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This allows for treatment right away until a doctor can be seen. [5] The symptoms of acute exacerbations are treated using short-acting bronchodilators. A course of corticosteroids, usually in tablet or intravenous rather than inhaled form, can speed up recovery. [1] The IV and oral forms of steroids have been found to be equivalent. [20]
Treatment of acute bronchitis typically involves rest, paracetamol (acetaminophen), and nonsteroidal anti-inflammatory drugs (NSAIDs) to help with the fever. [ 7 ] [ 8 ] Chronic bronchitis is defined as a productive cough – one that produces sputum – that lasts for three months or more per year for at least two years.
Systemic steroids are considered the first line treatment for organizing pneumonia, with patient's often having clinical improvement within 72 hours of steroid initiation and most patients achieving recovery. [22] [9] A prolonged treatment course is indicated, with patients usually requiring at least 4-6 months of treatment. [9]
An exception is when acute bronchitis is due to pertussis. [1] Tentative evidence supports honey and pelargonium to help with symptoms. [1] Acute bronchitis is one of the most common diseases. [3] [13] About 5% of adults are affected and about 6% of children have at least one episode a year. [7] [8] It occurs more often in the winter. [7]
Diagnosis of eosinophilic bronchitis is not common as it requires the examination of the patient's sputum for a definitive diagnosis, which can be difficult in those who present with a dry cough. In order to induce the sputum, the patient has to inhale increasing concentrations of hypertonic saline solution.
Many patients eventually require oxygen supplementation at home. In severe cases that are difficult to control, chronic treatment with oral corticosteroids may be necessary, although this is fraught with significant side effects. COPD is generally irreversible although lung function can partially recover if the patient stops smoking.
Lower respiratory tract infection (LRTI) is a term often used as a synonym for pneumonia but can also be applied to other types of infection including lung abscess and acute bronchitis. Symptoms include shortness of breath , weakness, fever , coughing and fatigue. [ 3 ]
Methylprednisolone (Depo-Medrol, Medrol, Solu-Medrol) is a synthetic glucocorticoid, primarily prescribed for its anti-inflammatory and immunosuppressive effects. [4] [5] [6] It is either used at low doses for chronic illnesses or used concomitantly at high doses during acute flares.