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Differential diagnosis of chronic obstructive bronchitis and bronchial asthma
Differential diagnosis of chronic obstructive bronchitis and bronchial asthma
Diagnosis of bronchitis in bronchial asthma
Diagnosis of bronchitis in bronchial asthma begins with listening to patients' complaints, studying their medical history and finding out the characteristics of breathing - using a phonendoscope.
Blood tests are done - general, biochemical, immunological, for the presence of eosinophilia.
Sputum serology is also required, although, according to pulmonologists, bronchial surfactant released during coughing is not a predictor of the presence of infection, since viruses are almost impossible to detect.
Instrumental diagnostics is used in the form:
- spirometry;
- chest x-ray;
- bronchography (contrast X-ray of the bronchi);
- ultrasonography (ultrasound) of the bronchi and lungs;
- electrocardiography (ECG).
Differential Diagnosis
Differential diagnosis of bronchitis is carried out to determine similar symptoms of tracheitis, laryngitis, pneumonia, obstructive pulmonary disease (a common complication of asthma), stenosis of the larynx or trachea, pneumofibrosis, reflux esophagitis with chronic aspiration, enlarged cervical lymph nodes, congestive heart failure (in elderly patients) , lung tumors, some psychosomatic diseases.
In essence, the treatment of bronchitis in bronchial asthma is carried out in the same way as the treatment of asthma and bronchitis, and may include drugs used in bronchial asthma (to stop its attacks), as well as bronchodilators - to thin thick sputum and better remove it from respiratory tract.
The latter include drugs based on such pharmacological active substances as acetylcysteine, carbocysteine, bromhexine, ambroxol: ACC, Acestin, Acetal, Fluimucil, Mukobene, Bronchokod, Mukopront, Bromhexine, Bronchosan, Ambrohexal, Ambrobene, etc. Dosage, contraindications and possible side effects the effects of these remedies are described in detail in publications - severe cough with sputum and treatment of cough with sputum.
You can safely start treatment, which we carry out as quickly and efficiently as possible in Tashkent. Gatling Med Clinic will make you feel confident in yourself and in your health!
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