Bronchiolitis is a viral respiratory disease that affects the smaller airways in the lungs called bronchioles; they branch out, controlling the flow of air and when they become infected, they swell or become blocked, blocking the passage of oxygen to the lungs. Although this disease is usually a childhood condition, adults may be affected as well.
Types of bronchiolitis
There are two types.
- Viral bronchiolitis is the most common and appears mainly in babies.
- Bronchiolitis obliterans . It is a rare and dangerous disease in adults, in which scarring occurs, rather than inflammation, blocking the air passages and causing closure of the affected part of the lung.
What causes bronchiolitis?
The viral bronchiolitis is caused by viruses that enter and infect the respiratory tract, which are microscopic organisms that can reproduce rapidly and challenge the immune system. The following are the most common types of viral infections that can cause bronchiolitis.
Respiratory syncytial virus is the most common cause of bronchiolitis. It usually attacks babies under 1 year of age. This contagious and dangerous viral infection produces inflammation of the respiratory tract and mucus.
Adenoviruses, these viruses target mucous membranes and cause about 10 percent of all respiratory tract infections in children.
Flu virus. These viruses cause inflammation in the lungs, nose and throat.
The flu. It affects adults and children, but especially it is more dangerous for babies whose immune systems are not strong.
The causes of bronchiolitis obliterans
This condition rarely occurs without a known reason. Severe cases can lead to death if not treated in time. Some causes have been identified and include:
- Vapors of chemical agents such as ammonia, bleach and chlorine.
- Respiratory infections.
- Adverse reactions to medications.
Who is at risk for bronchiolitis?
Viral bronchiolitis affects children younger than 2 years, but usually manifests in children 3 to 6 months of age. Some risk factors for viral bronchiolitis in infants and young children are:
- Not being breastfed
- Having been born prematurely or with any disease of the heart or lungs.
- Have a depressed immune system.
- Exposure to cigarette smoke.
- Be exposed to overcrowded environments, such as day care centers, where the virus may be present.
The most common risk factors for bronchiolitis obliterans in adults are:
- Conditions that exhibit exposure to hazardous chemicals in the workplace.
- A heart disease, lung, or bone marrow transplant
- A connective tissue disease
What are the symptoms of bronchiolitis?
Both viral bronchiolitis and bronchiolitis obliterans present similar symptoms. These include:
- Short of breath.
- Bluish appearance of the skin due to lack of oxygen.
- Crypts that are heard in the lungs.
- The ribs sink when the child tries to inhale.
- Nasal flutter in babies.
- Fast breathing.
- Wheezing or whistling sound when breathing.
The symptoms of bronchiolitis obliterans can manifest two weeks or a little more than one month after exposure to chemicals. A lung infection can take several months to several years to produce symptoms.
How is bronchiolitis diagnosed?
There are several ways to diagnose both types of bronchiolitis:
Projection of test image, including chest x-rays, which is usually used to diagnose children and adults. A common tool used in adults is simple or pre and post bronchodilator spirometry, which measures the amount and speed of air taken with each breath. Blood gas tests for both types of bronchiolitis measure the amount of oxygen and carbon dioxide in the blood. Nasal mucus secretion samples can be used to diagnose what type of virus is causing the infection. This test method is commonly used with infants and young children.
Treatment for Broquiolitis
Viral bronchiolitis requires different treatments to bronchiolitis obliterans.
Facials ent for viral bronchiolitis
Many cases of viral bronchiolitis are so mild that they resolve on their own without treatment. However, since this condition affects infants more frequently, hospitalization may be necessary for more severe cases. A hospital can provide oxygen and intravenous fluid treatments that may be necessary. Antibiotics are useless against viruses, but some medications can be used to help open your baby’s airway.
Treatment for bronchiolitis obliterans
Although there is no cure for scarring in bronchiolitis obliterans, corticosteroids can help remove mucus from the lungs, reduce inflammation, and open airways. Oxygen treatments and medications to strengthen the immune system may be necessary. Breathing exercises and stress reduction can help reduce respiratory distress. In the most severe cases of lung damage, a lung transplant may be the best resource.
Both conditions require additional rest and an increase in fluid intake. Keeping the air in the home clean of smoke and chemicals is very important. A humid air humidifier can also help in the recovery of a patient with Bronchiolitis.