Chronic bronchitis: possible complications and treatment

Of course, if a child develops a dry, rough cough and an increase in body temperature, the child’s parents will contact the district clinic to call a pediatrician. Everything is correct.

Typically, the first regimen that a local pediatrician prescribes when diagnosing a child with bronchitis necessarily includes cough syrup (usually plant-based), or some kind of synthetic mucolytic, that is, a sputum thinner. The second point, as a rule, is an antiviral drug, such as Viferon or Arbidol, and some doctors also prescribe an antihistamine to prevent allergies, and in general they do the right thing.

Fortunately, more and more practicing pediatricians prefer not oral forms of antitussive drugs, but a simple and extremely effective method of treating cough (bronchitis, laryngitis, obstructive bronchitis) in children - a nebulizer.

How to treat bronchitis?

August 6, 2021
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Content
  • Symptoms of bronchitis
  • Symptoms of acute bronchitis
  • Symptoms of chronic bronchitis
  • Why does bronchitis occur?
  • Top 6 best medicines for bronchitis
  • Bromhexine
  • Dr. MOM
  • ACC
  • Ascoril
  • Atrovent
  • Salbutamol

With bronchitis, the inner lining of the bronchi becomes inflamed, causing a person to have a cough and breathing problems. Bronchitis is treated by a pulmonologist or otolaryngologist.

Prevention of bronchitis

To avoid the development of acute bronchitis and exacerbation of chronic bronchitis, the following preventive measures are recommended:

  1. to give up smoking
  2. frequent hand washing
  3. proper nutrition and vitamin intake
  4. regular exposure to fresh air
  5. warm clothes in the cold season
  6. sports and gymnastics.

Contact a therapist at the A-Media clinic at the first signs of bronchitis, and our experienced specialist will help you quickly relieve unpleasant symptoms and prescribe a course of therapy aimed at eliminating the causes of the disease.

You should not self-medicate for bronchitis! Improper treatment can cause serious harm to health.

Symptoms of bronchitis

The main sign of bronchitis is a cough, and at first it is dry, unproductive, and later it becomes wet and sputum begins to come out. The bronchial mucosa is swollen, the lumen of the respiratory tract narrows - hence the cough and difficulty breathing. The swollen mucous membrane begins to secrete more secretions - a cough with sputum appears. Bronchitis in adults and children can be acute or chronic, with symptoms varying in different cases.

Read also How to treat dry cough: top 5 drugs The best drugs for dry cough in adults.

Types of bronchitis

There are two types of bronchitis: acute, which is commonly called a cold, and chronic.

Medicines for acute bronchitis and cough

Figure 2 - Medicines for bronchitis

Acute bronchitis is a short-term inflammation of the bronchi. It is the most common type of disease.

In 90% of cases, patients become ill with an acute form of bronchitis virally. The disease is caused by influenza virus, rhinoviruses, adenoviruses and some others. Rarely, the inflammatory process is triggered by a bacterial infection. Patients with colds suffer from a wet cough, shortness of breath, and chest discomfort.

Treatment of the viral form of acute bronchitis is symptomatic. To alleviate the condition, patients are prescribed drugs that thin sputum and promote its removal - mucolytics, bronchodilators. If there is an increase in temperature and associated chills or fever, the treatment plan may include paracetamol and the non-steroidal anti-inflammatory, antipyretic and pain reliever drug ibuprofen. Cough medicines are not used as a treatment for bronchitis in children under six years of age.

Among the general recommendations, rest and sufficient fluid intake deserve attention. An important role in recovery is played by the elimination of risk factors, especially smoking. Polluted air, dust, etc. have an additional irritating effect on inflamed bronchi.

If the disease is caused by dangerous viruses such as the influenza virus, specialized antiviral treatment is carried out in parallel. In this case, the doctor may prescribe interferon inducers and immunostimulants - for example, kipferon or cycloferon.

Acute bronchitis caused by a bacterial infection requires antibacterial therapy. As a rule, broad-spectrum antibiotics are prescribed to fight bacteria. Such a medicine can be amoxicillin with clavulanic acid; this combination is well tolerated by patients and is insensitive to the effects of penicillinase.

