Saturday, May 14, 2011

Chronic Bronchitis


Chronic bronchitis recurs and becomes long-term (chronic), especially in people who smoke. A cough that produces too much sputum and is present most days during a 3-month period for at least 2 years in a row suggests chronic bronchitis. Chronic bronchitis is a form of chronic obstructive pulmonary disease (COPD).


Chronic bronchitis is treated symptomatically. Inflammation and edema of the respiratory epithelium may be reduced with inhaled corticosteroids. Wheezing and shortness of breath can be treated by reducing bronchospasm (reversible narrowing of smaller bronchi due to constriction of the smooth muscle) with bronchodilators such as inhaled β-Adrenergic agonists (e.g.,salbutamol) and inhaled anticholinergics (e.g., ipratropium bromide). Hypoxemia, too little oxygen in the blood, can be treated with supplemental oxygen. However, oxygen supplementation can result in decreased respiratory drive, leading to increased blood levels of carbon dioxide and subsequent respiratory acidosis.
The most effective method of preventing chronic bronchitis and other forms of COPD is to avoid smoking cigarettes and other forms of tobacco.

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