Definition | Treatment | Management of Disease | Diagnosis | Symptoms | Etiology | Pathophysiology | Procedure


Chronic Bronchitis

Chronic bronchitis is a disease, characterized by cough with phlegm every day, at least 3 months per year and lasts for 2 consecutive years, and the absence of other diseases with symptoms.

Etiology and pathogenesis
  • Exposure to cigarette smoke, both at the "smoker" or "passive smoker". For the smoker is usually measured by pack year (pack years).
  • Exposure to contaminated air in workplaces (eg dust or gas from industrial or workplace).
  • Social factors and residential solid and air pollution in the settlement area by the gases SO2 and NO2.
  • Respiratory tract infection by the virus will cause eksaserbrasi chronic bronchitis. For example, by class sinsisial respiratory viruses and influenza virus group.
  • Most bacteria that are found in chronic bronchitis are streptococcus pneumonia and haemophilus influenza.

a. Cigarette smoke is a disincentive to the bronchial mucosa, to changes:
  • Lung Defense:
  1. Purge function mukosilia slow,
  2. Alveoler Macrophage numbers are increasing,
  3. Impaired macrophage function,
  4. The process of antigen and antigen response to change.
  • Small airways:
  1. Inflammation,
  2. The increased muscle,
  3. Fibrosis,
  4. Refinement,
  5. The number of goblet cells increases.
  • Alveoli:
  1. The number of neutrophils, macrophages increased,
  2. Emphysema.

b.  Exposure to air polluted by industrial pollution or the disposal of fuel combustion in motor vehicles:
  1. Sulfur dioxide (SO2) and the complex particles (<10 u), derived from: Fossil fuels, power generation, oil refining, tobacco smoke, kerosene heaters, stoves that use wood or coal fuel. These materials cause bronchoconstriction.
  2. Photochemical oxidants, nitrogen oxides, ozone, produced by burning fuel in motor vehicles, power plants, and solar radiation. These materials cause stimulation of the respiratory tract, impaired pulmonary physiology and impaired pulmonary defense.
  3. Carbon monoxide (CO) generated by the combustion of automotive fuel, cigarette smoke. CO causes tissue hypoxia, especially the cardiovascular and nervous systems.

Clinical Symtoms
  • Chronic cough with phlegm mucus, thick, a lot, especially in the morning. Muko-purulent sputum, or purulent if there is infection. These symptoms for cough are considered regular smokers.
  • Shortness of breath with breath sounds due to progressive inflammation and bronchial obstruction.
  • If the disease has continued to grow, especially shortness of running time.
  • Physical examination performed on the patient sitting position:
  • Chest hyperinflation 
  • Percussion hipersonor
  • wet crackles at the time of inspiration
  • Wheezing on expiration time.

Special examination of Chronic bronchitis

Management Of Chronic bronchitis

Diagnosis of chronic bronchitis is based on:
  1. Anamnesa according to the criteria of chronic bronchitis with symptoms of chronic cough and phlegm, especially in the early morning, thick sputum and numerous. Sometimes purulent, especially in heavy smokers. Shortness of breath during activity and occurs slowly but progressively.
  2. Physical examination is not typical, usually chest hyperinflation, hipersonor, wet crackles and sometimes audible wheezing.
  3. Chest X-ray photo showed lung hyperinflation with increased bronchovascular markings.
  4. Examination of sputum Gram to detect bacterial infection in exacerbation.
  5. Lung physiology tests to detect obstruction or restriction.
  6. ECG to determine heart abnormalities.
  7. Arteriel blood gas analysis to detect hypoxemia and hypercapnea.

Differential Diagnosis

  • Depending on the early treatment before the disorder is advanced lung physiology and the presence or absence of complications of emphysema and cor pulmonale.
  • Stop smoking, avoid air pollution and socio-economic improvement of the patient will improve prognosis.
Tags : bronchitis symptoms, chronic bronchitis symptoms, chronic bronchitis emphysema, chronic cough, chronic bronchitis cough, treatment chronic bronchitis,  CPOD chronic bronchitis, bronchitis treatment, acute bronchitis

Comments :

17 comment to “Chronic Bronchitis”

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treatmentofasthma said... on 


I am sure that who read this information about Chronic Bronchitis, they aware for Asthma problem. Its so much interesting information for all who have Asthma.

