Wheezing on breathing. Wheezing Wheezing wheezing in the lungs

Wheezing when inhaling is a sign that is an alarming symptom that occurs in almost all pathologies of those organs that are involved in the breathing process. In the vast majority of cases, the occurrence of such a manifestation is caused by the course of a particular pathological process in the body, but there are other predisposing factors.

The clinical picture will not be limited to such a symptom and is often supplemented by the most characteristic symptoms of a provocative disease. Among them, it is worth highlighting the heaviness in the chest, and.

To establish the correct diagnosis, an integrated approach will be required, which is why the diagnosis will be based on a wide range of laboratory and instrumental examinations. Conservative methods prevail in therapy, but the question of surgical intervention will be decided on an individual basis with each patient.

Etiology

Currently, wheezing is called any non-physiological noise, represented by additional sounds that occur during breathing.

The main reasons that wheezing appears on inspiration are presented:

or ;
acute form;
or ;
or ;
acute GVHD.

Very often, patients complain of moist rales in the lungs, which may indicate the occurrence of one of the following pathologies:

Williams-Campbell syndrome;
bronchial asthma;
COPD;
primary ciliary dyskinesia;
bronchitis or tuberculosis;
or ;
TELA;
bronchiectasis;
inflammation of the lungs;
or .

However, it is dry rales in the lungs that most often occur - they can be caused by pathologies not only of the respiratory system, but also of other internal organs. Similar symptoms may accompany the following ailments:

chronic course of bronchitis or bronchiolitis;
bronchial asthma;
or ;
pneumonia or pneumosclerosis;
malignant or benign neoplasms on the bronchi and lungs;
heart failure;
the presence of a foreign object in the upper respiratory tract or bronchi.

In addition to the above factors, the causes of wheezing in the sternum may be pathologies of the gastrointestinal tract or oral cavity. In this category it is worth highlighting:

Some diseases are characterized by the presence of both wet and dry rales. The severity of this or that symptom is determined by the presence of pathological exudate in the lungs.

Due to the presence of a large number of sources of such an alarming manifestation, it becomes clear that it is not specific, which is why it is not possible to make a correct diagnosis only on its expression alone.

The physiological factors for the occurrence of such a symptom include:

too dry air in a residential or any other room, where a person often spends quite a lot of time;
excess body weight - in obese people, even with minimal physical exertion, an abnormal sound is heard when inhaling;
excessive physical stress;
old age of a person.

It is in such situations that wheezing poses absolutely no threat - in order to get rid of it, you just need to perform a few vigorous breathing movements or cough forcefully.

Also, often such a clinical sign is the result of an allergic reaction or a previous operation on the organs of the respiratory system.

Classification

According to the nature of its manifestation, rales in the lungs are:

dry;
wet;
whistling;
crepitant - this is a sound that looks like a crunch or crackle.

In turn, wet noises are divided into:

fine bubbles;
medium bubble;
large-bubbly.

In addition, there are several more divisions of a similar symptom:

by tonality - high and low;
by homogeneity - homogeneous and heterogeneous;
by timbre - polyphonic and monophonic;
by prevalence;
by sonority - voiced and muffled;
by number - single and multiple.

It is these factors that the pulmonologist pays attention to during the physical examination during diagnosis.

Symptoms

Since the main symptom is a consequence of the course of a particular pathological process, it is natural that it will be supplemented by other clinical manifestations. Thus, wheezing breathing is accompanied by the following symptoms:

frequent and shallow breathing;
strong both and with discharge, which is clear or cloudy, greenish or yellowish, and may also have blood or pus impurities;
and malaise;
soreness, heaviness and discomfort in the chest or in the region of the heart;
fluctuations in blood pressure and violation of heart rate;
developmental delay;
pallor of the skin;
cyanosis of the lips;
especially at night;
, against which the body weight decreases;
both during exercise and at rest.

However, patients need to remember that such symptoms of wheezing in the throat, lungs or bronchi are the most common, which means that some patients may have symptoms that others do not. It should also be noted that an increase in temperature in an adult or a child is not always observed.

Diagnostics

To identify the etiological factor that led to wheezing on inspiration in children or adults, it is necessary to carry out a large number of specific diagnostic measures.

