Inhalers to Treat Bronchitis - Verywell Health
Inhalers to Treat Bronchitis - Verywell Health |
- Inhalers to Treat Bronchitis - Verywell Health
- Home Remedies for Wheezing - Verywell Health
- Things to know about wildfires and your health - Post Register
| Inhalers to Treat Bronchitis - Verywell Health Posted: 11 May 2021 01:26 PM PDT /GettyImages-1212263232-ba448b8db9f44266bafad9ef3419ab73.jpg) Inhalers deliver medicines that can improve your ability to breathe. In bronchitis, they are usually prescribed only for chronic bronchitis and severe cases of acute bronchitis. Inhalers contain medicines that treat bronchitis symptoms in different ways and have various side effects. Let's review bronchitis first and then dive into the different inhaler treatments commonly prescribed for bronchitis. RealPeopleGroup / Getty Images What Is Bronchitis?During bronchitis, the bronchi, the tubes that lead from your mouth to your lungs, swell up and start producing protective mucus that triggers coughing. Bronchitis symptoms include:
There are two main kinds of bronchitis—acute and chronic. They differ based on what has triggered the swelling in the bronchi. A viral or bacterial infection usually causes acute bronchitis. Your illness will likely start with a cold that lasts a few days, then develop into a long-lasting cough. The cough should be improving by around three weeks after the initial cold. Acute bronchitis is also called a chest cold. Chronic bronchitis is usually caused by exposure to pollutants or irritants, like tobacco smoke. It can get worse over time, and so it needs to be treated. It is a type of chronic obstructive pulmonary disease (COPD). Chronic bronchitis is more likely to cause wheezing and a whistling or squeaking sound while breathing. While chronic bronchitis itself isn't contagious, it can lead to frequent colds and flu and other respiratory illnesses that can spread to other people. DiagnosisIf you think you have acute bronchitis caused by an infection, you probably don't need to see a doctor. These infections usually heal on their own and get better without prescription treatment or intervention. There are a couple of instances in which you probably should seek out care for acute bronchitis:
For chronic bronchitis, you'll want to see a doctor and get treatment before your symptoms get worse and limit your breathing further. When you see a doctor for either chronic bronchitis or complications of acute bronchitis, they will do a visual examination of your throat, feel your lymph nodes in your neck for swelling, and listen to your lungs with their stethoscope. They may do lab tests, including blood tests and lung function tests, and imaging tests, like a chest X-ray or computed tomography (CT) scan to check if bronchitis has become pneumonia. They'll ask you about your medical history, family history, and your symptoms. Treatment OptionsTreatment for acute bronchitis typically includes rest, drinking fluids, and using a humidifier to keep your breathing passages clear. If your coughing is disrupting sleep, you can use cough suppressants or expectorants (formulations that contain the active ingredient guaifenesin) from the drugstore to relieve it. For a sore throat, you can suck on lozenges, hard candy, or ice pops. If you have pain or a fever, try over-the-counter pain relievers to feel better, including:
Antibiotics are discouraged for acute bronchitis because only a small percentage of cases are caused by bacteria rather than viruses. When appropriate, an antibiotic might help your body fight off the bacteria causing the infection but won't help break up mucus or soothe night coughing. If you have excessive wheezing, trouble breathing, or have chronic bronchitis, your doctor may prescribe you one or more inhalers as a treatment option for your bronchitis. Inhalers deliver medicine right into your lungs, where they can help reduce swelling and open up your bronchi. There are various options for inhalants that your doctor may prescribe, based on your condition, your infection, and your long-term prognosis. These inhaled medications act in different ways and have different side effects. Most of these inhaled medications are prescribed for chronic bronchitis or COPD, which gets progressively more severe and can be deadly. Which medications you're prescribed will depend on how severe your chronic bronchitis is. Beta-2 AgonistsShort-acting beta-2 agonists like albuterol may be used for bronchitis when the patient is wheezing or having trouble breathing. This might happen with either chronic or acute bronchitis. Beta-2 agonists relieve the symptoms of wheezing and trouble breathing by acting as a bronchodilator—widening the opening of the bronchi so they let more air into your lungs. A Cochrane report updated in 2015 suggests that regular prescription of beta-2 agonists isn't useful for most acute bronchitis patients and is not useful in children with bronchitis. They do seem to help patients with wheezing or whose swollen bronchi are obstructing their breathing. They can help these patients breathe easier. Side effects of these medications include tremors, shakiness, and nervousness. Inhaled CorticosteroidsInhaled