Chronic bronchitis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Bronchitis may be indicated by an expectorating cough (also known as a productive cough, i.e. one that produces sputum), shortness of breath (dyspnea) and wheezing. Occasionally chest pains, fever, and fatigue or malaise may also occur. Mucus is often green or yellowish green and also may be orange or pink, depending on the pathogen causing the inflammation.

Symptoms

  • Productive cough with gradual progression to intermittent shortness of breath. [1] It is possible the sputum may contain blood (hemoptysis), usually due to damage of the blood vessels of the airways. An acute exacerbation may present as productive cough or an acute chest illness. The cough usually is worse in the mornings and produces a small amount of colorless sputum. The frequency and severity of acute exacerbation usually increases as the disease progresses.In later stages progressive cardiac/respiratory failure may present with edema and weight gain.

Other symptoms

Severe COPD

The most helpful information in diagnosis of COPD is provided by a combination of the following 3 signs [2]

  • Self-reported smoking history of more than 55 pack-year
  • Wheezing on auscultation
  • Self-reported wheezing.

References

  1. U.S. National Heart Lung and Blood Institute - Signs and Symptoms
  2. Qaseem A, Wilt TJ, Weinberger SE, Hanania NA, Criner G, van der Molen T, Marciniuk DD, Denberg T, Schünemann H, Wedzicha W, MacDonald R, Shekelle P (2011). "Diagnosis and management of stable chronic obstructive pulmonary disease: a clinical practice guideline update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society". Annals of Internal Medicine. 155 (3): 179–91. doi:10.1059/0003-4819-155-3-201108020-00008. PMID 21810710. Unknown parameter |month= ignored (help); |access-date= requires |url= (help)