Acute bronchitis is diagnosed based on signs and symptoms. If the patient's condition does not improve after antiviral therapy and is accompanied by fever, a sputum examination is prescribed. It allows you to establish the bacterial form of the disease and exclude other diseases with similar symptoms, such as pneumonia.

Medicines for chronic bronchitis

Figure 3 - Medicines Ascoril and Codelac Broncho

Chronic bronchitis most often affects those who abuse smoking. Also, the development of the disease can be influenced by living and working conditions - prolonged exposure to places where smoke, dust, toxic fumes accumulates provokes chronic inflammation of the respiratory tract.

The diagnosis of chronic bronchitis is established if the patient suffers from a wet cough for at least three months a year for more than three years. The disease often causes poor ventilation of the lungs and a decrease in the body's oxygen supply. In some cases, chronic bronchitis causes acidosis associated with congestion in the lungs and the accumulation of carbon dioxide in them.

It is important to treat chronic bronchitis, since its development can lead to obstructive pulmonary damage, leading to serious consequences for the patient.

Treatment of chronic bronchitis consists of eliminating risk factors and drug therapy aimed at improving symptoms of the disease.

It has been noted that quitting smoking contributes to a positive prognosis of acute bronchitis.

Pharmacological agents prescribed to treat acute bronchitis may include corticosteroids to reduce inflammation and swelling of the bronchial mucosa, bronchodilators to reduce bronchospasm, and anticholinergic drugs such as tiotropium bromide. These medications for acute bronchitis are taken in the form of inhalations.

Mucalytics promote the removal of sputum, easing the patient's condition.

Antibiotics work well as a cure for chronic bronchitis in children, in the case of bacterial etiology of the disease.

As maintenance therapy, patients are prescribed oxygen inhalations to saturate the blood with oxygen, the content of which is reduced in obstructive pulmonary disease.

List of effective medicines for bronchitis and cough

Below is a sample list of medications for the treatment of acute bronchitis and its symptoms. It is for reference only; if the onset of the disease is suspected, self-medication is unacceptable.

In the case of chronic bronchitis and obstructive pulmonary disease, therapy is selected individually for each patient, depending on the medical history and examination results.

Name Application
Antiviral drugs
Preparations containing interferon
Viferon Treatment of the main types of respiratory infections. Contains interferon alpha-2, vitamins C and E.
Kipferon A complex drug for the treatment of acute viral respiratory diseases, influenza, and some bacterial infections. Contains human interferon and immunoglobulin.
Immune system stimulants and interferon inducers
Amiksin A drug that promotes the production of various types of interferon - alpha, beta and fibroblast. It has a complex effect on various types of viruses.
Cycloferon An effective immunostimulant drug based on meglumine acridone acetate. Used as a medicine for antiviral therapy for sore throat for adults and children from 4 years of age.
Antibiotics
Amoxicillin It has a wide range of effects on the bacterial environment and good bioavailability. To reduce the effect of penicillinase, it contains clavulanic acid.
Painkillers
Paracetamol An analgesic and antipyretic drug with minimal risk of side effects. Prescribed as a symptomatic medicine for sore throat for adults and children.
Ibuprofen Non-steroidal anti-inflammatory drug with analgesic and antipyretic effects.
Mucalytics and bronchodilators
Mukaltin Secretolytic (expectorant) based on herbal ingredients. Liquefies phlegm, has a softening and enveloping effect on the mucous membrane, and promotes the removal of phlegm.
Bronholitin It has a complex effect, acts as a bronchodilator, bronchoantiseptic, and cough suppressant.
Corticosteroids
Betaspan Depot Belongs to the class of glucocorticoids, has a general anti-inflammatory, antiallergic effect, stimulates the immune system. Used as an additional medicine in the treatment of bronchitis. Has contraindications for use.
Anticholinergic drugs
Tiotropium bromide An inhalation drug containing derivatives of ammonium salts. Relaxes the muscles of the bronchi, causes expansion of the lumen of the respiratory tract. Not used as a medicine to treat bronchitis in children.

