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Acute bronchitis - Treatment

Alternative Names

Bronchitis - acute

Treatment:

In otherwise healthy people, antibiotics usually aren't helpful. That's because acute bronchitis is almost always caused by a virus, which will not respond to antibiotics. Antibiotics are is usually only needed if your doctor diagnoses you with whooping cough or pneumonia.

Medications called bronchodilators are used to open tight air passages in the lungs. Your doctor may prescribe this type of medicine if you are wheezing.

Decongestants may also help relieve symptoms of bronchitis. Medications that loosen mucus may also be prescribed, but how well they work remains uncertain.

Your doctor will tell you to:

  • Drink more fluids to help thin mucus in the lungs
  • Rest
  • Soothe your airways by increasing humidity in the air (you can do this by using a cool mist humidifier)

Expectations (prognosis):

Symptoms will usually go away within 7 - 14 days if you don't have chronic pulmonary disease. However, it may take much longer for the cough to go away in some people.

Complications:

Pneumonia is a possible complication. Some people also may have sinusitis. People who have asthma or other lung conditions may find that their symptoms get worse.

Calling your health care provider:

Call your health care provider if you have symptoms of acute bronchitis.

Call your health care provider if you are being treated for acute bronchitis and:

  • Your symptoms last longer than 2 weeks
  • You develop breathlessness or wheezing
  • You cough up blood
  • Reviewed last on: 5/20/2007
  • Allen J. Blaivas, D.O., Pulmonary, Critical Care, and Sleep Medicine, Department of Veteran Affairs, VA New Jersey Health Care System, East Orange, NJ. Review provided by VeriMed Healthcare Network.

References

Knutson D. Diagnosis and Management of Acute Bronchitis. Am Fam Physician. May 2002; 65(10): 2039-44.

Aagaard E. Management of Acute Bronchitis in Healthy Adults. Infect Dis Clin North Am. Dec 2004; 18(4): 919-37.

American Academy of Pediatrics. Cough Illness/Bronchitis. In: Pickering LK, ed. Red Book: 2003 Report of the Committee on Infectious Diseases. 26th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2003:696.

Braman SS. Chronic Cough Due to Chronic Bronchitis: ACCP Evidence-Based Clinical Practice Guidelines. Chest. January 2006;129(1 Suppl):104S-115S.

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