
Knowing and recognizing the signs and symptoms of both acute and chronic bronchitis are useful for a future need to establish a quick and appropriate diagnose and treatment.
In COPD, controlling symptoms like cough means improving the quality of life for the chronicle patient.
The best cure for the chronicle cough in bronchitis is avoiding environments with pollution or smoke as well as personally giving up smoking. The medication treatment for coughing might be administering agonists like the short-acting Ipratropium Bromide by inhalation or Teophylline by oral way, long-action agonists and inhaled corticosteroids.
No improvements in chronic bronchitis or in its prevention were assembled by the administration of oral antibiotics or corticosteroids, expectorants, chest physiotherapy or even postural drainage. In cases of chronic bronchitis accutisations oral corticosteroids and antibiotics, and especially inhaled bronchodilators have proven to be most useful. The systemic actions of all these substances on cough havenít been carefully studied so they mustnít be indicated on long-term treatment. Also central anti-cough medication like Codeine can only be used for short-term exacerbation of cough, as it blocks the brain idea of coughing and dangerous amounts of sputum can gather inside the bronchia.
Chronic bronchitis is the primer cause of chronic coughing in human population. It is due especially to smoking and inhaling pollutants, irritants and other noxious agents. Best cure of the cough is avoiding those factors but in durable cough episodes efficient medications are available.
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