First of all, the pulmonologist must independently perform several manipulations:

get acquainted with the medical history and life history of the patient - if a person has chronic diseases, such a measure will indicate the causes of such symptoms;
conduct a thorough physical examination, which, in addition to auscultation, should include the study of the condition of the skin, as well as the measurement of temperature, heart rate and blood tone;
Interrogate the patient in detail about the first time of onset, the nature and severity of symptoms.

The following laboratory tests have the greatest diagnostic value:

Among the instrumental examinations, it is worth highlighting:

chest x-ray;
spirometry - to assess airway patency;
test with a bronchodilator;
bronchoprovocation test;
body plethysmography - to determine the functioning of external respiration;
fibrobronchoscopy is a procedure for examining the mucous membrane of the respiratory system;
angiopulmonography;
biopsy of the lungs and bronchi - is a sampling of a small part of the organ for subsequent histological studies. Used for suspected cancer.

Colds, SARS and pneumonia are familiar from general fatigue, high fever and wheezing in the lungs. But not all of these symptoms are present throughout the illness. After an acute period of the course of infectious diseases, the patient retains and increases wheezing in the lungs, breathing worsens, while fever is not observed.

There are cases when wheezing and whistling sounds in the lungs are not preceded by infectious diseases. In such cases, for effective treatment, it is necessary to conduct a complete examination, as the cause may be heart failure, a tumor, and other diseases.

Causes of wheezing in adults without fever

To select the appropriate drug for the treatment of wheezing in the lungs when breathing, it is necessary to know the exact cause (etiology). According to the etiology, wheezing can be divided into 2 categories:

1. Pulmonary. The cause is diseases that have developed as a result of infection and damage to the respiratory organs. Bacteria, viruses or pathogens can act as pathogens.
2. Other diseases not associated with infection of the respiratory system. For example, the pathology of the cardiovascular system. Mostly seen in older people.

The presence of wheezing and whistling sounds from the bronchi without fever in adults and children may indicate serious diseases that also affected the respiratory system. Timely detection of the causes of wheezing will avoid serious complications.

Pneumonia is characterized by wheezing in the sternum in the absence of fever. As a rule, wheezing is first dry, and then becomes wet. In such a case, wheezing is accompanied by hard breathing.

Other diseases that have similar symptoms include:

tuberculosis;
tumors in the lungs.

Noises that occur during exhalation are expiratory, while inhalation is inspiratory.

Moist rales occur due to the passage of air through the accumulated fluid in the lungs. They are divided among themselves into small, medium and large bubbles.

Moist rales can occur due to the following diseases:

pulmonary edema;
tuberculosis;
bronchial asthma;
heart failure;
bronchitis;
SARS.

The appearance of dry wheezing is associated with a narrowing of the lumen for the passage of an air stream. The causes of the narrowing of the lumen are diseases such as:

neoplasms in the trachea;
pneumonia;
tumor;
bronchitis.

How to treat bubbling sounds in the lungs?

Depending on the type of wet rales, the method and method of treatment is selected. The main thing that connects all methods is the focus on eliminating the causes that caused wheezing.

Small bubbling rales during breathing can not always be localized and detected when viewed with a stethoscope. To detect a site of bubbling wheezing, the doctor prescribes an x-ray.

In the presence of severe wheezing without fever and difficulty in breathing, the patient is placed in a hospital. The patient must be provided with respiratory function - he is connected to an artificial respiration apparatus. Having provided a safe environment, they move on to determining the causes and choosing a therapy program. When choosing medicines, medicines are used to relieve inflammation of the bronchi.

To treat moist rales, it is necessary to open the airflow path to the lungs. For this, drugs that thin the sputum and stimulate their discharge are prescribed. For the effectiveness of treatment, the patient is placed on bed rest, and to ensure peace and normal breathing, he is placed in a certain position.

Cysteine and Mukomist act as sputum-thinning drugs. After liquefaction of sputum, lung spasms are provoked with the help of Lazolvan and Mukobene.

If, due to a lack of response to treatment, hoarseness persists and sputum is not excreted, the doctor reviews the list of prescribed medications. When sputum appears, pay attention to color and density. If the sputum is thick, green, or yellowish, a serious infection is likely.

With wheezing provoked by a bacterial infection, antibiotics of a wide range of groups are prescribed:

fluoroquinol;
macrolide;
penicillin;
cephalosporin.

If wheezing is caused by a viral infection of the respiratory organs, antiviral therapy with Kagocel or Ingavirin is required.

With wheezing caused by allergens, antihistamines of general and local action are prescribed.

