Bronchitis

Very low urgency
Very common-

Inflammation of the bronchial tubes, which are branches of the trachea that take air from the exterior to the pulmonary alveoli.

They become inflamed due to infection (usually a virus) or due to inhalation of irritant substances.

Its most common manifestations are cough, mucus, wheezing when breathing, discomfort and shortness of breath.

Diagnosis is made clinically by questioning the patient and doing a physical examination. In severe cases, complementary tests will be performed to study its cause.

Treatment is aimed at calming the symptoms, ensuring adequate hydration to thin out the mucus and rest. If there is wheezing, inhaled bronchodilators and humidifiers should be added. When the triggering infection is viral, antibiotics should not be used.

Bibliographic references
  1. Thomas M File, Jr, MD. Acute bronchitis in adults. UpToDate. Mar 25, 2016.
  2. Harris AM, Hicks LA, Qaseem A, High Value Care Task Force of the American College of Physicians and for the Centers for Disease Control and Prevention. Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention. Ann Intern Med 2016; 164:425.
  3. Becker LA, Hom J, Villasis-Keever M, van der Wouden JC. Beta2-agonists for acute cough or a clinical diagnosis of acute bronchitis. Cochrane Database Syst Rev 2015; :CD001726.
  4. Smith SM, Fahey T, Smucny J, Becker LA. Antibiotics for acute bronchitis. Cochrane Database Syst Rev 2014; :CD000245.
  5. Martínez JA. Bronquitis Aguda. Farreras Rozman. Medicina Interna. Volumen 1. 12º edición: 774-775
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Symptoms

    Wheezing when breathing


    Thorax sinks with each breath


    Noisy breathing


    Fast, deep breathing


    Thick and abundant mucus in the lungs

Symptoms to watch out for

Difficulty breathing
A feeling of shortness of breath
Fever that doesn't subside with antipyretics (paracetamol, ibuprofen)
Expectoration that contains mucus and pus

Self-care

If there is fever (temperature higher than 38 ºC) take over-the-counter antipyretics.
If nasal congestion and a runny nose is present, use nasal inhalers containing antihistamines and/or decongestants.
Do not take antibiotics without medical advice.