corticosteroids are sometimes prescribed for chronic bronchitis and COPD. They are not used as monotherapy for COPD. They are used in conjunction with long-acting bronchodilators for severe disease (FEV1 <50%) or patients with frequent exacerbations. They work by reducing inflammation in the lungs, preventing symptoms like wheezing, shortness of breath, coughing, and tightness in the chest. A review found that high-dose inhaled corticosteroids can improve symptoms in those with chronic bronchitis as a part of COPD. They can slow down the rate of decline in quality of life and reduce the frequency of attacks. But they do not have a consistent long-term benefit in decreasing the loss of breathing capacity or risk of death. Side effects of inhaled steroids include thrush in the mouth, hoarseness, and increased risk of developing pneumonia. Long-Acting Beta-2 AgonistsLong-acting beta-2 agonists are used for moderate-to-severe chronic bronchitis when it interferes with the ability of the patient to breathe. Instead of the short-acting beta-2 agonists, which are used only during an attack, these prescription inhalers are used daily to prevent flare-ups. They act on the muscles in the lungs to relax them, opening the airways. Long-acting beta-2 agonists are often prescribed in combination with inhaled steroids for daily preventive treatment for chronic bronchitis and COPD. Side effects of long-acting beta-2 agonists are similar to those of short-acting beta-2 agonists. They include tremors, shakiness, and nervousness, along with headache, increased heart rate, dizziness, anxiety, and a rash. NebulizersSometimes inhaled medications given in the hospital or at home are delivered through a nebulizer, which lets a patient inhale the medication as a mist. A nebulizer can provide medication through a mask and doesn't require the coordinated breathing of an inhaler. They're sometimes recommended for asthma, chronic bronchitis, and COPD patients who have a very low ability to breathe in. A nebulizer could deliver any of the above inhaler medications if that works better for you. The medications would have the same side effects as taken through an inhaler. A Word From VerywellCases of acute bronchitis usually clear up without these types of medications. Chronic bronchitis may be managed in a number of ways by a health professional, which is why it's important to maintain a relationship with your provider and manage your condition appropriately. Lifestyle changes, like quitting smoking or reducing your exposure to secondhand smoke or other irritants, can also help prevent your chronic bronchitis from getting worse and reduce your need for inhalers and other treatments. Physical activity can help strengthen your lungs, so talk to your doctor about your options. Prevent future infections by getting vaccines for the flu and pneumonia. |
| Home Remedies for Wheezing - Verywell Health Posted: 04 May 2021 07:12 AM PDT /GettyImages-1137019809-36f12cbbee7441c7ae0878d0a2e669c8.jpg) If you've ever heard a whistling sound when breathing, this is known as wheezing. Wheezing often sounds like a high-pitched whistle and most often happens when a person exhales (breathing out), though it can sometimes be heard when inhaling (breathing in). Wheezing happens as a result of inflammation that leads to the tightening of air passageways. Home remedies, including eating well, hydrotherapy, and breathing exercises, may help reduce wheezing. PeopleImages / E+ / Getty Images What Causes Wheezing?Wheezing is typically caused by narrowing of the small bronchial tubes in the chest or obstruction (blockage) in the bronchial tubes or larger airways and vocal cords. Wheezing is most often heard in individuals with chronic (long-term) conditions such as asthma and chronic obstructive pulmonary disease (COPD), which cause the bronchial airways to narrow and spasm. Other common causes of wheezing include:
In some cases, wheezing may be caused by excess mucus in the airways. Coughing forcefully two to three times may loosen up any mucus and resolve the wheezing sounds. SymptomsThe most obvious symptom of wheezing is the high-pitched whistle sound that occurs when a person breathes—it is most often heard when exhaling. Wheezing may also be accompanied by other symptoms, depending on the underlying cause, including:
Wheezing may also occur in individuals who are experiencing an anaphylactic (severe allergic) reaction to something (e.g., food, insect bite, medication). Seek immediate medical attention (call 911) if you are experiencing wheezing as a result of anaphylaxis. HydrotherapyHydrotherapy (water therapy) involves the use of water for health purposes. Hydrotherapy is one of the most basic, widely-used methods for treating a number of conditions, including wheezing. Hydrotherapy options for treating wheezing include:
