Acute Bronchitis

Topic Overview

Illustration of the lungsIs this topic for you?

This topic is about acute bronchitis in people who don't have other health problems. Acute bronchitis may be treated differently if you have a long-term lung disease, such as chronic obstructive pulmonary disease (COPD). For more information, see the topics Chronic Obstructive Pulmonary Disease (COPD) and Pneumonia.

What is bronchitis?

Bronchitis means that the tubes that carry air to the lungsClick here to see an illustration. (the bronchial tubes) are inflamed and irritated. When this happens, the tubes swell and produce mucus. This makes you cough.

There are two types of bronchitis:

  • Acute bronchitis usually comes on quickly and gets better after 2 to 3 weeks. Most healthy people who get acute bronchitis get better without any problems. See a picture of acute bronchitisClick here to see an illustration..
  • Chronic bronchitis keeps coming back and can last a long time, especially in people who smoke. Chronic bronchitis means you have a cough with mucus most days of the month for 3 months of the year for at least 2 years in a row.

This topic focuses on acute bronchitis. Both children and adults can get acute bronchitis.

What causes acute bronchitis?

Acute bronchitis is usually caused by a virus. Often a person gets acute bronchitis after having an upper respiratory tract infection such as a cold or the flu. In rare cases, acute bronchitis is caused by bacteria.

Acute bronchitis also can be caused by breathing in things that irritate the bronchial tubes, such as smoke. It also can happen if a person inhales food or vomit into the lungs.

What are the symptoms?

The most common symptom of acute bronchitis is a cough that is dry and hacking at first. After a few days, the cough may bring up mucus. You may have a low fever and feel tired.

Acute bronchitis symptoms usually start 3 or 4 days after an upper respiratory tract infection. Most people get better in 2 to 3 weeks. But some people continue to have a cough for more than 4 weeks.

Pneumonia can have symptoms like acute bronchitis. Because pneumonia can be serious, it is important to know the differences between the two illnesses. Symptoms of pneumonia can include a high fever, shaking chills, and shortness of breath.

How is acute bronchitis diagnosed?

Your doctor will ask you about your symptoms and examine you. This usually gives the doctor enough information to find out if you have acute bronchitis.

In some cases, the doctor may take a chest X-ray to make sure that you don't have pneumonia or another lung problem.

How is it treated?

Most people can treat symptoms of acute bronchitis at home. Drink plenty of fluids. Use an over-the-counter cough medicine with an expectorant if your doctor recommends it. This can help you bring up mucus when you cough. Suck on cough drops or hard candies to soothe a dry or sore throat. Cough drops won't stop your cough, but they may make your throat feel better.

Most people don't need antibiotics for acute bronchitis.

Check with your doctor if you have heart or lung disease, such as heart failure, COPD, or asthma. You may need more treatment.

Frequently Asked Questions

Learning about acute bronchitis:

Being diagnosed:

Getting treatment:

Living with acute bronchitis:


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Author: Carrie Henley
Sabra L. Katz-Wise
Last Updated: October 26, 2006
Medical Review: Adam Husney, MD - Family Medicine
Kathleen Romito, MD - Family Medicine
Robert L. Cowie, MB, FCP(SA), MD, MSc, MFOM - Pulmonology

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