Symptoms of acute bronchitis

The doctor makes the diagnosis of “acute bronchitis” based on the following symptoms:

  • severe coughing attacks;
  • chest pain when breathing;
  • wheezing;
  • shortness of breath during physical activity, and sometimes even at rest;
  • fatigue, apathy and weakness;
  • increased sweating;
  • chills and increased body temperature (within 38-38.5 degrees).


    Symptoms of bronchitis
    Photos from open sources

Acute bronchitis is usually easy to catch in winter, when the immune system is weakened. Often acute bronchitis at the onset of the disease is similar to a cold. When a dry cough turns into a wet one, with the release of a large amount of sputum, bronchitis can be suspected. If bronchitis is catarrhal, the sputum is usually yellowish or whitish. If purulent inflammation actively develops in the bronchi, the sputum will be green.

Sometimes acute bronchitis also affects the upper respiratory tract: the mucous membranes of the trachea, pharynx or nose - an inflammatory process also develops here. Typically, the peak of acute bronchitis occurs on the 3-4th day of illness and over time the symptoms of bronchitis subside. If adequate treatment for uncomplicated acute bronchitis is started in time, the patient will fully recover within 7-10 days.

Diet for bronchitis

In acute bronchitis, the patient first of all needs to sweat; to do this, he should drink 3-4 cups of a decoction of some diaphoretic herb (sage, mint, linden blossom, elderberry with honey). Tea with the addition of raspberries (dry or frozen, but not jam) is very effective.

Fast for several days, drink only orange juice and water until the acute attacks stop. Then, to facilitate the separation of viscous sputum during a dry cough, it is good to drink the whey warm or take 2 tablespoons of decoction of anise seeds with honey several times a day (in a glass of water - half a tablespoon of anise seeds, 1 teaspoon of honey, a pinch of baking soda ).

Drink onion juice, which is a good expectorant. Move to a balanced diet gradually. For drinks, lemon water without sugar is recommended. Instead of tea and coffee, it is better to pour hot milk with honey and a pinch of soda; Honey should be boiled first, as without boiling it worsens the cough.

Protein diet for bronchitis

Symptoms of chronic bronchitis

Chronic bronchitis is a long-term disease, with exacerbations occurring from time to time. Chronic bronchitis can be provoked by the same factors as acute bronchitis. The clinical manifestations of chronic bronchitis are similar to those of acute bronchitis. During remission, a person may experience shortness of breath, even if he exerts little physical activity. Such shortness of breath during bronchitis is caused by the fact that the bronchial mucosa is constantly inflamed - they allow less air to pass through than healthy ones. This condition is called chronic obstructive bronchitis (COB).

COB is dangerous for young children whose lung capacity is physiologically small. Problems with air flow in a child provoke a deterioration in gas exchange throughout the body. This provokes a lack of oxygen in organs and tissues, resulting in organ malformations, cardiopulmonary failure and disability. The body tries to establish normal gas exchange in the lungs by expanding the end sections of the respiratory tree - emphysema develops. Therefore, if a child has a similar pathology, it is necessary to urgently begin treatment.

Other types of bronchitis

Inflammation of the bronchi is classified not only according to the form of the clinical course, but also according to other parameters, depending on:

  1. mechanism of occurrence: primary bronchitis is an independent disease, secondary is a complication of pathologies of other organs;
  2. level of damage to the pulmonary tree: tracheobronchitis - inflammation of the upper respiratory tract, middle bronchitis and bronchiolitis , in which the pathological process spreads in the smallest respiratory tract (bronchioles);
  3. character of sputum: catarrhal form with mucous discharge, purulent and mixed variants;
  4. the presence ( obstructive type) or absence ( non-obstructive type) of gas exchange disorders in the lungs.

Why does bronchitis occur?

There are three main groups of causes for the development of bronchitis

.

Infections:

  • viruses (influenza, adenovirus);
  • bacteria (streptococci, pneumococci, staphylococci);
  • atypical microorganisms (chlamydia or mycoplasma);
  • fungal infections.

Chemical irritants:

  • polluted air of industrial cities;
  • smoke or dust in the air;
  • fumes hazardous to health;
  • smoking.

Internal reasons

First of all, these are allergic reactions to various substances, which cause inflammation of the bronchial mucosa. Cardiovascular diseases and lung diseases, infections of the nasopharynx, oral cavity and tonsillitis can also cause the development of bronchitis.


