Pronounced: KRON-ik bron-KYE-tis
Chronic bronchitis is a long-term disease of the lungs. It is a problem with the airways of the lungs. Injury or irritation causes these airways to swell and develop extra mucus. This makes it difficult to move air in and out of the lungs. It will make breathing difficult.
Chronic bronchitis is a type of chronic obstructive pulmonary disease (COPD).
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Chronic bronchitis is caused damage to the airways. The damage is caused by:
Cigarette smoking is the greatest risk factor for developing chronic bronchitis. The more you smoke and the longer you smoke, the greater your chance of developing chronic bronchitis. Frequent and long-term smoking also increases the chance of severe chronic bronchitis.
Chronic bronchitis is more common in people over 40 years old. Other factors that may increase your risk of chronic bronchitis include:
To diagnose chronic bronchitis, symptoms of productive cough must have been present for three or more months in at least two consecutive years, and not have been caused by another condition. Your doctor will ask about your symptoms and medical history. A physical exam will be done. Tests may include the following:
Images of the lungs may be taken with:
. There is no cure for chronic bronchitis. There are treatments that can reduce symptoms and improve lung function. The best way to reduce symptoms is to stop smoking.
Talk with your doctor about the best treatment plan for you. Options may include one or more of the following:
Medications may include bronchodilators or steroids. They may help manage chronic bronchitis by:
Some medication may be taken as pills or liquids. Others are inhaled medication that is delivered directly to the lungs.
Antibiotics are rarely prescribed to treat chronic bronchitis. They may be needed to treat a lung infection that has developed because of the chronic bronchitis.
Oxygen therapy may be helpful if the oxygen levels in your blood are too low. It can relieve trouble breathing and improve energy. You may only need it for specific activities or it may be given throughout the day.
Special exercises can strengthen chest muscles. This can make it easier to breathe.
Regular physical activity can reduce the workload on your lungs by building your endurance. Physical activity is also associated with improved quality of life. Follow your doctor's recommendations for activity levels and restrictions.
Special methods of breathing can help bring more air into the lungs. It can also help force trapped air out of the lungs. Effective coughing techniques can also help clear mucus from your lungs. Ask your doctor if these techniques can help you. Some examples include:
The following may help you manage your symptoms:
Chronic bronchitis. American Academy of Family Physicians website. Available at: http://familydoctor.org/online/famdocen/home/articles/280.html. Updated July 2010. Accessed March 29, 2013.
COPD. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us. Updated March 5, 2013. Accessed March 29, 2013.
Explore chronic bronchitis. National Heart Lung Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/brnchi. Updated May 1, 2009. Accessed March 29, 2013.
Explore COPD. National Heart Lung Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/copd. Updated June 8, 2012. Accessed March 29, 2013.
Breathing techniques. Canadian Lung Association website. Available at: http://www.lung.ca/diseases-maladies/copd-mpoc/breathing-respiration/index_e.php. Updated September 24, 2012. Accessed March 29, 2013.
Halbert RJ, Natoli JL, et al. Global burden of COPD: systematic review and meta- analysis. Eur Respir J. 2006;28:523.
Lopez AD, Shibuya K, et al. Chronic obstructive pulmonary disease: current burden and future projections. Eur Respir J. 2006;27:397.
What you can do about a lung disease called COPD. Global Initiative for Chronic Obstructive Lung Disease website. Available at: http://www.goldcopd.org/uploads/users/files/GOLD_Patient_RevJan10.pdf. Accessed March 29, 2013.
Last reviewed June 2013 by Brian Randall, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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