Thank you so much for important information
Chronic Bronchitis Symptoms

treatmentofasthma said... on 


I think i need to know more about Asthma and its symptoms, syndrome and it good treatment, So please share your good information with me because its good for me and also for other person who don't know about Asthma disease.

Thank You.
Asthmatic Bronchitis

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Alex Neil said... on 

I appreciate your information on the Bronchitis. I wrote about this, too, recently. More specifically about the causes and cure to Bronchitis.

Naturalherbs Solutions said... on 

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Avni Deshmukh said... on 

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Jones Diana Katherine said... on 

I am sharing my story in an excited mood. It all started when I woke up with a bad cough. I felt it was because of the cold, maybe, I didn't put on enough warm clothing to sleep. I coughed all through that day. I waited a few days to see if it got worse and it did. I was coughing to the extent of dry heaves and I was vomiting. The cough hurt my throat severely. I finally ended up in the ER. They sent me home with antibiotics, an inhaler, and some pills to stop the coughing.
After 7 days, of worsening cough, I went back to the hospital where I was diagnosed of chronic asthmatic bronchitis. My wheezing became so loud that I found it difficult to sleep. When I went to the doctor I was given a Z-Pak, albuterol inhaler, oral steroids, cough pills which didn't do any good, and was told to take Mucinex. The more I take these medications, the worse my condition became.
I went in search for a cure without complications. I read stories of people who had worst cases of bronchitis and asthma. I was happy that people had gone through what I was going through and were cured by herbal medication.
I contacted the email address shared by someone who suffered bronchitis and was cured by Herbal Medication without complications. I received tremendous improvement after its use. The wheezing stopped totally and my sputum was no longer greenish. In case you have the same issue or you wish to help someone who has, you may contact Dr. Scott for his medication via

Makaya said... on 


This may help those going through what I went through. I worked a long time for a Pesticide Company, and was diagnosed of Chronic Bronchitis. I used all prescribed medications and steroids yet, my condition got more complicated. The more I take antibiotics and kenalog injection, the worst the Bronchitis became. It got to a point the wheezing was just too much and I had constant fever and other complications which resulted from the drugs I was taking which couldn't provide a cure. I got feed up and went in search for a natural cure. At first, I thought I was the only one in the world was had Chronic Bronchitis, until I read a testimony of someone who got cured through herbal remedy without side effects. I contacted the doctor, explained my case and I got herbal medication which I used. Within one month of use, I was free from mucus and phlegm. In case you have someone suffering from bronchitis, you may contact Dr. Scott where I got my natural herbal cure via

remond japhet said... on 

Hello, i just want to Say my testimony on how i was cured from the problem
of Chronic bronchitis, Dr Steve made me a full man again,i
have been suffering Chronic bronchitis for the past 9 years. I saw a post
of one Mr Ehis and how he has been cured permanently by Dr Steve , I
quickly contacted him and told him my problem and after taking the
medication which he sent to me, that was the end of Chronic bronchitis now i can perform stronger and even better than before there is no coughing and difficulty in breathing and I have stop smoking Cigarette
his product has no side effect. Contact him through his Email on

Karen Meys said... on 

My husband was diagnosed several years ago with emphysema. He was able to quit smoking and we stayed on top of any illness. He has been hospitalized with pneumonia every year. His breathing has been getting worse but oxygen levels stay in the 97 to 98 range except when he's in hospital. For a year now he has been passing out. It is only for 1 to 3 minutes and was only when he would start coughing. The doctor changed his medications around but he passes out when breathing a bit hard. Also his feet swell up and are numb all the time. He then started using a cane. i searched for alternative treatment before i was introduced to Health herbal clinic by a friend here in the United states she told me they have successful herbal treatment to Emphysema and other lungs diseases. I spoke to few people who used the treatment here in USA and they all gave a positive response, so i immediately purchased the Emphysema herbal formula for my husband and he commenced usage, its totally unexplainable how all the symptoms totally dissapeared, his cough was gone and he no longer experience shortness of breath(dyspnea), contact this herbal clinic via their email healthherbalclinic@ gmail. com Or website www .healthherbalclinic. weebly. com. Herbs are truely gift from God

