I am seeing a lot of COMMON COLDS, COUGHS AND "STOMACH FLUS". MOST OF THESE REQUIRE SYMPTOMATIC TREATMENT AND NOT ANTIBIOTICS.
IN ORDER TO HELP YOU PLEASE READ THE FOLLOWING RECOMMENDATIONS AND GIVE YOURSELF TIME TO HEAL!!
Patient information: Acute bronchitis in adults
Author: John G Bartlett, MD
Section Editor: Daniel J Sexton, MD
Deputy Editor: H. Nancy Sokol, MD
Bronchitis develops when there is swelling and irritation of the bronchi, the large tubes that carry air to the lungs. There are two types of bronchitis: acute (sudden onset) and chronic (long-standing).
Acute bronchitis often occurs with a viral infection, such as the common cold, and is sometimes called a "chest cold". The most common symptom of acute bronchitis is a nagging cough. Treatment of acute bronchitis usually involves treating the symptoms, such as sore throat and congestion. Antibiotics do not help to eliminate acute bronchitis caused by a virus.
Antiviral agents are useful in some cases of acute bronchitis due to influenza, but there are antiviral agents for other forms of viral bronchitis.
Most cases of bronchitis are caused by a viral infection of the upper airways, such as the common cold or the flu. Less commonly, a bacterium such as pertussis (whooping cough) is the cause.
The most common symptoms of acute bronchitis include:
- A persistent cough; this may last 10 to 20 days: SO DO NOT GET ALARMED!!! IF OTHERWISE FEELING OK, NO FEVER, CHEST PAIN ETC...
- Some people cough up mucus, which may be clear, yellow, or green in color. Fever is not common in people with acute bronchitis. However, having a fever can be a sign of another condition, such as the flu or pneumonia. (.)Conditions with similar features — There are other conditions that have symptoms similar to those of acute bronchitis.
- Chronic cough — A persistent cough that lasts more than eight weeks is considered a chronic cough, which is discussed in detail elsewhere. (See Chronic bronchitis — Chronic bronchitis is defined as a cough that occurs on most days of the month for at least three months of the year during two consecutive years. This condition is discussed separately.)
- Pneumonia — Signs of pneumonia include fever and a fast heart and breathing rate..)
- Postnasal drip — Postnasal drip occurs when secretions drain from the sinuses into the throat. This can cause the throat to feel irritated, which causes you to feel like you need to clear your throat frequently. Postnasal drip can be caused by the common cold, allergies, sinusitis, or environmental irritants. ( THIS IS A FREQUENT CAUSE OF COUGH: NASAL IRRIGATION, HUMIDIFIER, DECONGESTANTS HELP WITH THIS SYNDROME)
Most people who have a persistent cough after an upper respiratory infection (cold) do not need to see a healthcare provider. Diagnostic testing, such as xrays, cultures, and blood tests, are not usually needed for people with acute bronchitis. However, testing may be recommended if your diagnosis is not clear based upon your examination or if another condition, such as pneumonia, is suspected.
Relief of symptoms — There is no specific treatment for bronchitis, but there are a few treqtments available for the common cold.
- A nonsteroidal antiinflammatory drug (ibuprofen, naproxen), aspirin, or acetaminophen (Tylenol®) can help to relieve the pain of a sore throat or headache. IN CROATIA: LEKADOL , PLICET (Tylenol) , BRUFEN, NEOFEN, NUROFEN(ibuprofen)
- Pseudoephedrine is a decongestant that can improve nasal congestion.
- Most drugstores in the United States carry pseudoephedrine behind the counter, so you must ask for it from the pharmacist (a prescription is not required).
- IN CROATIA: CAFFETIN COLD, DALERON COLD 3, MAXFLU, ASPIRIN COMPLEX
- CLARINASE: HIGHEST DOSE OF PSEUDOEPHEDRINE SO BE CAREFUL!!!
- Other decongestants, such as phenylephrine, are not as effective as pseudoephedrine.
- Heated, humidified, air can improve symptoms of nasal congestion and runny nose, and has few to no side effects.
- Cough suppressants such as dextromethorphan: IN CROATIA: TUSIFAN (1 TBL EVERY 6 HOURS AS NEEDED) may be helpful.
Antibiotics — Antibiotics are NOT helpful for most people with bronchitis since the illness is typically caused by a virus. Antibiotics treat bacterial, not viral infections.
Many people request antibiotics in the hopes that it will get rid of the cough, and some people even think that antibiotics have helped on previous occasions. However, there is no benefit of antibiotics for most cases of bronchitis.
PREVENTING THE SPREAD OF ILLNESS
Hand washing is an essential and highly effective way to prevent the spread of infestion. Wet your hands with water and plain soap and rub them together for 15 to 30 seconds. Pay special attention to the fingernails, between the fingers, and the wrists. Rinse your hands thoroughly, and dry with a single use towel.
Alcohol-based hand rubs are a good alternative for disinfecting hands if a sink is not available. Spread the hand rub over the entire surface of SIMILAR RECOMMENDATIONS FOR THE COMMON COLD!!!
A WORD OF WISDOM: GIVE IT TIME!!! IF IN DOUBT SEE YOUR DOCTOR.