Causes of acute bronchitis

Photos from open sources

Complications of bronchitis

The following factors can lead to complications:

  • late started or interrupted treatment;
  • non-compliance with doctor's recommendations;
  • early or old age;
  • concomitant chronic diseases, especially of the respiratory system, immunodeficiencies;
  • bad habits.

Pneumonia is a common complication of acute bronchitis. It develops if the inflammatory process from the bronchi moves to the lungs.

The infection can spread beyond the respiratory system, causing inflammation of the membranes of the heart (myocarditis, pericarditis, endocarditis), blood vessels (vasculitis) or kidneys (glomerulonephritis).

Chronic bronchitis can occur as a complication of acute bronchitis. As was said, long-term and severe chronic disease leads to irreversible changes in the bronchopulmonary system. As a result, COPD, bronchiectasis, emphysema, and hemoptysis develop.

Bromhexine

The main advantages of this remedy for bronchitis are its affordable price, complex effects and the absence of side effects. "Bromhexine" copes well with a productive, wet cough. The drug for bronchitis can be bought at the pharmacy in the form of tablets and syrup. "Bromhexine" reduces the viscosity of sputum and improves its discharge. But do not expect an immediate effect from the drug - the therapeutic effect occurs on the second to fifth day from the start of treatment with Bromhexine. This medicine for bronchitis is prescribed to adults and children over six years of age. Contraindications include pregnancy and breastfeeding. The maximum course of treatment with Bromhexine is 28 days. The drug acts comprehensively for acute and chronic bronchitis and other bronchopulmonary diseases. "Bromhexine" has a strong expectorant effect and a minimal list of contraindications. But you should remember that this medicine should not be taken together with drugs that contain codeine.

Bromhexine
OJSC Pharmstandard-Leksredstva, Russia

Diseases of the respiratory tract accompanied by the formation of difficult-to-discharge viscous secretions: tracheobronchitis, chronic bronchitis with a broncho-obstructive component, bronchial asthma, cystic fibrosis, chronic pneumonia.
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Diagnosis of the disease

Making a diagnosis begins with collecting the patient’s medical history – a description of symptoms, information about chronic and previously suffered diseases.

Then a series of studies are performed.

Physical examination

The doctor listens to the patient's breathing using a phonendoscope.

With a dry cough, hard breathing speaks in favor of the disease; with a wet cough, wheezing on both sides.

When percussing (tapping) the patient, the tone is without features. A change in sound is characteristic of serious complications.

General clinical blood test with a detailed leukocyte formula

In the acute form of the disease, an increase in ESR and leukocytes will be detected. If the number of lymphocytes in the leukocyte formula is increased, most likely bronchitis has a viral etiology. An increase in the number of neutrophils is more likely to indicate the bacterial nature of the inflammation.

If the level of eosinophils exceeds the norm, this indicates a pronounced allergic component of the disease.

In a chronic course, the indicators may not change or change slightly.

X-ray

Sometimes the patient is recommended to have an x-ray of the lungs. In this case, with bronchitis, an increase in the pulmonary pattern is possible.

In the chronic form of the disease, radiography can reveal various complications - emphysema, bronchiectasis.

Bronchoscopy

Prescribed for the diagnosis of chronic bronchitis and complicated acute bronchitis. The method allows you to clarify the nature of inflammation, its intensity, and identify disorders in the bronchial tree, including organic lesions. And also obtain biological material for microbiological and cytological research.

Sputum examination

Prescribed for moderate, severe and complicated OB, as well as CB. Using the study, the nature and severity of the inflammatory process is determined, and the causative agent of the disease and its sensitivity to antibacterial drugs are identified.

Dr. MOM

This drug for bronchitis has a unique composition: it contains extracts from 10 medicinal plants that help remove mucus from the lungs and are excellent mucolytics. "Doctor MOM" is available in the form of syrup, lozenges and ointment. The basis of the drug is not alcohol, but water, so the medicine for bronchitis is prescribed to children from three years of age. “Doctor MOM” not only soothes the bronchial mucosa, but also reduces inflammation well. The drug makes sputum less viscous and helps it pass more easily, while it is not so painful for a person to cough. Prohibitions include pregnancy and breastfeeding. The composition contains sugar, so patients with diabetes should take this into account. This remedy for bronchitis has almost no contraindications, it tastes good, can be taken for a long time, and is even prescribed as a preventive measure for colds.