Joan said... on 

I was diagnosed of chronic bronchitis (CB). I had it for about 3 years. While it lasted, I coughed every day. My throat was always filled with mucus and it never goes away. Some days my cough is more persistent and I'll cough up the mucus; most days I just have a pitiful cough that bothers my throat but I can't stop. I was given prednisone and different inhalers which I used for years. These medications only subdued it for few weeks, but it will return again coupled with wheezing. I also had other heart challenges from using these medications. I got tired of using English medications and inhalers without a cure; I thought I will be stuck with bronchitis forever.
I needed alternative medications that will restore my health. The wheezing and coughs was getting too much whenever it returns. In search for a cure I went to googled where I read stories of those who had experienced severe cases worst than mine but got cured after using Herbal Medications. Truth is that I never used Herbal medications because I thought if English med failed, what can herbs do for me. But years of bronchitis has removed my doubt as I have tried all known inhalers and medications without cure. I followed the testimonies of an Herbal medication recommended by someone whose bronchitis was caused from years of smoking, but was cured by herbal medication. I contacted Dr. Scott which he mentioned, placed my order and 3 months of use, I noticed tremendous improvement. After I finished the Herbal medication, I have never had bronchitis again till today which was 2 years ago. Well, I trust Dr. Scott herbal medication as a perfect cure for bronchitis. You may reach him via

Audrey said... on 


Shame is the greatest prisoner that keeps us bound in pains. When one is liberated from shame, he liberates others. Please read my bronchitis cure story, it will help you or someone you know.

I am 45 years of age, a once social smoker. I smoked for 15, but usually 2 stick of my favorite brand a day. Sometimes, I don’t smoke at all. I could stay without cigarette for a month and later come back before I finally quit. I never saw myself as someone who cigarette can affect.

It all started suddenly, when I woke up for work, I found out that I was coughing seriously. I wasn’t bothered because I felt maybe the winter was having effect on me. I waited a few days to see if it got worse and it did. I was coughing to the extent of dry heaves and I was vomiting. The cough hurt my throat severely. I finally ended up in the ER. They sent me home with antibiotics, an inhaler, and some pills to stop the coughing. After several weeks, of worsening cough, I went back to the hospital where I was diagnosed of chronic bronchitis. My wheezing became so loud that I found it difficult to sleep. When I went back to the doctor I was given a Z-Pak, albuterol inhaler, Oral steroids, cough pills which didn't do any good, and was told to take Mucinex. The more I take these medications, the worse my condition became.

I was bothered, because I quit smoking long ago before bronchitis showed up. Further test from my doctor revealed the damage smoking did to me. Was I afraid of death? Yes I was, because I read all the negative reports on bronchitis, and felt maybe I am going to die from it anyway. All the English medications I was placed on, were not just working. Instead, it created several complications in my health. Hospital visitations became a routine I had to live with for 3 years.

When you are desperate things will change. I believe this word so much. Having taken English medications for 3 years and bronchitis was still active, I resorted to alternative medicine, I started doing research on herbs, I was so fortunate when I read of Dr. Scott Herbal medication for bronchitis. I contacted him, used his Herbal treatment, my bronchitis ended that was 5 five years ago. Today I am completely cured. You too can be free from bronchitis, just contact Dr. Scott, I hope to read your story someday. Dr. Scott can be reached via

Admin 1 said... on 

What is Chronic Bronchitis and how to Treatment

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JOHNSON KATE said... on 

As a sign of gratitude for how my husband was saved from asthma , i decided to reach out to those still suffering from this.
My husband suffered asthma and it was really tough and heartbreaking for me because he was my all and the symptoms were terrible, we tried various therapies prescribed by our neurologist but none could cure him. I searched for a cure and i saw a testimony of so many people who was cured from asthma and Emphysema. and so many other with similar body problem, and he left the contact of the doctor who had the herbal cure to asthma . I never imagined asthma has a cure not until i contacted him and he assured me my husband will be fine. I got the herbal medication he recommended and my husband used it and in one months he was fully okay even up till this moment he is so full of life. asthma has a cure and it is a herbal cure contact the doctor for more info on on how to get the medication. Thanks for reading my story

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