Acute Bronchitis

Acute Bronchitis

Also known as:

  • Bronchitis

  • Chest infection

  • Chest cold


Overview

  • When the bronchi (airways) in the lungs become inflamed, they produce more mucous. The body tries to remove this excess mucous by coughing. We call this condition acute bronchitis.

  • Acute bronchitis is very common, particularly in winter during cold season. 

  • It usually caused by a viral infection. This is most often the same viruses that cause colds and the flu

  • Acute bronchitis is not the same as chronic bronchitis.

  • Most people will feel better after a few days when they get acute bronchitis, and won’t require any medical assistance. The cough may linger for a few weeks.


What causes acute bronchitis?

  • Most cases of acute bronchitis are caused by a viral infection.

  • Sometimes acute bronchitis can be bacterial, but this is rare.


Symptoms in adults

The main symptom is a cough which may bring up mucous (phlegm).

Other symptoms may include:

  • Mild fever

  • Sore throat

  • Body aches

  • Headache

  • Runny nose

  • Feeling tired (Fatigue) 

  • Chest soreness


Treatment in adults

  • For most people, acute bronchitis will go away on its own. To help your body fight off the virus you should:

    • Take it easy and rest for several days

    • Stay hydrated by drinking lots of water

    • Prop up your head with an extra pillow when you go to bed

    • Lay off cigarettes or switch to vaping if you’re a smoker, or better yet, quit

    • Use your inhaler if you’re an asthmatic or have another lung condition


Symptoms and treatments for children

  • Bronchiolitis is like bronchitis. Both can be caused by a virus. Both affect the airways in the lungs, but bronchitis affects the larger airways (the bronchi). Bronchiolitis affects the smaller airways (bronchioles). Bronchitis usually affects older children and adults, while bronchiolitis is more common in younger children.

  • Babies with bronchiolitis may have the following symptoms: 

    • Runny nose

    • Fever

    • Coughing 

    • Short, fast breaths 

    • Wheezing 

    • Breathing that requires a lot of effort

  • Most babies will recover on their own. If your baby is feeding normally and breathing ok, they’re probably fine to stay home. Here are some tips to help them get recover:

    • Giving them smaller feeds more often

    • Letting them rest

    • Keeping them away from smoke

    • Using saline nose drops to help clear their nostrils – these can be purchased from a pharmacy

    • Paracetamol may be given to babies with a temperature, but be sure to give them the correct dosage.

  • If you’re worried about your baby regardless of how serious their symptoms seem, contact your  GP


Medication

  • Acute bronchitis normally goes away without the need for medication, however, some people may choose to use medication to relieve their symptoms.

  • Paracetamol or ibuprofen can be used to relieve aches and bring a fever down.

  • Some people may choose to use a cough medicine, but there is some debate as to how effective these are. If you do go down this route, opt for an expectorant medication as these are made to help clear the lungs of mucous. Steer clear of cough suppressants – if you have a chesty cough. Cough medicines should be not be given to kids who are younger than 6.

  • Some doctors may prescribe an inhaler to help open up the airways of particularly wheezy patients.

  • Antibiotics are seldom used because most cases of acute bronchitis are viral. If a doctor believes that the cause is bacterial, they might prescribe antibiotics.


Home remedies

Hot water with lemon and honey mixed in can relieve a sore throat and cough.


Common over-the-counter medications

Ibuprofen, paracetamol and most cough medicines can all be purchased over-the-counter at a pharmacy.


How long does acute bronchitis last?

  • Most people will begin to feel better after several days, but the cough may stick around for a few weeks.

  • Babies with bronchiolitis may have a cough that lasts anywhere from 10 days to a month.


Should I see a doctor?

  • See a doctor if you still have a cough after 3 weeks.

  • Certain symptoms could indicate that something more serious is going on, such as pneumonia. If you have any of the following symptoms, see a doctor immediately:

    • Shortness of breath

    • Coughing up blood

    • High fever

  • If your baby is under 3 months old and starts to show any of these symptoms, take them to a doctor or medical centre immediately: 

    • Their breathing is short and fast or seems to require a lot of effort 

    • They appear pale or unwell

    • They’re not feeding as well, taking less than half of what they normally do 

    • They’re vomiting 

    • They’re dehydrated and have less wet nappies than usual

  • If your baby has any of the following symptoms, call an ambulance by dialling 111:

    • Their lips and/or tongue has turned blue 

    • They’re having trouble breathing 

    • There are pauses between their breaths

    • They’re extremely tired and difficult to wake up 

    • They’ve gone pale 

    • They feel floppy


Proactive protection

  • Protect yourself with an annual flu vaccination.

  • Washing your hands is one of the best ways to protect yourself from catching a virus, particularly before eating or preparing food. 

  • Consider wearing a facemask when you’re not socially distancing

  • Steer clear of people who have been sick with coughs and colds. 

  • Stay away from things that will irritate your lungs, like cigarettes and vapes. Babies who live in smoke-free homes are also less likely to catch bronchiolitis.

  • Babies who are breastfed have an increased immunity so breastfeeding will help to protect them against bronchiolitis.


Other respiratory conditions

  • Bronchiolitis 

  • Common cold 

  • Chronic obstructive pulmonary disease (COPD)

  • Pneumonia 

  • Strep throat


Bronchitis symptoms? Tend doctors can help

If you have flu symptoms and would like medical advice without needing to leave the house, you can book an online appointment with a Tend doctor through your app.

After the appointment, your doctor may advise that an additional, in-person appointment is required, to ensure you receive complete care. In some cases, we may require this before administering a prescription.

If this is the case, we'll book you for an in-person appointment at a time that suits you, at no extra charge.


Clinically reviewed by: Dr Mataroria Lyndon
Date of review: 5th August 2021