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Bronchitis: Pediatric Bronchitis: Parents' Guide to Dealing

Bronchitis: Pediatric Bronchitis: Parents' Guide to Dealing
by Donald1 » Sat Sep 24, 2016 10:59 am

Bronchitis - Pediatric Bronchitis - Parents' Guide to Dealing With It

Bronchitis is a respiratory problem which can be found in the lower tract. It occurs when there is an inflammation of the airway tubes that include the trachea and larger air tubes that carry oxygen to the lungs. :)

Both types of infections have similar symptoms: * Tires easily * Wheezing * Difficulty breathing worsened by physical exertion * Mucus filled cough (if there is any blood in the mucus, then consult in the child's physician.

When parents smoke around their children, the kids are likely to get sick with bronchitis much easier than those not around smoke. Children who have a pre-existing condition or heart disease are also at risk. Opportunity knocks once. So when we got the opportunity to write on Types Bronchitis, we did not let the opportunity slip from our hands, and got down to writing on Types Bronchitis.


The main culprit for kids is the constant, long-term exposure of smoking. Sometimes allergies and environmental irritants can be troublesome for them too. Coordinating matter regarding to Bronchitis Infections took a lot of time. However, with the progress of time, we not only gathered more matter, we also learnt more about Bronchitis Infections.

What are the Symptoms?

For children, preventive measures need to be taught earlier. Kids need to know to cover their mouths when they sneeze or cough. They also need to continuously wash their hands. Kids also need a flu vaccine to help them fight any type of breathing problems. If the parents or grandparents can stop smoking, this would be beneficial for the children too. :oops:


When it seems there is no infections, doctors will treat the child for a common cold. This means staying in bed, drink lots of fluid. Using a humidifier can help the child get over the cold much quicker. If the child experiences dry cough, it would be necessary to use a cough suppressant for their own comfort. Aspirin is a no-no for children because of the danger of Reye's syndrome. Tylenol or Motrin should be the only two medicines parents should use. :idea:


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Acute Bronchitis can Last about Three Weeks With Coughing as the Main




It's left untreated, the infection can develop into more serious respiratory infections that include pneumonia, pulmonary hypertension, heart failure on the right side as well as emphysema.

COPD (Chronic obstructive pulmonary disease) is a respiratory problem that can cause long time issues for the patient in doing physical activity and normal breathing. We had at first written a rough assignment on Bronchitis. Then after a few improvisions and enhancements here and there, we have ended up with this end product.

Rales (these are abnormal sounds that are found in the lungs by the doctor.) There are several tests that can be used to diagnose children's respiratory problems. They include: x-rays, pulse oxymetry, pulmonary lung functions, arterial blood gas and sputum.

Is quite common for cats to present to veterinary clinics with a chronic cough or wheeze. The problem may be constant or just recur from time to time, and can range from mild to severe. Clinically the disease may resemble human asthma, but the term feline asthma can be misleading as there are a number of different possible causes. Here we look at what those underlying causes can be, and the different forms of treatment available to affected cats.

Treatment Lifelong?

Generally yes. Doses can often be reduced gradually once clinical remission has been achieved. As with many chronic conditions, complete control might not always be possible and an acceptable quality of life is the main aim of the treatment.

Aerosol therapy has the advantage that the maximum concentration of drug is delivered to the target site. This means that lower overall doses can be used, and the cat is less likely to suffer the negative side effects of steroids. Various inhalers can be used in both cats and dogs, but they tend to be designed for humans. As a result, higher doses are given compared with human medicine, as humans can be instructed to breathe deeply whereas cats will breathe normally at best.

Bronchoalveolar Lavage

This is similar to the technique described above, but the catheter is inserted all the way into a lower airway before the saline is injected and withdrawn. This is therefore a good test for lower airway disease.

Bronchodilator drugs used in inhalers include Salbutamol and Salmeterol. Salbutamol is very fast acting and therefore useful in a crisis caused by spasm of the bronchi. However, it only lasts for about 30 minutes and is therefore unsuitable for chronic therapy as frequent dosing is required. Salmeterol on the other hand is longer acting, and lasts for about 12 hours so twice daily dosing is possible. Salmeterol is better for long term control of mild to moderate asthma while Salbutamol is better for relief of acute bronchospasm.

Treatment The aims of treatment are as follows. 1. Eliminate any suspected infectious agents. This may be a sufficiently long course of antibiotics if bacterial infection is suspected, or a wormer such as fenbendazole if lungworm is suspected. The first impression is the best impression. We have written this article on Chronic Bronchitis in such a way that the first impression you get will definitely make you want to read more about it!