Doctor Mom syrup
Unique Pharmaceutical Laboratories, India

Doctor Mom is a bronchodilator (dilates the lumen of the bronchi), expectorant, anti-inflammatory, decongestant.
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Manufacturers of bronchitis products

To treat bronchial pathologies, you should take a comprehensive approach to the choice of drugs. Moreover, many analogue drugs are produced by several companies at once. It is difficult for the average buyer to choose, so experts suggest starting to get acquainted with trusted manufacturers. The best remedies for bronchitis were suggested by the following:

  • OJSC Pharmstandard-Leksredstva (Bromhexine) is one of the largest pharmaceutical companies in Russia, one of the top 5. It is an active participant in the import substitution program, creating worthy analogues to imported drugs. About 500 million packages are produced annually.
  • "PRO.MED.CS Praha as" (Ambrosan) is a leading independent pharmaceutical company in the Czech Republic with its own research base. Thanks to this, she manages to create high-quality generics and her own patented medicines. The company produces 1.5 million tablets daily only. Most of them are intended for the musculoskeletal, digestive, and cardiovascular systems.
  • Pharma Wernigerode Gmbh (Eucabal) is a pharmaceutical company from Germany, founded in 1903. Most of the drugs produced are presented in liquid forms - extracts, ointments, creams, gels, etc. Among them, a large share is based exclusively on natural ingredients.
  • Vertex (Carbocisteine) is a well-known Russian pharmaceutical company specializing in dietary supplements and preventive medicines. The main ingredient for their creation is a medicinal herb. It takes pride of place among the fast-growing drug manufacturers in Russia.
  • Europlant Fitofarm (Breast collection No. 4) is a trademark that is part of the group. She is recognized as an expert in the production and sales of herbal medicines. The herbal products produced cover most areas of medicine, offering alternative treatment.
  • Krka, dd (Theotard) is an international pharmaceutical company that began its activities in 1954 in Slovenia. Engaged in the production of high-quality generics. Since 2007, it has been actively expanding its market share in Western Europe. Each product unit meets international quality standards.
  • CJSC Altaivitamins (Salbutamol) is a team of professionals with many years of experience in the pharmaceutical field. It originates from the city of Biysk, where the company was founded in 1949. Then it was a vitamin and confectionery factory, and today it is a large pharmaceutical complex.
  • Boehringer Ingelheim (Berodual) is a family-owned pharmaceutical company founded in Italy in 1885. Today it is one of the top 20 global drug manufacturers. There are 142 representative offices in different countries. The brand has become famous for its wide range of drugs, including those for treating animals.
  • Nativa LLC (Fenoterol-Nativa) is a full-cycle pharmaceutical company with a European level of management. The manufactured products comply with GOST requirements. Specializes in the production of drugs for the treatment of socially significant diseases. Founded in 2010.
  • FP "Obolenskoe" (Azithromycin) is a pharmaceutical production focused on the production of socially significant drugs. Great emphasis is placed on antiviral, antibacterial, and antiallergic agents. All products comply with international requirements and GMP and ISO standards.
  • Pharmstandard (Azitrox) is one of the largest pharmaceutical companies in terms of production and sales in Russia. Founded in 2003. Every year, over 1.7 billion packages of medicines for all areas of medicine are produced under this brand. There are 9 large factories scattered across the country. Participant in the import substitution program.
  • Biochemie GmbH, Sandoz (Ospamox) - the Austrian company Sandoz is the owner of many large pharmaceutical enterprises, and since 1963, Biochemie GmbH. It itself is part of the Novartis group, being a leading developer of high-quality generics and biosimilars.
  • OJSC "Tathimfarmpreparaty" (Erythromycin) is a Russian enterprise that produces medicines at a leading speed and volume. In this regard, it is among the top 20 countries in terms of scale of activity. Founded in 1931. Today there are two plants - a chemical and pharmaceutical plant, as well as a plant for the production of suture and surgical materials.
  • CJSC "FIRN M" (Grippferon) is a biotechnology company that was founded during the Soviet Union in 1989. Today it demonstrates stable development dynamics and occupies a leading position in the production of ophthalmic drugs. Thanks to the creation of a research center, new medicines are being developed.
  • APF-Trading LLC (Kipferon) is a trading company in the domestic pharmaceutical market, operating for more than 15 years. Performs wholesale sales of medicines to national distributors independently or through transport companies. It is directly related to most exclusive medicines.

