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Bronchitis vs uri: Upper Respiratory Infections and Acute Bronchitis

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Upper Respiratory Infections and Acute Bronchitis

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Bronchitis vs Upper Respiratory Infection: What’s the Difference?

Respiratory infections are common, especially during the colder months. Two of the most common respiratory infections are bronchitis and upper respiratory infections (URIs). While they share some similarities, there are also some key differences between the two.

What is Bronchitis?

Bronchitis is an inflammation of the bronchial tubes, which are the air passages that lead to the lungs. It can be acute or chronic, with acute bronchitis typically lasting for a few weeks and chronic bronchitis lasting for several months or longer.

The most common cause of acute bronchitis is a viral infection, such as the flu or a cold. Chronic bronchitis is often caused by smoking or exposure to air pollution.

What is an Upper Respiratory Infection?

An upper respiratory infection (URI) is a viral infection that affects the nose, throat, and sinuses. It is also known as the common cold. Symptoms of a URI include a runny or stuffy nose, sore throat, cough, and congestion.

What are the Differences Between Bronchitis and URIs?

While both bronchitis and URIs are respiratory infections, there are some key differences between the two:

  • Location: Bronchitis affects the bronchial tubes, while URIs affect the nose, throat, and sinuses.
  • Symptoms: Bronchitis typically causes a cough that produces mucus, while URIs cause a runny or stuffy nose, sore throat, and congestion.
  • Duration: Acute bronchitis typically lasts for a few weeks, while URIs usually last for a week or two.
  • Cause: Bronchitis is often caused by a viral infection, but can also be caused by smoking or exposure to air pollution. URIs are caused by viral infections.

When Should You See a Doctor?

If you are experiencing respiratory symptoms, it is important to see a doctor to get the right diagnosis and treatment. While most cases of bronchitis and URIs can be treated at home with rest and over-the-counter medications, some cases may require prescription medications or other treatments.

If you are experiencing severe symptoms, such as difficulty breathing or chest pain, seek medical attention immediately.

How Nao Medical Can Help

At Nao Medical, we offer a range of services to help diagnose and treat respiratory infections, including bronchitis and URIs. Our experienced healthcare providers can help you get the right diagnosis and treatment for your respiratory concerns.

We offer same-day appointments, minimal wait times, exceptional and empathetic staff, stunning clinic environments, a technologically driven approach with a comprehensive app, and extensive after-hours virtual care. Book an appointment with us today to get the care you need.

Frequently Asked Questions

What are the symptoms of bronchitis?

The most common symptom of bronchitis is a cough that produces mucus. Other symptoms may include chest discomfort, fatigue, and shortness of breath.

How is bronchitis treated?

Treatment for bronchitis depends on the cause and severity of the infection. Most cases can be treated at home with rest, over-the-counter medications, and plenty of fluids. In some cases, prescription medications may be necessary.

What are the symptoms of an upper respiratory infection?

The symptoms of an upper respiratory infection include a runny or stuffy nose, sore throat, cough, and congestion.

How is an upper respiratory infection treated?

Treatment for an upper respiratory infection typically involves rest, over-the-counter medications, and plenty of fluids. Antibiotics are not effective against viral infections, such as URIs.

When should I see a doctor for a respiratory infection?

If you are experiencing severe symptoms, such as difficulty breathing or chest pain, seek medical attention immediately. Otherwise, it is a good idea to see a doctor if your symptoms last for more than a week or if they are interfering with your daily activities.

Key Takeaways

  • Bronchitis is an inflammation of the bronchial tubes, while upper respiratory infections (URIs) affect the nose, throat, and sinuses.
  • Bronchitis typically causes a cough that produces mucus, while URIs cause a runny or stuffy nose, sore throat, and congestion.
  • If you are experiencing respiratory symptoms, it is important to see a doctor to get the right diagnosis and treatment.
  • Nao Medical offers a range of services to help diagnose and treat respiratory infections, including bronchitis and URIs.

External Links: https://www. cancer.gov/publications/dictionaries/cancer-terms/def/pulmonology, https://www.lung.org/

Disclaimer: The information presented in this article is intended for general informational purposes only and should not be considered, construed or interpreted as legal or professional advice, guidance or opinion.

types, causes, symptoms, signs, diagnosis, treatment, prevention in children and adults

Acute bronchitis

Chronic bronchitis

Occupational bronchitis

Diagnosis

Complications

Treatment 90 003

Prognosis and prevention

Bronchitis is a disease affecting the lower respiratory tract with inflammation of the bronchial mucosa. The inflammatory process can develop only in one part or affect the entire bronchial tree. The main difference from pneumonia is the absence of involvement in the pathological process of the alveoli.

