What Is Bronchitis?
Bronchitis is a respiratory disease in which the mucus
membrane in the lungs' bronchial passages becomes inflamed. As the irritated
membrane swells and grows thicker, it narrows or shuts off the tiny airways in
the lungs, resulting in coughing spells that may be accompanied by phlegm and
breathlessness. The disease comes in two forms: acute (lasting from one to
three weeks) and chronic (lasting at least 3 months of the year for two years
in a row). People with asthma may also have asthmatic bronchitis, inflammation
of the lining of the bronchial tubes.
Acute bronchitis may be responsible for the hacking cough
and phlegm production that sometime accompany an upper respiratory infection.
In most cases, the infection is viral in origin, but sometimes it's caused by
bacteria. If you are otherwise in good health, the mucus membrane should return
to normal after you've recovered from the initial lung infection, which usually
lasts for several days.
Chronic bronchitis is a serious long-term disorder that
often requires regular medical treatment.
If you are a smoker and come down with acute bronchitis, it
will be much harder for you to recover. Every cigarette damages the tiny
hair-like structures in your lungs, called cilia, that are responsible for
brushing out debris, irritants, and excess mucus.
If you continue smoking, the damage to these cilia prevent
them from functioning properly, thus increasing your chances of developing
chronic bronchitis. In some heavy smokers, the mucus membrane lining the
airways stays inflamed and the cilia eventually stop functioning altogether.
Clogged with mucus, the lungs are then vulnerable to viral and bacterial
infections, which over time distort and permanently damage the lungs' airways.
This permanent condition is called COPD (chronic obstructive pulmonary
disease). Your doctor can perform a breathing test, called spirometry, to see
if you have developed COPD. WebMD has many resources to help you to
successfully quit smoking.
Acute bronchitis is very common. The disorder often can be
treated effectively without professional medical assistance. However, if you
have severe or persistent symptoms, high fever, or if you cough up blood, you
should see your doctor. Seek emergency medical help if you have trouble
breathing or have chest pain. If you suffer from chronic bronchitis, you are at
risk for developing heart problems as well as more serious lung diseases and
infections, so you should be monitored by a doctor.
What Causes Bronchitis?
Acute bronchitis is generally caused by lung infections, 90%
of which are viral in origin. Repeated attacks of acute bronchitis, which
weaken and irritate bronchial airways over time, can result in chronic
bronchitis.
Industrial pollution is another culprit. Chronic bronchitis
is found in higher-than-normal rates among coal miners, grain handlers, metal
molders, and other people who are continually exposed to dust and fumes. But
the chief cause is heavy, long-term cigarette smoking, which irritates the
bronchial tubes and causes them to produce excess mucus. The symptoms of
chronic bronchitis are also worsened by high concentrations of sulfur dioxide
and other pollutants in the atmosphere.
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