ACC

Of all expectorants in the treatment of bronchitis, ACC is considered the best. This drug quickly removes phlegm and at the same time has an antioxidant effect. "ACC" is prescribed not only for bronchitis, but also for other diseases of the respiratory system: bronchiectasis, cystic fibrosis, etc. You can buy "ACC" at a pharmacy in tablets (100 and 200 mg), as well as in the form of syrup. There are also granules and “ACC” powder with orange flavor (the powder is used to prepare a hot cough drink). "ACC" is prescribed for bronchitis in adults and children over two years of age. Contraindications include pregnancy and breastfeeding. This drug for bronchitis perfectly thins thick sputum (even purulent) and eases coughing attacks.

ACC
Hermes Pharma, Germany; Wernigerode Pharma, Germany; Lindopharm, Germany

Respiratory diseases accompanied by the formation of viscous, difficult to separate sputum (acute and chronic bronchitis, obstructive bronchitis, tracheitis, laryngotracheitis, pneumonia, lung abscess, bronchiectasis, bronchial asthma, COPD, bronchiolitis, cystic fibrosis);
acute and chronic sinusitis; Otitis media from 100

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Expert opinion

Bronchitis is one of the most common diseases.
According to some data, more than 5% of the world's population suffers from acute bronchitis at least once a year. Chronic bronchitis lasts noticeably longer and produces more complications. In Russia, chronic bronchitis occurs in 10-20% of the country's population.

In order to reduce the risk of developing complications of both acute and chronic bronchitis, you need to consult a doctor at the first symptoms of the disease. When treating bronchitis, pulmonologists at SM-Clinic are guided by the clinical recommendations of the Russian Respiratory Society, approved by the Ministry of Health of the Russian Federation and use modern effective techniques and drugs.

Alexey Mikhailovich Bankov, pulmonologist at SM-Clinic in Ryazan

Ascoril

"Ascoril" is prescribed for both dry and wet coughs - this drug for bronchitis reduces coughing attacks and helps you breathe easier. Ascoril is usually taken in the complex treatment of bronchitis. The remedy helps with chronic obstructive bronchitis, asthma and even some forms of tuberculosis. "Ascoril" relieves attacks of suffocation and restores normal breathing. You can buy Ascoril in the form of tablets, which are taken three times a day, one at a time. There is also “Ascoril” syrup in the pharmacy, but it is not as popular as tablets because it does not taste very pleasant. The course of treatment for bronchitis with Ascoril is determined by the doctor, taking into account the individual characteristics of each patient. Do not take the drug during pregnancy and breastfeeding, as well as in children under 6 years of age. The only disadvantage of Ascoril is that it contains flavorings and dyes.

Ascoril
Glenmark Pharmaceuticals, India

As part of combination therapy for acute and chronic bronchopulmonary diseases, accompanied by the formation of difficult-to-separate viscous secretions: bronchial asthma;
tracheobronchitis; obstructive bronchitis; pneumonia; emphysema; whooping cough; pneumoconiosis; pulmonary tuberculosis. from 113

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Expectorant

More often than other drugs, doctors prescribe the following expectorant drugs for adults:

  • Mukaltin. Liquefies viscous mucus, facilitating its exit from the bronchi.
  • Products based on the herb thermopsis - Thermopsol and Codelac Broncho.
  • Gerbion syrup, Stoptussin phyto, Bronchicum, Pertusin, Gelomirtol are based on medicinal herbs.
  • ACC (acetylcysteine). An effective, direct action product. Has a direct effect on sputum. If taken in the wrong dosage, it can cause diarrhea, vomiting, and heartburn.

