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Chronic bronchitis

 
Chronic bronchitis Introduction

 

There are two types of bronchitis: acute (begins suddenly and clears up quickly) and chronic (long-term and recurrent). Chronic bronchitis is one of several diseases collectively known as Chronic Obstructive Pulmonary Disease, or COPD.  Other diseases in this category include; asthmatic bronchitis, chronic obstructive bronchitis, bullous disease, and emphysema.

 

In chronic bronchitis, the airways (bronchi) become inflamed, congested, and narrowed.  Persons also have a continuous or a recurrent excess of mucus secretion, which affects the bronchial tree.  The body's natural mechanism to rid itself of the excess mucus is by coughing. If one has a frequent overproduction of mucus with cough, and the cough occurs continuously for three consecutive months during two consecutive years; this person is usually diagnosed with chronic bronchitis.


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The primary cause of chronic bronchitis is smoking. However, continuous exposure to other irritants such as occupational dusts, noxious gases, environmental pollution, and bacterial (possibly viral) infections, can also cause chronic bronchitis.  In response to smoke or other irritants, the linings of the lung's airways become thickened and narrowed.  Mucus-producing glands in the bronchi increase and produce excessive mucus, which often impairs the normal coughing mechanism for clearing the airways.

 

 

Chronic Bronchitis Statistics

 

According to the American Lung Association (1):

  • Over 11 million Americans are diagnosed with chronic bronchitis annually.
     

  • More women than men are diagnosed with chronic bronchitis.
     

  • Chronic bronchitis affects people of all ages, but is more prevalent in people over 45 years old.
     

  • In 2000, over 1,100 Americans died as a result of chronic bronchitis

 

 

Chronic Bronchitis Symptoms

 

Chronic bronchitis is classified into four different categories: Class 1-acute tracheobronchitis; Class 2-chronic bronchitis; Class 3-chronic bronchitis with complications; and Class 4-chronic bronchial infection. These categories serve as a guide for the assessment and treatment of this condition. Symptoms of chronic bronchitis may take years to develop and often include the following:

  • Mild to Severe cough

  • Coughing in the morning that produces excessive sputum (coughed up mucus)

  • Coughing during the day

  • Thick sputum ranging in color from white to yellow-green

  • Frequent chest infections, especially in the winter, producing yellow-green sputum

  • Wheezing and other abnormal lung sounds, especially after coughing and while inhaling and/or exhaling

  • Shortness of breath on mild exertion, becoming progressively worse

  • In advanced stages respiratory failure may develop in which the lack of oxygen causes the lips and fingernails to turn blue, along with heart and liver enlargement, and lower extremity fluid build-up.

 

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