1. Tavegil.
2. Flixonase.
3. Suprastin.
4. Loratodin.
5. Kromoglin.

The effectiveness of treatment directly depends on compliance with bed rest, fluid intake and medications taken. With an integrated approach to the treatment of wheezing, results can be achieved much faster.

For the period of treatment, you need to completely abandon bad habits. Smoking negatively affects lung activity, and alcohol consumption is incompatible with drug treatment.

To maintain the immune system, it is advised to take a complex of vitamins, eat more fresh fruits and vegetables. For prevention, hardening is recommended, but without fanaticism, in order to prevent sudden hypothermia.

ethnoscience

In the fight against wheezing, traditional medicine shows itself well. Although it should not be the only way to deal with serious illnesses, therapy can relieve severe wheezing symptoms at home by improving the respiratory process.

Before using this or that folk remedy with plants and products, you must make sure that there is no allergic reaction. Side effects from allergens can cause serious harm to the respiratory process in inflamed airways.

There are several safe and effective ways to get rid of wheezing in the lungs and coughing:

1. Inhalation of baking soda vapors. Pour 1.5 liters of hot water into the basin and dilute 2-3 tbsp. l. baking soda, achieving complete dissolution of soda. After the solution is ready, you need to bend over the basin and cover yourself with a towel. In a space separated by a towel, inhale the vapors of baking soda for 10 minutes. After this procedure, thick sputum liquefies and begins to move away. A similar procedure is carried out daily until the sputum is completely released and the wheezing in the lungs disappears.
2. "Potato" therapy. All actions are similar to those described above with baking soda. The difference is that they inhale the vapors of freshly brewed potatoes.
3. A decoction of licorice, thyme, chamomile and coltsfoot. All components are taken in equal proportions, boiled and filtered. The resulting decoction is consumed three times a day.
4. A decoction of birch buds. Take 30 g of kidneys and crush. Melt 100 ml of butter in a water bath. Mix the two components, place in a pot and place in a warm oven. The product should languish in the oven over low heat for an hour, after which it is cooled, filtered and a glass of honey is added. Take 1 spoon 3-4 times a day.
5. Radish juice with honey. A root crop is taken, the top is cut off and a niche is made. Honey is poured into the hole and the root crop is removed in a cool, dark place. After a day, honey will absorb the radish juice. Take 1 tsp. 3-4 times a day.
6. Infusion of plantain, raspberry, cranberry, elderberry and eucalyptus. Eucalyptus well provokes bronchospasms, plantain relieves inflammation, and raspberries thin sputum.
7. Milk with honey. Heat up 300-400 ml of milk and add honey. Boil until the broth takes on a liquefied structure. Drink 200-300 ml 3-4 per day.
8. Milk with sage. Heated milk with sage facilitates breathing and improves the patient's sleep.
9. Onion syrup. The onion is chopped, covered with sugar and infused. Take the resulting remedy several times a day until the complete disappearance of wheezing in the lungs.

If after long-term treatment with folk remedies there is no positive effect, it is imperative to consult a specialist.

Being born, a person is immediately exposed to the influence of various bacteria and microbes. They can settle on favorable soil - mucous membranes and walls of susceptible organs. Such manifestations of colds and other diseases as a runny nose, sore throat, cough have been known to us since childhood. If a runny nose and sore throat can still be cured without going to a doctor, then the situation with a cough is more complicated. It can be of different types and with different consequences for a person. The main danger is wheezing in the bronchi and lungs. They can only be heard by a specialist, so it is important to see a doctor for a prolonged, "barking" and unproductive cough.

What is a cough

In itself, coughing is our defense against microbial damage to the respiratory organs and respiratory tract. It is aimed at protecting our body, therefore, in every possible way cleans the bronchi and trachea from mucus and phlegm.

There are several types of cough:

dry (unproductive, with no sputum);
wet (productive, expectorant with sputum, such a cough occurs already at the end of viral diseases);
spastic (it happens with bronchitis, asthma and ingestion of a foreign object into the respiratory tract, such a cough is characterized by the continuation of a heavy exhalation);
barking (often occurs with allergies, observed during laryngitis and tracheitis);
pertussis-like (often ends with vomiting, coughing fits may accompany acute pharyngitis and some forms of tuberculosis);
hoarse (occurs with inflammation of the vocal cords);
bitonal (starts in the lower tones, then goes to the upper ones);
stokato (choppy and ringing cough in certain diseases in infants);
syncopal (jerky, occurs due to a short-term loss of consciousness with insufficient nutrition of the brain).