The duration of the disease can be acute and chronic with exacerbations.

The main symptom that allows to suspect a pathology is a cough with sputum, which often causes shortness of breath. Bronchitis is one of the most common reasons for all visits to the doctor.

Acute bronchitis

Many respiratory diseases, and this is SARS and influenza, often occur with manifestations of acute bronchitis. The main pathogens are viruses: rhinoviruses, enteroviruses, coronaviruses, adenoviruses. They account for 90% of all cases. At the same time, rhinoviruses and enteroviruses give a mild course, but coronaviruses and adenoviruses can cause severe complications.

Bacterial causes of bronchitis are much less common and are usually caused by a variety of bacteria. It is noted that during exacerbation of chronic bronchitis, bacteria in the sputum are excreted much more often than in the acute form.

Acute bronchitis can be caused by allergens, as well as exposure to dust, polluted or smoky air.

Bronchitis of the lungs can also be mixed, when infectious and physico-chemical factors are combined, as well as unspecified, when it is not possible to determine what caused the development of the disease.

According to the area of ​​inflammation, bronchitis in children and adults can be divided into:

  • tracheobronchitis;
  • with lesions of medium or small bronchi;
  • bronchiolitis.

The main symptom of acute bronchitis is a cough that occurs with existing manifestations of SARS or another infection. The temperature with bronchitis rises moderately, weakness, a runny nose appear, and the state of health worsens.

At first the cough is dry, there is little sputum, and the coughing attacks become especially painful at night. After 3-4 days, a dry cough is replaced by a wet one, with copious sputum discharge.

In a mild course of the disease, shortness of breath is not observed. If it appears over time, then this indicates damage to the small bronchi, which leads to obstructive bronchitis.

The general condition of the patient during treatment is normalized in a few days, and the cough may persist for another 2-3 weeks. If the temperature does not subside, but only rises, and the general condition noticeably worsens, this indicates the addition of a bacterial infection and the development of complications.

Chronic bronchitis

This diagnosis is made in case of cough with sputum for at least 3 months a year for 2 years or even more. The most common cause of chronic bronchitis is smoking. The main symptoms are a prolonged cough, shortness of breath may join. The cough is usually loose, beginning in the morning after sleep. A little sputum comes out. At the same time, in the cold season and in wet weather, the cough intensifies, but almost completely stops in the summer.

The general state of health does not change in any way, and the cough itself in smokers does not cause any concern and is habitual throughout life.

One of the characteristic features of this disease is the alternation of periods of exacerbation and remission.

People with symptoms of chronic bronchitis are more likely than others to suffer from acute respiratory infections or acute respiratory viral infections, while the risk of damage to the lower sections of the bronchial tree and the development of pneumonia increases several times.

In the future, during the period of exacerbation of bronchitis, the symptoms become more pronounced. The cough is greatly intensified, manifested by seizures, becomes hoarse, tearing the throat, without sputum discharge. Other symptoms appear – constant weakness, fatigue, night sweats. With exertion, shortness of breath begins to appear.

Occupational bronchitis

This type of chronic bronchitis develops in people of certain professions. Such people at work constantly deal with finely dispersed substances that enter the lungs when breathing.

This form of bronchitis, for example, often develops in people associated with the production of asbestos, coal, latex, talc, while working with cotton, silica.

Prolonged contact and inhalation of these substances irritate the lung tissue, accumulate in the lungs, which causes inflammation and coughing. With regular exposure to these factors, in the absence of treatment, chronic obstructive pulmonary disease (COPD) often develops.

Another bronchitis without fever – dust. It is also a chronic occupational lung disease that begins to develop when inhaling air containing an increased concentration of dust. Most often, miners suffer from it.

Diagnosis

Before starting treatment, it is necessary to diagnose bronchitis in order to understand its origin and find the causative agent of the disease (if any).

The main diagnostic procedures are:

  • general blood and urine test;
  • blood biochemistry;
  • X-ray of the chest organs or computed tomography – according to indications for the differential diagnosis of the disease and the identification of probable complications;
  • spirometry or peak flowmetry;
  • if necessary, bronchoscopy or bronchography;
  • ECG, and if necessary – ultrasound of the heart;
  • microbiological sputum analysis.

