Differentiate between cough caused by pharyngitis and cough caused by bronchitis

This is an automatically translated article.

The article was professionally consulted by Dr. CCII Nguyen Van Thai - Department of Otolaryngology and Head and Neck Surgery, Vinmec Danang International General Hospital. Thai doctor has more than 17 years of treatment experience, especially in the field of Head and Neck Surgery.
Pharyngitis and bronchitis are two common diseases when the weather changes, especially in the cold season. Symptoms of the two diseases are quite similar, typically a dry cough. Patients need to distinguish between cough caused by sore throat and cough caused by bronchitis to have a timely and effective treatment plan.

1. Related concepts

1.1 What is pharyngitis? The pharynx is the intersection between the alimentary canal and the airway, so this position is vulnerable to many different endogenous and exogenous factors. Pharyngitis is inflammation of the pharynx and pharynx. Almost everyone has had a sore throat at least once a year, especially during the change of season or the cold season. However, chronic pharyngitis that does not go away and often recurs can cause superinfection, leading to tonsillitis, pharyngitis or laryngitis.
The main causes of sore throat are: viral infection, bacteria, polluted living environment, inhaling cigarette smoke, having diseases related to the respiratory or digestive tract,... Symptoms of pain, itching throat, phlegm, dry cough, loss of voice, fever, loss of appetite, sneezing,...
1.2 What is bronchitis? The bronchi are the tubes that carry air into the lungs. The bronchial system is like a branch system, dividing into many branches and branches from large to small to carry air into the lungs. In it, there are 2 largest branches called the right and left main bronchus. When these bronchi are inflamed, it will cause damage to the cell layer covering the inside of the bronchial tubes, edema of the submucosal tissues, contraction of the smooth muscles under the tissue layer, secretion of fluid into the lumen of the bronchial tubes and lead to Symptoms such as cough, wheezing, phlegm,...
Bronchitis is divided into 2 types:
Acute bronchitis: A short-term infection, causing the airways to become inflamed and contain a lot of substances. mucus. Symptoms of acute bronchitis usually last for several weeks. Chronic bronchitis: Inflammation of the bronchi that lasts from a few months to many years. Treatment of the disease is difficult. Bronchitis is often caused by viral and bacterial infections, smoking, smoky environments, gastric reflux and is common in the cold season. Typical symptoms of the disease include cough, fever, runny nose, stuffy nose, sputum secretion, wheezing, rapid breathing, shortness of breath, sneezing,... Acute bronchitis can progress to chronic bronchitis infection, pneumonia, lung abscess, tuberculosis, acute respiratory failure or even life-threatening.

Trắc nghiệm: Bận rộn có ảnh hưởng đến sức khỏe của bạn không?

Cuộc sống hiện đại khiến chúng ta vì quá bận rộn mà quên chăm sóc sức khỏe cho chính mình. Ai cũng biết rằng lịch trình làm việc cả ngày có thể khiến bạn kiệt sức, nhưng cụ thể bận rộn ảnh hưởng thế nào tới sức khỏe? Hãy cùng làm thử bài trắc nghiệm dưới đây.

2. Distinguishing cough caused by pharyngitis and cough caused by bronchitis


Pharyngitis: The patient has symptoms of itchy throat, burning throat, dry throat, entangled cough sputum. People with pharyngitis always feel like they want to cough to relieve their neck itch and cough really hard to push the unpleasant foreign objects out. Too much dry cough can cause the entire lining of the throat to become red, edematous and swollen, and even cough with blood and sputum. Bronchitis: The patient's cough gradually increases, may be a simple cough, without sputum production or there are cases of cough with sputum production. Patients often cough in episodes, coughing intensely and continuously, coughing heavily in the chest with wheezing, sometimes tired, short of breath, and spitting up yellow or green sputum. If the sputum is clear white, the disease is usually caused by a virus. If the sputum is yellow, green or cloudy like pus, it is usually a warning sign of acute bacterial bronchitis and the patient should be treated with antibiotics.

Phân biệt ho do viêm họng và ho do viêm phế quản
Phân biệt ho do viêm họng và ho do viêm phế quản

However, based on cough symptoms alone cannot diagnose a patient with pharyngitis or bronchitis. Patients should rely on other accompanying symptoms, and at the same time should go to the hospital for an accurate diagnosis and a positive and effective treatment plan.

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