Wheezing in the bronchi during exhalation is observed with some types of cough. It is difficult for a person uninitiated in medicine to determine the specific type of cough, therefore, when it appears, it is better to get advice from a specialist.

What is wheezing in the bronchi?

Normally, there should be no interference or noise in the airways. If they have arisen, this means that some pathological process is taking place in (lungs, bronchi, trachea and others). In addition to the fact that they arise due to inflammation or damage to these organs, their appearance can be triggered by diseases of organs not related to breathing. Among them are myocardial infarction, some diseases of the cardiovascular system, anaphylaxis, as well as the ingress of a foreign body into the lungs and bronchi.

What are wheezing?

Like some types of cough, wheezing is wet, dry, crepitating, wheezing.

Wet rales appear due to the accumulation of sputum in the bronchi. Phlegm is such a liquid mucus that is collected as a result of inflammatory processes in the respiratory system. Air passes through it, and bubbles form in it. They constantly burst in large numbers, so there is a noise called wheezing. Most often, wet rales are heard on inhalation and exhalation. They, in turn, also have their own varieties:

Small bubbles - the noise of bursting small bubbles, similar to the sounds of an open soda. This phenomenon occurs with bronchiolitis, pulmonary infarction, bronchopneumonia.
Medium bubbling wheeze - a noise resembling gurgling water when blowing it through a straw. Diseases with this type of wheezing: hypersecretory bronchitis, pneumosclerosis, pulmonary fibrosis.
Large bubbling noise - it can be heard even without special medical equipment. Such wheezing occurs when the state of pulmonary edema is neglected, as well as with a mild cough reflex.

Dry noises are "buzzing" and "whistling". Such wheezing in the bronchi during exhalation appears with obstructive bronchitis against the background of an allergic reaction. With a decrease in the lumen of the bronchi during the disease (most often with bronchial asthma), a whistle appears during breathing. This is due to uneven constriction of the bronchi, thus the air undergoes constriction and expansion. Buzzing also appears due to a significant reduction in the flow of air through the bronchi, but it is also stopped by mucous membranes. Meeting with them, the air flow fluctuates, and a characteristic noise appears.

Wheezing: causes

To determine the causes of wheezing, it is important to know their nature. They are of two types:

pulmonary;
extrapulmonary.

The first type speaks for itself: such wheezing occurs as a result of pathological processes in the bronchopulmonary system. The second type of noise is observed as a symptom associated with various diseases not associated with the organs of the respiratory system. A striking example of such a symptom is heart failure, which is accompanied by dry wheezing.

Wheezing of the bronchopulmonary system can indicate many diseases, so they need to be distinguished. Causes of wheezing in the bronchi (treatment of wheezing depends on their exact definition):

dry noises arise as a result of turbulent eddies of the air stream, which goes through the altered bronchi;
damp noises appear due to bursting bubbles, which arise due to the combination of air and phlegm.

What diseases can be accompanied by wheezing in the bronchi?

Diseases accompanied by wheezing most often relate to the pathological processes of the bronchopulmonary system, but there are also other nature. There are diseases with clearly defined wet noises, and there are those that appear only with dry ones.

Moist rales are present in diseases such as:

heart failure;
bronchial asthma;
pulmonary edema;
malignant neoplasms that have different localization;
bronchiectasis;
heart defects;
acute renal failure;
pneumonia;
obstructive chronic;
a condition in which the graft did not take root (GVHD);
SARS;
flu;
pulmonary tuberculosis;
endemic flea typhus;
pulmonary embolism.

Wheezing in the bronchi during exhalation is usually heard in bronchitis, bronchial asthma. In diseases that are not related to diseases of the respiratory system, such noises will be heard quietly and, possibly, when inhaling too.

In turn, dry wheezing is also a specific characteristic of some diseases. The main ones are:

chronic bronchitis and bronchiolitis;
pneumonia;
bronchial asthma;
tumors in the bronchi;
heart failure;
in some cases, lung cancer;
pneumosclerosis;
pharyngitis;
laryngitis;
foreign body in the bronchi;
emphysema.

Diagnosis of diseases, taking into account different types of wheezing

We see that quite a lot of diseases can occur with such a concomitant symptom as wheezing in the bronchi during exhalation. To make a definitive diagnosis, you need to have good reasons for that, namely, the presence of other important symptoms. Such characteristics of human conditions include shortness of breath, impaired external respiration, cough, blue nasolabial triangle, cough, x-ray syndrome, blood test results confirming or refuting the diagnosis.