Spacer Devices

A spacer device consists of a chamber into which the aerosol drug is released at one end, with a mask at the other end which fits snugly over the cats mouth and nose. Human baby spacer devices (e.g. Babyhaler) can be easily adapted for cats. Alternatively, veterinary spacers specifically designed for cats are now on the market (e.g. Aerokat). The spacer should be held over the cats nose and mouth for about 30 seconds to ensure complete delivery of the drugs. It should be remembered that aerosol steroid therapy can take up to 2 weeks to reach full effect, and if the cat has been on oral steroids previously, these should be phased out slowly during these initial 2 weeks. :)

Pulmonary Edema

Often due to severe heart disease.Infectious bronchitis. This can be due to bacteria, viruses or parasites.Pleural disease. Filling of the space between the lung and the chest wall with air or an effusion.Cancer. This can be a primary lung tumor or metastatic spread.Potassium bromide induced respiratory disease. A side effect from an anti-epileptic drug.Idiopathic pulmonary fibrosis. Responds poorly to treatment.Pulmonary thromboembolus. Lodging of a clot in a respiratory blood vessel causing sudden onset breathing difficulty.Pulmonary hypertension. Usually secondary to other heart or respiratory disease. We have included the history of Bronchitis here so that you will learn more about its history. It is only through it's history can you learn more about Bronchitis.

Remove or Avoid Airway Irritants

The most obvious one is ensuring the cat has no contact with cigarette smoke, and purchasing dust free cat litter. The facts on Infectious Bronchitis mentioned here have a consequential impact on your understanding on Infectious Bronchitis. This is because these facts are the basic and important points about Infectious Bronchitis.

Lung Biopsy

This is an invasive procedure that carries a significant risk to the patient. It is only indicated where diffuse cancer or extensive fibrosis is suspected, or in severe disease that responds poorly to treatment.

Cats Usually Present With One or All the Following Signs:

CoughingWheezingDifficulty breathing A minority of cases will have the classic human status asthmaticus, rapid onset breathing difficulty due to severe narrowing of the bronchi. Cats tend to be middle aged or older, and Siamese cats may be more prone than other breeds. Having a penchant for Bronchitis led us to write all that there has been written on Bronchitis here. Hope you too develop a penchant for Bronchitis!

To return to the comparison with human asthma, when trying to understand the underlying causes it is important to differentiate between asthma (constriction of the bronchi), chronic bronchitis (oversecretion of mucus with a chronic cough) and COPD (chronic obstructive pulmonary disease). Asthma is reversible bronchial constriction caused by eosinophil cells, whereas COPD is irreversible bronchial constriction involving neutrophil cells. :lol:

The Pathology

Little is known about the underlying causes or exacerbating factors in feline asthma. There may be an element of genetic predisposition. While chronic inhalation of airway irritants, such as smoking, has been shown to cause bronchitis in humans, this has not been studied in detail in cats. Likewise, allergens such as pollen, housedust mites, dander, fungal spores, dust and cat litter could all be implicated theoretically. There has been an uncalculatable amount of information added in this composition on Chronic Bronchitis. Don't try counting it!

The Differentials

There are a large number of possible diagnoses when a cat first presents with coughing or breathing difficulty. Here are some of the more important ones: We would like you to leisurely go through this article on Infectious Bronchitis to get the real impact of the article. Infectious Bronchitis is a topic that has to be read clearly to be understood.

Diagnosis 1. Clinical examination The first step in the diagnostic protocol is a thorough clinical examination by a veterinarian. This should localize the origin of the disease to the upper airways, lower airways or pleural space. If the cat is found to have pleural disease, a needle may be inserted straight away to remove either air or a sample of the effusion for both diagnosis and short term treatment of the respiratory distress. We do not mean to show some implication that Bronchitis have to rule the world or something like that. We only mean to let you know the actual meaning of Bronchitis!

Removal or Avoidance of Potential Allergens

House dust mite allergy must be excluded by spraying the house with an acaricidal product. 4. Chronic therapy for the underlying condition. For long term treatment of cats with feline asthma, a combination of steroids and bronchodilators are a popular choice. Steroids reduce the inflammation and lower mucus production, and can limit long term consequences such as fibrosis. Bronchodilators are most useful when there is airway spasm. Traditionally, medication has been given orally via tablets, but over the last few years, metered dose inhalers such as the ones used for human asthma have come on the market.

Bronchoscopy Bronchoscopy allows visualization of the larger airways, and assessment for increased mucus and inflammation. 4. Tracheal wash This involves injecting a small amount of saline into the trachea and immediately withdrawing it, and then examining the cells and debris harvested under a microscope. There is a lot of jargon connected with Bronchitis. However, we have eliminated the difficult ones, and only used the ones understood by everyone.