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7/31/2019 What is Asthmatic Bronchitis
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What is asthmatic bronchitis? Asthmatic bronchitis refers to the incidence of acute bronchitis in a person with asthma. Acute
bronchitis is a respiratory disease that causes inflammation in the bronchi, the passageways
that move air into and out of the lungs. This inflammation results in respiratory congestion and
shortness of breath. Asthma is a disorder that causes inflammation of the airways, leading to
shortness of breath, chest tightness, and wheezing.
Acute bronchitis is a common respiratory disorder in the United States. Infants, young children,
and elderly people have the highest risk of developing acute bronchitis. Acute bronchitis is
commonly caused by upper respiratory viral infections. If you have asthma, your risk of acute
bronchitis is increased because of an increased sensitivity to airway irritation and inflammation.
Your risk of acute bronchitis is also increased if you smoke or are exposed to air pollution.
The signs and symptoms of asthmatic bronchitis vary among individuals, depending on the
severity of the infection. Treatment for asthmatic bronchitis includes antibiotics, bronchodilators,
anti-inflammatory drugs, and pulmonary hygiene techniques such as chest percussion (medical
treatment in which a respiratory therapist pounds gently on the patient’s chest) and postural
drainage (medical treatment in which the patient is placed in a slightly inverted position to
promote the expectoration of sputum).
Healthy lifestyle practices, including good hand washing, drinking plenty of fluids, following a
well-balanced diet, getting plenty of rest, and avoid smoking, can help prevent or improve
asthmatic bronchitis.
Seek immediate medical care (call 911) if you have severe difficulty breathing, which may be
combined with pale or blue lips, fast heart rate, and chest pressure.
Seek prompt medical care if you are being treated for asthmatic bronchitis but mild symptoms
recur or are persistent.
What causes asthmatic bronchitis?
Asthmatic bronchitis refers to the occurrence of acute bronchitis in conjunction with asthma
(disorder that affects the lungs and is characterized by airway constriction that leads
to shortness of breath, chest tightness, and wheezing). Acute bronchitis is a respiratory disease
that causes inflammation in the bronchi, the passageways that move air into and out of the
lungs. The inflammation results in respiratory congestion and shortness of breath. The mostcommon cause of asthmatic bronchitis is an upper viral respiratory infection.
What are the risk factors for asthmatic bronchitis?
A number of factors that occur in conjunction with asthma increase the risk of bronchitis. Not all
people with asthma who are exposed to risk factors will get asthmatic bronchitis. Risk factors or
triggers for asthmatic bronchitis include:
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Air pollution
Allergies
Animal dander
Dust
Jobs associated with livestock, grain, textiles, and coal mining
Pollen
Preexisting lung disease
Smoke
Upper respiratory infections
Reducing your risk of asthmatic bronchitisYou may be able to lower your risk of asthmatic bronchitis by:
Getting pneumococcal or annual flu vaccines
Practicing good hygiene by always washing your hands to prevent the spread of infection
Refraining from smoking and avoiding secondhand smoke
Taking all medicine as prescribed, even if you do not have symptomsINTRODUCTION
What is asthmatic bronchitis?
Asthmatic bronchitis refers to the incidence of acute bronchitis in a person with asthma. Acute
bronchitis is a respiratory disease that causes inflammation in the bronchi, the passageways
that move air into and out of the lungs. This inflammation results in respiratory congestion and
shortness of breath. Asthma is a disorder that causes inflammation of the airways, leading to
shortness of... Read More About Asthmatic Bronchitis Introduction
What are the symptoms of asthmatic bronchitis?Symptoms of asthmatic bronchitis are related to inflammation of the lung airways and can vary
in intensity among individuals.
Common symptoms of asthmatic bronchitis
You may experience asthmatic bronchitis symptoms daily or just once in a while. At times any of
these asthma symptoms can be severe:
Chest pain or pressure
Coughing up clear, yellow, light brown, or green mucus
Fatigue
Fever
Shortness of breath or rapid breathing (tachypnea)
Wheezing (whistling sound made with breathing)
Serious symptoms that might indicate a life-threatening conditionIn some cases, asthmatic bronchitis can be life threatening. Seek immediate medical care (call
911) if you, or someone you are with, have any of these life-threatening symptoms including:
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Bluish coloration of the lips or fingernails
Change in level of consciousness or alertness, such as passing out or unresponsiveness
Respiratory or breathing problems, such as shortness of breath, difficulty breathing, labored
breathing, wheezing, not breathing, or choking
How is asthmatic bronchitis treated?Treatment for asthmatic bronchitis begins with seeking medical care from your health care
provider. The goal of treatment for asthmatic bronchitis is to reduce asthma-related
bronchospasm and reduce congestion caused by the acute bronchitis. Asthma medications
include long-term asthma control medications to prevent asthma attacks, which is especially
important in the case of acute bronchitis. Short-term asthma medications are given in the event
of an asthma attack. Acute bronchitis is not normally treated with antibiotics, since the most
common cause is a viral infection. Expectorants can help thin mucus in the airways, making it
easier to cough up mucus.
Long-term asthma control medications
Long-term asthma control medications are inhaled or taken orally each day to control and
prevent symptoms. Generally, the most effective long-term control medications are inhaled
corticosteroids. Long-term control medications include:
Immunomodulators, such as omalizumab (Xolair), which is an injectable antibody used to
control asthma symptoms in people with allergy-induced asthma whose symptoms are not
controlled by inhaled corticosteroids. Omalizumab is injected on a periodic basis in your doctor’s
office.
Inhaled corticosteroids, such as budesonide (Pulmicort Flexhaler, Pulmicort Respules),
flunisolide (Aerobid Aerosol), fluticasone propionate (Flovent HFA), and triamcinolone acetonide(Azmacort Inhalation Aerosol)
Leukotriene modifier medications such as montelukast (Singulair)
Long acting beta-agonist medications, such as salmeterol (Serevent Diskus) and formoterol
(Foradil)
Quick-relief asthma medications“Rescue” or quick-relief medications treat acute symptoms and are generally inhaled through a
device called an inhaler. Rescue medications are used on the spot when you feel a sudden
onset of asthma symptoms. Fast-acting asthma medications include short-acting beta agonists
(bronchodilators), such as albuterol sulfate (ProAir, Proventil, Ventolin, AccuNeb inhalation
solution) and levalbuterol (Xopenex).
Treatment options for acute bronchitisOptions for the treatment of acute bronchitis in individuals who have asthma include:
Analgesics, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), naproxen (Aleve), and
aspirin (for adults only)
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Antibiotic therapy is given only if the infection is likely caused by bacteria
Bronchodilators via a nebulizer or metered-dose inhaler if wheezing if present
Chest physical therapy (CPT) or postural drainage to promote coughing up mucus
Humidifier to increase moisture in the air
If you are a smoker, treatment to help you quit smoking
Increased hydration to thin mucus
Oxygen therapy
What you can do to improve your asthmatic bronchitisIn addition to reducing your exposure to asthmatic bronchitis triggers, you can also improve
asthmatic bronchitis by:
Drinking plenty of fluids
Getting plenty of rest
Taking all medications as prescribed
What are the potential complications of asthmatic bronchitis?Complications of untreated or poorly controlled asthmatic bronchitis can be serious, even life
threatening in some cases. You can help minimize your risk of serious complications by
following the treatment plan you and your health care professional design specifically for you.
Complications of asthmatic bronchitis include:
Chronic obstructive pulmonary disease (COPD), including emphysema and chronic bronchitis
Frequent respiratory infections
Pneumonia
Pulmonary hypertension (high blood pressure in the arteries of the lungs)
Respiratory failure