Question 1

What is the difference between acute and chronic bronchitis?

Accepted Answer

Acute bronchitis is a short-term inflammation of the airways usually caused by a viral infection, resolving within two to three weeks. Chronic bronchitis is a long-term condition defined by a productive cough for at least three months a year over two consecutive years, most often caused by smoking or prolonged exposure to irritants.

Question 2

Is bronchitis contagious?

Accepted Answer

Acute bronchitis caused by a virus can be contagious during the period when the virus is active, typically the first few days of illness. Chronic bronchitis itself is not contagious, as it is the result of long-term airway damage rather than an infectious agent.

Question 3

How long does acute bronchitis last?

Accepted Answer

Most cases of acute bronchitis clear within one to three weeks. However, the cough can sometimes persist for up to four to six weeks after the initial infection resolves, even when other symptoms have gone.

Question 4

Can you treat bronchitis at home?

Accepted Answer

Mild acute bronchitis can generally be managed at home with rest, increased fluid intake, steam inhalation, and over-the-counter remedies for fever and cough. Chronic bronchitis requires long-term medical management and should not be treated at home alone. Always consult a doctor if symptoms are severe or prolonged.

Question 5

What herbal remedies are traditionally used for bronchitis in Sri Lanka?

Accepted Answer

Traditional Ayurvedic practice in Sri Lanka uses several herbs for respiratory conditions, including black pepper, ginger, and cloves in decoctions to ease coughing and loosen mucus. Compound formulations prescribed by qualified Ayurvedic physicians, such as Yogaraja Guggulu, are also used for inflammatory conditions. These should be used alongside, not as a replacement for, conventional medical care.

Question 6

Does smoking cause chronic bronchitis?

Accepted Answer

Smoking is the leading cause of chronic bronchitis, responsible for the majority of cases. Both active smoking and prolonged secondhand smoke exposure cause persistent irritation that damages the bronchial lining over time. Quitting smoking is the most effective single step to slow the progression of chronic bronchitis.

Question 7

When does bronchitis require antibiotics?

Accepted Answer

The vast majority of acute bronchitis cases are caused by viruses, against which antibiotics are ineffective. Antibiotics are only appropriate when a bacterial infection is confirmed or strongly suspected. Overuse of antibiotics for viral bronchitis contributes to antimicrobial resistance and is generally not recommended by current clinical guidelines.

Question 8

Can chronic bronchitis be cured?

Accepted Answer

Chronic bronchitis cannot typically be reversed once established, but its progression can be slowed significantly, particularly through smoking cessation. Treatments such as bronchodilators, pulmonary rehabilitation, and vaccinations help manage symptoms and reduce the frequency of exacerbations, improving quality of life considerably.

Acute and Chronic Bronchitis