Medical treatment for wheezing

It is better not to joke with the noise in the lungs and bronchi, as it can cause serious harm to health. Dangerous and purulent complications of wheezing in the bronchi. How to cure cough and wheezing, experts will tell you. But if there is no way to contact them, you need to start the fight as early as possible.

If you have all the signs of bronchitis, then you should quit everything and take care of your health, as it can quickly develop into pneumonia. The surest remedy for complications is antibiotics, but they are already prescribed for severe forms of the disease. At the first stage, you need to take expectorant drugs that dilute sputum, and with drugs that act on the cough center.

Traditional medicine in the fight against wheezing

Traditional medicine experts recommend the following remedies. In equal quantities, mix the crushed aloe leaf, fresh lemon peel and honey, leave for a week. Take before meals 1 tbsp. l. for 40 days, then take a break for 10 days and repeat the course again. This mixture is a powerful preventative way to avoid wheezing and support the immune system.

Milk perfectly treats wheezing in the bronchi. How to cure disease with this product? You need to drink up to 200 ml of hot (not warm!) Milk 3 times a day, along with infused raisins.

Carrot juice, turnip tincture, with honey, Borjomi inhalation will help you safely and effectively get rid of various types of wheezing.

Herbal treatment

It is known that herbs are very good at treating inflammation in the bronchi, and also help to quickly remove sputum from the body. To do this, it is enough to drink decoctions of chamomile, thyme, St. John's wort, yarrow 3-4 times a day. Nettle and coltsfoot will also help with wheezing and will additionally support immunity.

Wheezing, manifested during breathing, is always explained by one or another obstacle in the path of the air flow. The bronchopulmonary tract consists of the trachea, bronchi, and lungs. Wheezing in the lungs - this definition refers to any noise, other than the sound of healthy breathing, heard when inhaling or exhaling.

Before doing anything to eliminate the symptoms, the cause and location of the source of the noise should be identified.

In contact with

What does "wheezing in the lungs" mean?

The noises that have arisen during breathing, characterized as wheezing in the bronchi or lungs, reflect an unhealthy process taking place in them. Two states of the airways are observed when air moves through them with wheezing:

the internal space of the bronchi or trachea is narrowed as a result of spasm and / or inflammation - this explains the manifestation of wheezing in bronchial asthma, allergies or bronchitis;
mucous or purulent masses accumulate on the inner mucous membrane of the trachea or bronchi, the passage of air through them causes various sounds.

When wheezing is heard in the lungs during breathing in an adult or a child, a cough should be expected as a means of cleansing the bronchopulmonary tract.

NB! If a child has wheezing in his lungs when he breathes, a small toy in his airway may be the cause. If a mechanical object from the nasopharynx cannot be blown out or blown out, you should immediately consult a doctor.

Depending on the localization of the inflammatory process, the name of the disease also occurs, which causes changes in the bronchopulmonary tract.

Trachea - a windpipe, a direct continuation of the larynx, a cartilaginous tube ten to thirteen centimeters long. The trachea is lined with a mucous membrane.

Inflammatory processes in the trachea often occur along with other symptoms and are accompanied by inflammation in the nasal cavity, nasopharynx, and throat.

NB! Tracheitis is caused by the forced need to inhale very cold, dirty or dry air for a long time.

In acute tracheitis, mucosal edema is observed, the inner lining of the trachea is covered with accumulations of mucus and petechial hemorrhages. The classic symptoms are:

hacking attacks of coughing in the morning, as well as with a deep breath, a sharp exhalation;
an attack of coughing gives the patient a long, aching pain in the larynx and.

Patients, especially children, try to breathe shallowly and frequently. At the same time, the lungs are not sufficiently ventilated, which causes complications.

Inflammation of the bronchial mucosa caused by viruses or bacteria - bronchitis. Wheezing is heard when mucus clogs the inner lumen of the bronchi. The mucous membrane of the bronchus becomes edematous and inflamed, mucus is formed in the inner lumen, the muscles tense up, trying to get rid of the mucus - a spasm occurs.

Most often, in 99% of cases, bronchitis is caused by viruses.