Nutritional CuresEating a healthy diet can improve many aspects of your health and well-being. Diet and nutrition are increasingly recognized as an option to protect the respiratory system and help reduce the symptoms of long-term conditions that cause wheezing. Eating foods rich in the following nutrients may help reduce or even eliminate your wheezing. Vitamin CVitamin C has been thoroughly studied for its benefits to the respiratory system, including reducing wheezing. Studies show that consumption of fruit and vegetables rich in vitamin C—citrus fruits, bell peppers, tomatoes, berries, broccoli, and spinach—can reduce wheezing and have a positive impact on lung health. While vitamin C dietary supplements may be helpful, most research shows that eating foods rich in this powerful antioxidant nutrient is more beneficial. Vitamin DSeveral studies have shown that vitamin D deficiency is linked to asthma, a common cause of wheezing. Foods rich in vitamin D include red meat, dairy products, and oily fish (e.g., salmon). You can also increase your vitamin D levels by spending time outside in the sunshine. More research is needed to determine the optimal dose of vitamin D for different populations (e.g., age, gender, ethnicity) and whether or not vitamin D supplementation is as helpful as consuming foods rich in this nutrient. Vitamin EResearch shows that vitamin E has multiple antioxidant and anti-inflammatory properties that reduce inflammation in airways as well as mucus that may cause or contribute to wheezing in individuals with asthma. Almonds, red bell pepper, peanut butter, pumpkin, spinach, and sunflower seeds are all rich in vitamin E. GingerResearch shows that ginger may help relax the airways' smooth muscles, helping reduce constriction and wheezing. Fresh ginger contains compounds that may help ward off viruses that affect the respiratory system. One study found that ginger extracts may help control asthma by having a positive effect on the cells in the airways. Try making a fresh ginger tea to loosen and moisturize your airways to reduce wheezing. Breathing ExercisesLike aerobic exercise can improve your cardiac health, breathing exercises can have a positive impact on your lung health and function. Breathing techniques can strengthen your lung capacity, make your lungs more efficient, and reduce wheezing. Although these exercises may seem simple, it may take some practice to get them mastered. Practice when your breathing feels at ease, so you can turn to them when your wheezing increases or you're experiencing shortness of breath. Pursed Lip BreathingPursed lip breathing is a technique that slows the rate of breathing, keeping the airways open longer, and making each breath more effective. When you breathe more efficiently, shortness of breath should be reduced. To practice:
Your wheezing is likely to improve or even subside after pursed-lip breathing. Yoga BreathingThe inability to exhale fully is common in those with asthma. Research shows that yoga breathing exercises (pranayama) improve lung function in individuals with asthma, which may reduce wheezing. To do yoga breathing:
Over-the-Counter RemediesOver-the-counter (OTC) remedies are a popular option for many, due to their affordability and availability (no need for a prescription). If you want to try over-the-counter medications to improve your wheezing, you may want to consider the following: Primatene MistPrimatene Mist—an FDA-approved over-the-counter inhaler—is a bronchodilator that provides temporary relief of intermittent asthma symptoms. The mist contains epinephrine, which helps relieve wheezing, tightness in the chest, and shortness of breath. AntihistaminesAntihistamines are particularly helpful for those who have allergies. Many are available over-the-counter in tablet, capsule, liquid gel, eye drop, and nasal spray forms. Common antihistamine brands include Allegra (fexofenadine), Benadryl (diphenhydramine), Claritin (loratadine), and Zyrtec (cetirizine). Cough DropsSucking on cough drops or hard candies may help soothe irritated and inflamed breathing airways. Keep in mind that cough drops can temporarily reduce a wheezing cough but are not a long-term remedy. Suck on a cough drop once every two to three hours for relief. Avoid TriggersWhenever possible, try to avoid triggers that will worsen your wheezing, including: Cold, Dry AirCold, dry air can lead to airway narrowing and irritation in the airways, which can lead to coughing, worsen wheezing, and exacerbate breathing difficulties. Smoking or VapingSmoking and vaping are known to have a negative impact on lung health and breathing. A study published in 2020 shows that smoking and vaping (using e-cigarettes) are strongly associated with an increase in wheezing and other breathing difficulties. Speak with your doctor to discuss smoking cessation options. AllergensAllergies can worsen breathing, particularly in those with conditions such as asthma or COPD. Common allergy symptoms include a runny nose, coughing, itchy eyes, and mild wheezing. If you have seasonal allergies, you may want to consider taking antihistamines to help reduce your allergy symptoms. Use an Air PurifierSome conditions that cause wheezing may worsen when the environment is polluted or there are allergens in the air. An air purifier in your home can reduce the number of irritants in the air that may trigger wheezing. A Word From VerywellWheezing and other symptoms that come with it, such as shortness of breath, can be an unsettling experience. For most people, wheezing is a temporary situation caused by illness, irritation, or an underlying health condition. If you are experiencing wheezing, it is important to see your doctor since it may be an indication of an underlying health problem, such as asthma. Once you've discussed a treatment plan with your doctor, home remedies may be an excellent option to improve your breathing and reduce wheezing. |
