Bronchitis Health Article

Definition

Bronchitis is inflammation of the main air passages to the lungs. Bronchitis may be short-lived (acute) or chronic, meaning that it lasts a long time and often recurs.

See also: Chronic obstructive pulmonary disease (COPD)

Alternative Names

Inflammation - bronchi; Acute bronchitis

Causes, incidence, and risk factors

Acute bronchitis generally follows a viral respiratory infection. At first, it affects your nose, sinuses, and throat and then spreads to the lungs. Sometimes, you may get another (secondary) bacterial infection in the airways.This means that bacteria infect the airways, in addition to the virus.

People at risk for acute bronchitis include:

• The elderly, infants, and young children
• Persons with heart or lung disease
• Smokers

Chronic bronchitis is a long-term condition. People have a cough that produces excessive mucus. To be diagnosed with chronic bronchitis, you must have a cough with mucus most days of the month for at least 3 months.

Chronic bronchitis is one type of chronic obstructive pulmonary disease, or COPD for short. (Emphysema is another type of COPD.)

The following things can make bronchitis worse:

• Air pollution
• Allergies
• Certain occupations (such as coal mining, textile manufacturing, or grain handling)
• Infections

Symptoms

The symptoms of either type of bronchitis may include:

• Chest discomfort
• Cough that produces mucus; if it's yellow-green, you are more likely to have a bacterial infection
• Fatigue
• Fever -- usually low
• Shortness of breath worsened by exertion or mild activity
• Wheezing

Even after acute bronchitis has cleared, you may have a dry, nagging cough that lingers for several weeks.

Additional symptoms of chronic bronchitis include:

• Ankle, feet, and leg swelling
• Blue-colored lips from low levels of oxygen
• Frequent respiratory infections (such as colds or the flu)