Issues in Diagnosing Acute Bronchitis

Acute bronchitis is a common respiratory disease thatthe first days after the period of incubation. Some
causes inflammation of the bronchial mucosalpatients with acute bronchitis may have this symptom
membranes. Unlike chronic forms of the disease, acutefor less than two weeks, while others may be
bronchitis has a rapid onset and generates moreconfronted with cough for more than six weeks. If this
intense symptoms. However, acute bronchitis doesn'tsymptom persists for more than 8 weeks, it may point
have a recurrent character and thus its generatedto chronic bronchitis.
symptoms don't persist in time. Due to the fact that theThe texture and the color of the expectorated mucus
clinical manifestations of acute bronchitis are unspecific,are major indicators for the seriousness of the
pointing to various types of respiratory diseases,disease. For instance, the expectoration of clear,
sometimes it can be difficult for doctors to quickly findcolorless mucus may disclose infectious forms of
the correct diagnosis. Thus, doctors usually performacute bronchitis. By contrast, abundant expectoration
additional tests in order to confirm the presumptiveof yellowish or dark-colored mucus may point to
diagnosis. However, even laboratory tests canbacterial infection of the bronchial membranes.
sometimes fail to reveal conclusive evidence of acuteBlood-producing cough usually points to severe forms
bronchitis. Considering this fact, the majority of patientsof acute bronchitis, suggesting that the lungs are also
with suspected acute bronchitis are commonlyaffected by the disease. The majority of patients with
diagnosed after they receive elaborate physicalacute bronchitis may experience an exacerbation of
examinations.cough during the night or in the first hours of the
Most symptoms of acute bronchitis are outwardlymorning.
visible. The disease generates symptoms such asAlthough doctors often perform laboratory analyses of
mucus-producing cough, chest pain and discomfortmucus samples, tests such as Gram staining aren't
(intensifying with deep breaths), wheezing, difficult,very accurate in revealing traces of bacterial infection.
shallow and accelerated breathing. Sometimes, theseEven in the cases of serious infection, most laboratory
manifestations of acute bronchitis can betests may only reveal the presence of benign bacterial
accompanied by mild or moderate fever. Theflora at the level of the respiratory tract. In spite of
presence of high fever is an indicator of complications,medical progress and the wide range of medical
suggesting severe infection with bacteria ortechniques available nowadays, the presence of acute
mycoplasmas. Prolonged, intense fever may point tobronchitis in patients is rarely revealed by routine
spreading of the respiratory infection at the level of thelaboratory tests. Thus, acute bronchitis is usually
lungs (pneumonia).diagnosed according to the results of more elaborate
Mucus-producing cough is usually the most revealingphysical examinations.
symptom of acute bronchitis. Although the presence ofRadiography, spirometry and pulse oximetry are rarely
cough is not sufficient for diagnosing acute bronchitis,used in the process of diagnosing acute bronchitis.
the intensity and the frequency of this symptom areThese tests are recommended to patients with
major indicators of respiratory diseases such ascomplicated forms of acute bronchitis that involve
bronchitis. Cough is usually the first symptom to occurspreading of the disease at pulmonary level.
among people with acute bronchitis, intensifying within