Acute bronchitis is swelling and inflamed tissue in the main passages that carry air to the lungs. This swelling narrows the airways, which makes it harder to breathe. Other symptoms of bronchitis are a cough and coughing up mucus. Acute means the symptoms have been present only for a short time.
When acute bronchitis occurs, it almost always comes after having a cold or flu-like illness. The bronchitis infection is caused by a virus. At first, it affects your nose, sinuses, and throat. Then it spreads to the airways that lead to your lungs.
Sometimes, bacteria also infect your airways. This is more common in people with COPD.
Chronic bronchitis is a long-term condition. To be diagnosed with chronic bronchitis, you must have a cough with mucus on most days for at least 3 months.
Some symptoms of acute bronchitis are:
Even after acute bronchitis has cleared, you may have a dry, nagging cough that lasts for 1 to 4 weeks.
Sometimes it can be hard to know if you have pneumonia or bronchitis. If you have pneumonia, you are more likely to have a high fever and chills, feel sicker, or be more short of breath.
Exams and Tests
Your health care provider will listen to the breathing sounds in your lungs with a stethoscope. Your breathing may sound abnormal or rough.
Tests may include:
Most people DO NOT need antibiotics for acute bronchitis caused by a virus. The infection will almost always go away on its own within 1 week. Doing these things may help you feel better:
Certain medicines that you can buy without a prescription can help break up or loosen mucus. Look for the word "guaifenesin" on the label. Ask the pharmacist for help finding it.
If your symptoms do not improve or if you are wheezing, your provider may prescribe an inhaler to open your airways.
If your provider thinks you also have bacteria in your airways, they may prescribe antibiotics. This medicine will only get rid of bacteria, not viruses.
Your provider may also prescribe corticosteroid medicine to reduce swelling in your lungs.
If you have the flu and it is caught in the first 48 hours after getting sick, your provider might also prescribe antiviral medicine.
Other tips include:
Except for the cough, symptoms usually go away in 7 to 10 days if you do not have a lung disorder.
When to Contact a Medical Professional
Call your provider if you:
Centers for Disease Control and Prevention website. Chest cold (acute bronchitis). www.cdc.gov/antibiotic-use/community/for-patients/common-illnesses/bronchitis.html. Updated August 30, 2019. Accessed January 20, 2020.
Cherry JD. Acute bronchitis. In: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. Feigin and Cherry's Textbook Of Pediatric Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier; 2019:chap 19.
Walsh EE. Acute bronchitis. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 65.
Wenzel RP. Acute bronchitis and tracheitis. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 90.
Review Date: 1/13/2020
Reviewed By: Laura J. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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