Obstructive bronchitis: symptoms

Obstructive bronchitis, the symptoms of which every person should know in order to instantly recognize it among similar diseases, is a real scourge of modernity. Obstructive bronchitis is more common in young children, mainly up to 3-4 years. If the disease occurs in acute form, then the clinical picture can already be seen on day 2 from the moment of infection.

General symptomatology

Speaking about obstructive bronchitis and its symptoms, it is generally considered that it is extremely difficult to single out them - however, there is general symptomatology that allows one to suspect it. The first symptoms of bronchitis: the patient appears barking cough with loud rales, which can be determined from a distance, and a noticeable lengthening exhalation. As with any bronchitis, cough produces sputum, which is evacuated with great difficulty. Often the cough is paroxysmal, with seizures more prevalent in the position of the patient lying down and at night. Often, sometimes a painful cough( because paroxysm is present), the patient often changes the position of the body in a dream, while most often lying on the side of the lesion. There are also common symptoms of the inflammatory process in the bronchi, which most often appear - shallow breathing, shortness of breath when exhalation, with the act of breathing may involve additional muscles, objectively also determines bloating, possibly entangling intercostal spaces. During the paroxysms of coughing, acrocyanosis can occur, that is, there is already a terrible complication in terms of oppression of the respiratory center and the appearance of obstruction of airway passages.

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Symptoms depending on the type of illness

Symptoms in obstructive bronchitis can also be divided depending on the classification of the disease itself. There is an acute course and chronic. In acute obstructive bronchitis, the clinic develops very quickly and is similar to the general symptoms of obstructive bronchitis. Prevalence in the definition of the clinic respiratory failure caused by the presence of obstruction. There is expiratory dyspnea, wheezing, which can be heard at a distance, cough and tachypnea appear and intensify at night with the patient's forced position on the side of the obstruction. There is a pronounced cyanosis and a tachycardia is determined. Auscultatory on the side of the hearing rattles and hindered shallow breathing are heard. Visually, the change in the position of the ribs in the patient is closer to the horizontal position, the intercostal spaces can be retracted, the shape of the thorax is barrel-shaped. Also, when viewed, you can see the lag of a part of the chest in the act of breathing, which is revealed on the side of the lesion. With topographic percussion of the lungs, its boundaries are displaced, dilated, and at the tip there can be a tympanic sound. The patient feels lethargic, the temperature is raised, the skin is pale, there is drowsiness, a violation of appetite.

Chronic obstructive bronchitis is characterized by its progressive course. The frequency of its growth depends on the amount of its aggravation. The more often it becomes aggravated accordingly and the current will be more difficult. Patients often complain of a cough that intensifies in the morning and during which sputum is more often mucous. In the presence of concomitant diseases SSS or respiratory diseases( lung abscess, tuberculosis, etc.), sputum may be purulent or even bloody. Characteristic is an increasing dyspnea, which increases with an increase in physical activity. This gradually makes it difficult to breathe in the presence of a load, and after even at rest. At auscultation dry rales are heard. Body temperature rises to subfebrile digits, weakness, sweating, pale skin, pain in the muscles of the chest appear due to regular and severe coughing. The physical data at the beginning of the disease is normal, and then varies depending on the severity of the flow. There are wet rattles, boxed sound with percussion, shifting the boundaries of the lungs.