The action of expectorants is aimed at removing mucus. This is a prerequisite for the treatment of bronchitis in adults. If the body cannot independently get rid of a large amount of sputum, it stagnates, and pathogenic bacteria begin to actively multiply in this environment.

Atrovent

This drug helps well with chronic bronchitis, especially if attacks of suffocation and bronchospasms occur suddenly (for example, when a person is in the cold). You can buy Atrovent in the form of an aerosol or solution for inhalation. Aerosol is a more convenient option, especially if you do not know how to use an inhaler. Judging by patient reviews, Atrovent is well tolerated and is not absorbed into the blood. This eliminates side effects such as increased blood pressure and tachycardia. Very rarely, allergic reactions may occur when using Atrovent. Contraindications include individual intolerance. This remedy for bronchitis is prescribed to adults and children over 6 years of age. The effect of taking Atrovent lasts 6-7 hours, but this drug cannot be used constantly.

Atrovent
Boehringer Ingelheim, Germany

— COPD (including chronic obstructive bronchitis, pulmonary emphysema);
- bronchial asthma of mild to moderate severity. from 184

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Bronchitis in a child and treatment with a nebulizer

Inhalation using a compressor nebulizer is the best way to cure bronchitis in a child. For infants, competent pediatricians recommend adding 6-8 drops of Berodual solution to the inhalation chamber to expand the airways and improve coughing. In addition to the bronchodilator (berodual), a solution for inhalation lazolvan or ambrobene is added to the inhalation chamber of the nebulizer (for children under one year old - 0.5 ml, over one year old - 1.0 ml), and this cocktail of drugs is diluted in a small amount, approximately 1.0 ml of saline solution or children's drinking water. The pediatrician prescribes such inhalations 2-3 times a day for 10 minutes for at least 5 days. But this is still not enough.

If you do only one inhalation and nothing else, then the child’s cough and bronchitis can drag on for a long time. After inhalations (not immediately, but after about half an hour - an hour), but before feeding, you need to carry out a back massage with mandatory vibration techniques (such as tapping with your fingertips, and for a child over a year old - with the edge of your palms along the intercostal spaces), as well as some simple procedures from breathing exercises . A child under one year old is usually ridden on a fitball (large massage ball), placed on his stomach (up to 6-7 months), and at an older age you can put the child on the ball, like on a horse. Instead of a fitball, if you have some experience, you can use your own knees, then you can combine light jumping on your knees with a back massage. Children after 2 - 3 years old, as a rule, can and love to play with various inflatable tubes or blow bubbles through a straw.

In general, inhalations are good because the necessary medicine is delivered directly to the site of inflammation itself, and is not “smeared” throughout the body. Plus, mineral water or saline solution, which we add to the nebulizer, moisturizes the mucous membranes of the trachea and bronchi, which suffer from drying out at elevated temperatures and a strong cough in a child.

Salbutamol

"Salbutamol" is an "emergency" remedy for bronchitis. This drug relaxes the smooth muscles of the bronchi. The positive effect of the drug occurs literally in five minutes, and the effect lasts five hours. “Salbutamol” is an aerosol for inhalation, therefore, before using this remedy for bronchitis, you must consult a doctor and then strictly follow the instructions. One of the disadvantages of Salbutamol is the possible development of a “ricochet effect”, in which each subsequent attack can become more intense. That is why “Salbutamol” is exclusively an “ambulance” for an attack of suffocation: the drug quickly relieves the spasm. The medicine has many contraindications and side effects, so it is prescribed only by a doctor.

Salbutamol

Inhalations

It is very effective to treat bronchitis using various inhalations. If you want to quickly cure bronchitis, then you should definitely do inhalations. Just make sure first that there is no high temperature or palpitations.

There are many recipes for steam inhalations for bronchitis - these include saline and soda solutions, and essential oils of eucalyptus, pine, mymy, herbal preparations, inhalation of phytoncides, which are rich in essential oils of garlic and rosemary - reduce cough shocks and facilitate the process of coughing. However, it is not uncommon for allergic reactions to occur to essential oils and medicinal herbs, and therefore people prone to allergies (hay fever) are better off not taking risks and avoiding the use of various herbs and essential oils.

