Patient discussion about bronchitis

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Q. BRONCHITIS

what are the causes?
ABronchitis is an inflammation of part of the large airways. Acute bronchitis is usually an infectious disease, while chronic bronchitis is usually caused by smoking.

You may read more here:
www.mayoclinic.com/health/bronchitis/DS00031

Q. Do I have Bronchitis?

I had a cold and since then I have a severe cough which I can't seem to get rid of. Is this bronchitis? Does it need to be treated or will it go away by itself?
A1Bronchitis usually comes after a cold. Cough is a common symptom of bronchitis. The cough may be dry or may produce phlegm. Significant phlegm production suggests that the lower respiratory tract and the lung itself may be infected, and you may have pneumonia. The cough may last for more than two weeks. If you also have trouble breething and have a fever then go see your Doctor.
A2Bronchitis most commonly occurs after an upper respiratory infection such as the common cold or a sinus infection. You may see symptoms such as fever with chills, muscle aches, nasal congestion, and sore throat. Most cases of bronchitis clear up on their own, however if you have complications, go see your doctor. If the cough is very severe and interrupts your sleep, if you are wheezing or have a fever for longer than a few days, then you should see your Doctor.

Q. What is the difference between Asthma and Chronic Bronchitis?

They recently diagnosed me with Asthma and have me on two types of inhalers. I really think it's Chronic Bronchitis and their diagnosis is wrong... What symptoms distinguish these two ailments from each other? (I'm 42 and lived with a smoker for 25 years)
A1Here is all you need to know to see if you got the wrong diagnosis (although I doubt it ..), it’s from a very good web site called “wrong diagnosis”. Chronic Bronchitis:
http://www.wrongdiagnosis.com/c/chronic_bronchitis/intro.htm
Asthma:
http://www.wrongdiagnosis.com/a/asthma/intro.htm
A2Chronic bronchitis is defined as total of three months of productive cough (i.e. cough with sputum) over the last two years. Moreover, asthma is defined by excessive response of the airways (i.e. constriction if response to an agent as methacholine or salt solution) that is relieved by drugs such as ventolin (beta-2 agonists).

Asthma usually appears in childhood while chronic bronchitis appears later, but it's not a mandatory requirement for the diagnosis.

Have you tried to ask your doctor on what grounds he or she based their diagnosis?

You may read more here about asthma http://www.nlm.nih.gov/medlineplus/asthma.html
and here about chronic bronchitis: http://www.nlm.nih.gov/medlineplus/ency/article/000119.htm
A3Chronic bronchitis is not necessarily caused by infection and is generally part of a syndrome called chronic obstructive pulmonary disease (COPD); it is defined clinically as a persistent cough that produces sputum (phlegm) and mucus, for at least three months in two consecutive years.
Asthma is completely different- there is no sputum and if you cough it’s dry. Basically it’s an allergic reaction that closes the small bronchi- this means that in a seizure you will try to exhale and wouldn’t be able.

Q. What other illnesses are similar to asthma?

I am 45 years old. My doctor suspects I might have adult asthma but there has yet been a final diagnosis made. What other problems might this be?
A1Before diagnosing someone as asthmatic, alternative possibilities should be considered. A clinician taking a history should check whether the patient is using any known bronchoconstrictors (substances that cause narrowing of the airways, e.g., certain anti-inflammatory agents or beta-blockers). Chronic obstructive pulmonary disease, which closely resembles asthma, is correlated with more exposure to cigarette smoke, an older patient, and decreased likelihood of family history of atopy. Your physician should examine these possibilities as well before diagnosing.
A2Any disease of the lower airway (bronchi and lungs) in adult should be considered when thinking of diagnosing asthma, especially if it’s at an older age, rather than in kids. COPD is a very common possibility if you are a heavy smoker. Swallowing difficulties and severe acid production that leads to troubled digestion can cause cough and similar symptoms. The use of certain medication can also cause “asthma-like” symptoms, and these all should be examined before making a diagnosis.
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