The influenza virus prefers the bronchial mucosa. If other manifestations of an acute respiratory viral infection are observed: cough, runny nose, fever - any doubts about the viral origin disappear. Enough lymphocytes to kill a particular virus are produced in three to five days.

When there is no relief by the fifth day, bacteria are already involved in the process.

Bronchitis becomes bacterial as a result of improper treatment or in the absence of an adequate immune response of the body. Bacterial bronchitis is a very serious condition, characterized by toxicosis.

Children under five years of age do not cough up mucus well due to the small openings of the bronchi and weak respiratory muscles. With bronchitis in a child, wheezing in the lungs fades away in two to three weeks. How long will it take to recover.

Pulmonary pathologies

Consider wheezing that occurs in the lungs during breathing, caused by inflammation or damage to the lungs. Inflammation of the lung tissue most often occurs due to improper treatment of viral bronchitis. Inflammation in the lungs is almost always caused by the blockage of the bronchus with parched mucus. As a result:

Ventilation of the lung area is disturbed.
Bacteria settle in it and develop.
The lung becomes inflamed.

Mucus dries up at high body temperature, when breathing too warm and dry air, if the drinking regimen is disturbed. manifested by a sharp rise in temperature, cough with copious purulent sputum. Wheezing with pneumonia is heard in the lower parts of the lungs, and inflammation is localized here. These parts of the lungs are little involved in breathing with a sedentary lifestyle. Under mechanical damage to the lungs, manifested only by wheezing, they mean a slight contusion of the lung.

Dry and wet rales

Listening to wheezing is called auscultation. The doctor does this with a stethoscope or phonendoscope. At home, you can attach an ear or a tube of thick paper to the chest.

During auscultation, the listener is asked to breathe deeply or superficially, slowly or quickly. In this way, the place where wheezing is formed and their characteristics are revealed.

According to the clarity or absence of fluids in the bronchopulmonary tract, two large groups are distinguished: dry and wet rales.

Dry rales are heard in the lungs mainly during exhalation. Their reason is the narrowing of the bronchopulmonary tracts. Narrowing leads to:

swelling;
the introduction of a foreign body;
dry mucus;
pressure on the bronchi from the outside;
tumor.

The transverse size of the bronchus determines how dry rales are heard - a hum, buzz or whistle:

whistling sounds are heard when the lumen narrows in the small bronchi and bronchioles; suspicion of bronchitis, bronchiolitis or;
buzzing and buzzing sounds - with inflammation of the medium and large bronchi, with tracheobronchitis, and.

Wet rales are heard in the bronchi when the gaps are filled to varying degrees with liquid sputum, blood, and edematous fluid. Moist rales in the lungs are heard during inspiration. The inhaled air passes through the liquid, air bubbles form on its surface and burst. Therefore, these wheezing is called bubble wheezing. According to the diameter of the respiratory tract, there are:

finely bubbling, formed in the small bronchi and bronchioles:
- sonorous, if there is not much liquid, appear when the area of the lung is inflamed, for example, with pneumonia;
- soundless, air enters, passing through the accumulated fluid, as in pulmonary edema, chronic heart failure, an attack of bronchial asthma;
medium bubbling and large bubbling rales are born in the bronchial lumen of medium and large diameters, respectively, as well as in cavities, with deformation of the bronchus, lung abscess, tuberculous cavity.

NB! No disease has a distinct, unique type of wheezing. The diagnosis is made, only taking into account all the symptoms and data of analyzes and radiography.

No fever but cough

Wheezing in the lungs means that the patency of the bronchopulmonary tract is impaired. Here the cause of this violation must be found out: inflammation, foreign body, neoplasms.

Wheezing is accompanied by cough. Cough is not a disease, but a reaction of the body. The role of coughing is to clear the airways.

NB! A cough does not need to be treated, especially until a diagnosis is made by a specialist.

To make the airways easier to clear, the mucus in them () should be less viscous. The viscosity of blood affects the viscosity of sputum.

Diseases in which there are wheezing in the lungs with a cough can pass without fever:

If the temperature was hastily brought down at the beginning of an acute respiratory viral infection, the further course of the disease occurs without a thermal reaction of the body. After suffering ARVI, the bronchi are cleared of sputum for some time. Coughing sometimes lasts a week or two.
Complications of the transferred inflammations appeared, the infection proceeds latently.
The presence of a foreign object in the bronchi, as a rule, is observed in children. Requires examination and removal.
Bronchial asthma. Asthma attacks are stopped with special drugs. Urgent medical attention required.
The development of a tumor that blocks the airways.
Allergic reaction. The allergen must be identified and eliminated.

