BRONCHITIS

 

Definition

 

Bronchitis is an inflammation of the bronchial tubes, or bronchi. Bronchi are the air passages that extend from the trachea into the small airways and alveoli. Viruses, bacteria, parasites, smoking, or inhalation of chemical pollutants or dust may cause inflammation.

 

During an episode of acute bronchitis, the cells of the bronchial-lining tissue are irritated and the mucous membrane is hyperaemic and oedematous, diminishing bronchial mucociliary function. Consequently, the air passages become clogged by debris and irritation increases. In response, copious secretion of mucous develops, which causes the characteristic cough of bronchitis.

 

Chronic bronchitis may result from a series of attacks of acute bronchitis, or it may gradually evolve because of heavy smoking or inhalation of air contaminated with other environmental pollutants. When so-called smoker's cough is continual rather than occasional, the mucous producing layer of the bronchial lining has probably thickened, narrowing the airways to thepoint where breathing becomes increasingly difficult.

 

With immobilisation of the cilia that sweep the air clean of foreign irritants, the bronchial passages become more vulnerable to further infection and the spread of tissue damage.

 

Signs and Symptoms

 

Acute bronchitis:

 

Cough that produces mucous

 

Burning sensation in the chest

 

Sore throat and fever

 

Fatigue/weight gain

 

Cyanosis

 

Wheezing

 

Chronic bronchitis:

 

Chronic cough that produces excessive amounts of mucus or pus

 

Wheezing, shortness of breath

 

Present for at least three months a year, two years in a row.