To exclude hypoxia, especially if bronchiolitis is suspected, it is recommended to monitor saturation.

Differential diagnosis and complications

The symptoms of bronchitis often resemble those of pneumonia. Therefore, first of all, differential diagnosis with this dangerous disease is required. The main differences between pneumonia are respiratory failure, persistent fever, lesions in the lungs on the x-ray.

The most common complication of acute bronchitis is bronchopneumonia. It develops with a decrease in local immunity, lack of proper treatment, as well as with the addition of a bacterial infection.

In the case of chronic bronchitis, the risks of other lung diseases increase: COPD, bronchial asthma, emphysema and bronchiectasis, the likelihood of complications of acute respiratory infections in the form of bacterial pneumonia increases significantly.

Also, against the background of chronic lung diseases, disorders of the cardiovascular system are possible – hypertension, pulmonary hypertension.

Treatment

Therapy will depend on the presence or absence of complications, as well as the general condition of the patient.

Uncomplicated acute viral bronchitis

The therapy is carried out on an outpatient basis. Hospitalization is required only in case of development of respiratory failure and possible accession of pneumonia.

Signs of possible complications will be:

  • high temperature above 38 °C, pain in the chest, and the symptoms do not go away, increase over 2-3 days;
  • the appearance of shortness of breath, shortness of breath begins to develop with minimal physical exertion, at rest;
  • cough with bloody sputum;
  • children’s age;
  • the presence of concomitant serious diseases.

Cough with bronchitis is not so easy to cure. The main goals of treatment are to relieve symptoms of the disease and maintain immunity. Bronchitis without coughing is very rare.

Today, the most effective methods of treating acute bronchitis of viral etiology are:

  • antivirals;
  • paracetamol or ibuprofen – in case of temperature increase above 38 °C;
  • copious warm drink;
  • frequent airing of the room, the creation of good indicators of humidity and temperature. This noticeably facilitates breathing and improves the excretion of sputum;
  • smoking cessation;
  • mucolytic or antitussive drugs (depending on the type of cough).

Antibiotics for bronchitis of viral origin are not prescribed, since they are absolutely ineffective.

Acute obstructive bronchitis

Therapy of this type of inflammation has some features. Treatment is recommended to be carried out using a device that sprays the drug into the respiratory tract – a nebulizer.

For inhalation, solutions of mucolytics (ambroxol, acetylcysteine), bronchodilators (fenoterol and ipratropium bromide) are used. They are mixed with saline and help prevent the development of bronchial edema, which is important for preventing shortness of breath. In some cases, inhaled corticosteroids may be recommended for treatment. The duration of the course and the frequency of use of drugs are recommended only by a doctor.

Bacterial bronchitis

In the treatment of this type of disease, it is recommended to use antibacterial agents that are prescribed by the attending physician. A number of antibiotics can be prescribed as inhalations through a nebulizer. In addition, symptomatic therapy is recommended to improve sputum discharge.

A special group are patients at risk – those who are over 75 years of age, have severe comorbidities or are using immunosuppressive therapy. For them, the dosage of drugs is prescribed individually.

Chronic bronchitis

With the development of this course of the disease, long-term and individually selected treatment is required. There is no single cure for bronchitis for everyone: each treatment plan is made depending on the age of the patient, the symptoms present, the severity of their manifestation and the duration of the course.

In case of exacerbation and the appearance of purulent sputum, antibiotics can be prescribed, but this is done only according to the results of a sputum sensitivity test. They help to fight sputum with bronchitis, drugs that thin it and help to cough up.

If chronic bronchitis is allergic, antihistamines are prescribed. Recommended warm plentiful alkaline drink, breathing exercises, physiotherapy. Vitamin and mineral complexes may be prescribed.

After an exacerbation, a spa treatment is recommended. It is also important to identify and eliminate the provoking factor that led to the development of the disease in its chronic form.

Prognosis and prevention

With proper and timely treatment of bronchitis, the prognosis is favorable. Usually, full recovery occurs within 2-3 weeks from the onset of symptoms. However, a cough in a quarter of all patients can persist for another one, and in some cases two months.

Effective measures to prevent bronchitis include:

  • washing hands with soap, rinsing the nose and mouth with saline solution;
  • vaccination against bronchopulmonary infections;
  • smoking cessation;
  • proper nutrition with adequate protein content;
  • hardening.

It is also advisable to air the room hourly, do wet cleaning, control humidity and air temperature.

The author of the article:

Ivanova Natalya Vladimirovna

therapist

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