| Things to know about wildfires and your health - Post Register Posted: 11 May 2021 07:40 PM PDT  As wildfires burn throughout the Pacific Northwest this coming season, our air quality will definitely be impacted. If you have respiratory problems such as asthma, emphysema and bronchitis, or a chronic heart disease, we urge you to monitor your breathing and exposure to airborne matter. If problems develop call your physician immediately. GENERAL RECOMMENDATIONS Stay indoors: People living in close proximity to the fire-stricken areas should remain indoors and avoid inhalation of smoke, ashes and particulate matter in the area. Don't count on a dust mask: Ordinary dust masks, designed to filter out large particles, will not help as they still allow the more dangerous smaller particles to pass through. Special, more expensive dust masks with true HEPA filters will filter out the damaging fine particles, but are difficult for people with lung disease to use. Consult with your physician before using a mask, especially if you have a lung disease. Don't exercise outside: If you live close to or in the surrounding area, it's recommended that you refrain from exercising outdoors, especially if you smell smoke or notice eye or throat irritation. Take precautions for kids: Extra precaution should be taken for children, who are more susceptible to smoke because their respiratory systems are still developing and they breathe in more air (and consequently more pollution) per pound of body mass than adults. Roll up your car windows: When driving your car in smoky areas, keep your windows and vents closed. Air conditioning should only be operated in the "recirculate" setting. Put air conditioners on recirculate: Stay inside as much as possible, with doors, windows and fireplace dampers shut and preferably with clean air circulating through air conditioners and air cleaners. Use air conditioners on the recirculation setting so outside air will not be moved into the room. IF YOU HAVE RESPIRATORY PROBLEMS OR CHRONIC HEART DISEASE Keep an eye on symptoms: Due to the higher levels of pollutants in some areas, there is a possibility of experiencing increased symptoms. If you are experiencing symptoms, please try to contact your physician. If you cannot, asthma patients can follow the asthma action plan developed with their physician. Use your peak flow meter if prescribed. Do not hesitate to take your medication, and avail yourself of the full spectrum of medications your doctor has prescribed to you. Check in with your doctor: People with asthma should check with their physician regarding any changes in medication that may be needed to cope with the smoky conditions. Ask about your oxygen use: People using oxygen should not adjust their levels of intake before consulting a physician. (Call your doctor BEFORE you take any action.) Know when to seek medical attention: If pulmonary symptoms are not relieved by the usual medicines, seek medical attention. Symptoms to watch for: wheezing, shortness of breath, difficulty taking a full breath, chest heaviness, light headedness, and dizziness. If you have any concerns or questions please contact your physician. Watch for breathing issues after exposure: If you develop a persistent cough, or difficult or painful breathing, call your physician. The onset of symptoms can appear as late as 24 to 48 hours after exposure and that smoke can remain in areas for many days after the fires have ended. Residents and volunteers should use caution during clean-up because the process involves ashes and other particulates. Avoid dust and soot: People with lung or heart problems should avoid clean-up activities and areas where dust or soot are present. Reduce airborne particulates: Thoroughly wet dusty and soot area prior to clean-up. This will help to reduce the amount of particulates becoming airborne. Cover your face: Wear an appropriate dust mask during clean-up. Do not disturb: If exposure to asbestos or other hazardous materials are suspected, do not disturb the area. Dust masks do not protect against asbestos. LOOKING FOR A RESPIRATORY DOCTOR? DR. RICHARD W. FELT As a pulmonologist, Dr. Felt sees patients with respiratory disorders such as asthma, chronic obstructive pulmonary disorder (COPD), chronic bronchitis, emphysema, occupationally related breathing disorders, and inflammatory lung disease and pulmonary fibrosis. He also offers evaluations for unexplained shortness of breath and lung cancer. If you have experienced the symptoms of asthma, or have questions about your breathing, schedule an appointment with Dr. Felt. Appointments can be scheduled in Idaho Falls, Blackfoot, or Pocatello by calling (208) 535-3636. Content source: American Lung Association |
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