Also, for those who have a home inhaler, you can carry out inhalations for bronchitis with a nebulizer with Lazolvan, Ambrobene, etc. with special medicinal solutions designed to improve the release of phlegm from the bronchi.

In the case of obstructive bronchitis in children or adults, the drug Berodual is an effective bronchodilator; special solutions are available for inhalation.

Steam inhalations for bronchitis

SYRUP FOR COUGH BRONCHITIS: TREATMENT FOR ADULTS

A cough in adults always signals the presence of ARVI. Often this symptom develops with bronchitis.

To get rid of a cough, it is very important to choose the right drug; in this case, syrups are most often used.

Acute inflammation of the bronchi is characterized by the following symptoms:

muscle discomfort; fever; mucous or purulent discharge; cough that does not stop for 2 weeks. Symptoms of bronchitis And if wheezing is added to these symptoms, this indicates damage to the lower respiratory tract and the appearance of pneumonia.

As a rule, bronchitis becomes chronic. It often develops in smokers.

This disease is also often diagnosed in people who constantly inhale polluted air. Regular inhalation of irritants promotes inflammation of the mucous membrane and intensive secretion production. These secretions serve as a breeding ground where pathogenic microbes actively multiply.

If bronchitis is not treated in a timely manner, serious complications may develop (pneumonia, bronchial obstruction, etc.).

To prevent the development of such consequences, you need to choose the right syrup for wet cough.

This task is not easy, so its solution should be left to the doctor after a thorough examination of the bronchi.©

USE OF SYRUPS FOR BRONCHITIS

Syrups prevent the discharge from becoming too thick. When using them, you need to drink plenty of fluids and monitor your body temperature. Today there are a lot of effective remedies that quickly eliminate the symptoms of bronchial inflammation.

Thus, coughing attacks in adults can be stopped with the help of plantain syrup. This product brings results within 3-4 days after use. It contains plant components, which makes it pleasant to the taste and has a cumulative effect.

Syrup with plantain is prescribed if sputum is produced in insufficient quantities. It also eliminates secondary inflammation and bronchial symptoms in smokers well and is effective against damage to the lower respiratory organs.

Also, to get rid of cough due to bronchitis in adults, they often drink syrup based on licorice root, which has a mild effect. This medicine is best used as an adjuvant. To increase its effectiveness, you need to drink more fluid.

However, licorice syrup has some advantages:

minor toxicity; no adverse reactions; small price. The disadvantage of the drug is its insignificant activity in severe forms of the disease.

Bronholitin syrup, which is a combination remedy that contains:

alkaloid glaucine; basil oil; ephedrine. The medicine has a quick effect:

removes swelling; expands the bronchial tree; suppresses the cough reflex; soothes and softens mucous membranes.

Bronholitin

When using Broncholitin, it is important to strictly adhere to the dosage, as it has a toxic effect. The advantages of the product include a wide range of applications and rapid effectiveness. This syrup is the best cough medicine, as it removes not only the symptoms of bronchitis, but also the causes of the disease.

EXPECTORANTS FOR BRONCHITIS

Inflammation of the bronchi requires serious, immediate treatment. Otherwise, bronchitis will begin to progress, which can lead to complications and development into a chronic form of the disease. Bronchitis is classified as follows:

What is bronchitis

acute type - an inflammatory process of the bronchial mucosa, which is characterized by an increase in the volume of secretion, which leads to coughing and the appearance of sputum (sometimes shortness of breath); chronic form - a protracted, inveterate (in some cases purulent) disease, which does not depend on problems with the lungs and is expressed by a constant, severe cough; obstructive disease - very dangerous, clogs the bronchi; bronchitis combines with tracheitis, which results in the tracheid form of the disease (bronchopneumonia develops from tracheobronchitis). To make life easier and improve your health, you need to know how to cure chronic bronchitis forever, how to get rid of the unpleasant symptoms of an acute disease, which expectorants are the most effective for acute bronchitis. Medicines are prescribed by a doctor; self-medication is not the best solution. The algorithm of actions depends on the type of bronchitis and the reasons by which it was provoked.

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