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Home > Conditions A-Z > Bronchitis
Home > Help Desk > Health Concern > Section A > Bronchitis

Bronchitis

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Bronchitis is an inflammation of the trachea and bronchial tree. Bronchitis may be either acute or chronic. Acute bronchitis may be caused by viral or bacterial infections and is often preceded by an upper respiratory tract infection. Acute bronchitis may also result from irritation of the mucous membranes by environmental fumes, acids, solvents, or tobacco smoke. Bronchitis usually begins with a dry, nonproductive cough. After a few hours or days, the cough may become more frequent and produce mucus. A secondary bacterial infection may occur, in which the sputum (bronchial secretions) may contain pus. People whose cough and/or fever continues for more than seven days should visit a medical practitioner.

Chronic bronchitis may result from prolonged exposure to bronchial irritants. Cigarette smoking, environmental toxins, and inhaled allergens can all cause chronic irritation of the bronchi. The cells lining the bronchi produce excess mucus in response to the chronic irritation; this excess mucus production can lead to a chronic, productive cough.

Bronchitis can be particularly dangerous in the elderly and in people with compromised immune systems. These people should see a doctor if they develop a respiratory infection.

What are the symptoms of bronchitis?
Acute infectious bronchitis is often preceded by signs of an upper respiratory tract infection: stuffy or runny nose, malaise, chills, fever, muscle pain, and sore throat. The cough is initially dry and does not produce mucus. Later, small amounts of thick green or green-yellow sputum may be coughed up.

Chronic bronchitis is characterized by a productive cough that initially occurs only in the morning.

How is it treated?
Rest and oral fluids are recommended in the fever stage of acute bronchitis. Antibiotics are used when the sputum becomes dark green or yellow, indicating a bacterial infection. For most adults, tetracycline or ampicillin are the antibiotics used first. Alternatively trimethoprim/sulfamethoxazole may be recommended. Symptomatic treatment of cough may be given to aid sleep, although coughing is important during the day to clear out infected sputum. Antitussives (cough suppressants) include dextromethorphan (e.g., Benylin® DM, Vicks® Formula 44) and codeine. The most commonly used expectorant (drug that stimulates expulsion of bronchial secretions) is guaifenesin.

Treatment of chronic bronchitis includes smoking cessation and a variety of drugs directed at relieving symptoms or treating superimposed bacterial infections ( antibiotics).

Dietary changes that may be helpful:
Dietary factors may influence both inflammatory activity and antioxidant status in the body. Increased inflammation and decreased antioxidant activity may each lead to an increased incidence of chronic diseases, such as chronic bronchitis. People suffering from chronic bronchitis may experience an improvement in symptoms when consuming a diet high in anti-inflammatory fatty acids, such as those found in fish. In a double-blind study of children with recurrent respiratory tract infections, a daily essential-fatty-acid supplement (containing 855 mg of alpha-linolenic acid and 596 mg of linoleic acid) reduced both the number and the duration of recurrences.

In people with bronchitis, lipids in the lung tissue may undergo oxidation damage (also called free-radical damage), particularly when the bronchitis is a result of exposure to environmental toxins or cigarette smoke. A diet high in antioxidants may protect against the free radical-damaging effect of these toxins. Studies comparing different populations have shown that increasing fruit and vegetable (and therefore, antioxidant) consumption may reduce the risk of developing chronic bronchitis.

Food and environmental allergies may be triggering factors in some cases of chronic bronchitis. Cows’ milk allergy has been associated with bronchitis in children, and some doctors believe that dairy products may increase mucus production and, therefore, that people suffering from either acute or chronic bronchitis should limit their intake of dairy products. Ingestion of simple sugars (such as sucrose or fructose) can lead to suppression of immune function; therefore, some doctors believe simple sugars should be avoided during illness.

Lifestyle changes that may be helpful:
Breast-feeding provides important nutrients to an infant and improves the functioning of the immune system. Studies have shown that breast-feeding prevents the development of lower respiratory tract infections during infancy. Exposure to environmental chemicals, including passive smoke, can increase the incidence of respiratory illness among children.

Chronic bronchitis is frequently associated with smoking and/or environmental exposure to chemicals or allergens. These exposures should be avoided to allow the cells of the bronchi to recover from chronic irritation and to decrease the burden on the immune system.

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