The correct diagnosis is the key to successful treatment and getting rid of the most unpleasant symptoms: coughing and wheezing in the lungs. Wheezing without fever is the basis for examination, the correct treatment is selected after identifying the underlying causes.

How to treat an adult and a child?

To cure a patient with pathologies in the lungs, the cause that gave rise to them should be eliminated. The first question is not how to treat wheezing in the lungs when breathing in adults, babies, but what caused them. Wheezing is not a disease, but the result of abnormal processes for a healthy body.

Nevertheless, there are a number of medicines that can alleviate the patient's condition. Each performs a specific task:

when it is necessary to facilitate the separation of sputum, mucolytics are used to thin it;
antibiotics fight bacterial infection in the lungs;
if necessary, eliminate spasms, relax the walls of the bronchi, that is, relieve an asthma attack, use beta-agonists.

NB! The use of mucolytics, especially in children, should be prescribed by a doctor, although they are sold without a prescription. Improper use of the drug can cause an asthma attack.

All medications should be prescribed after examination and diagnosis. When the source that causes wheezing in the lungs is established, it is determined how to cure the disease.

When wheezing in the lungs, bronchi or trachea in a child or adult is caused by a normally occurring acute respiratory viral infection, mucolytics and antibiotics are not used in the treatment. The patient is prescribed a warm drink in large quantities. The air must be moist. Staying outdoors is desirable as soon as the temperature returns to normal.

Useful video

For more information on diagnosing lung diseases, see the following video:

Conclusion

If wheezing is heard in the lungs during breathing, a comprehensive study will be required to accurately determine the cause.
Even an experienced specialist will not find out the whole picture of the ongoing processes as a result of just listening. You will need to take blood, urine, and sometimes sputum samples for analysis.
The condition of the lungs is checked using x-rays or magnetic resonance imaging.
Based on the results of the examination, it becomes clear how to cure the specific disease that caused wheezing in the lungs.

The causes of wheezing in the lungs during breathing are different. But they all point to the presence. At the same time, the presence of temperature or general weakness is not at all necessary. Sometimes wheezing in the lungs is the only symptom of the disease, so it is very important to be able to correctly find their cause.

The main causes of wheezing

Despite the obvious connection of wheezing with the respiratory organs, this is not always the case. Whistling when air passes through the bronchi is formed due to their narrowing. In the presence of a reduced number of platelets in the blood and a violation of its coagulability, wheezing may occur. They occur due to bleeding that is provoked by coughing. With such a pathology, sputum will be painted in a characteristic color.

If wheezing in the lungs occurs during expiration, they are called expiratory. When noises appear during inspiration, they are considered inspiratory. Crackles in the lungs on exhalation are often whistling. They occur due to bronchial obstruction - narrowing of the lumen of the respiratory tract due to compression of the neoplasm or edema of the wall. This phenomenon is observed in COPD or.

Buzzing rales have a characteristic shade of sound. Often they occur in the acute phase of bronchitis. Thick, viscous sputum forms strands in the airways that oscillate with air movement. This creates a buzzing sound.

By the nature of wheezing in the lungs, the doctor is able to make a preliminary diagnosis and prescribe further examination, and sometimes treatment.

Provoking factors

The risk group for the appearance of side sounds during breathing includes people with a tendency to develop diseases accompanied by wheezing.

smokers- Tobacco combustion products weaken the protective function of the bronchial epithelium, which is why the body is more likely to become inflamed. Smokers suffer from COPD, emphysema and tuberculosis, and therefore are at risk.

Allergy- the presence of allergies is directly related to the possibility of asthma or obstruction in the background. Asthmatic wheezing is the most common and most dangerous, as it can cause acute respiratory failure and oxygen starvation.

Immunocompromised people prone to SARS and ARI Frequently ill patients are prone to the appearance of side sounds against the background of the underlying disease.

People in adverse living or working conditions- prolonged stay in a damp cold room reduces the resistance of the bronchial epithelium to the causative agent of tuberculosis and other infections of the upper respiratory tract.

Newborns up to 4 months of age are prone to the appearance of physiological wheezing due to the immaturity of the respiratory system. When normal nasal breathing is established, the sounds disappear on their own.

If a person belongs to any of these groups, you should carefully monitor his health. If there are sounds during breathing that deviate from the norm, you should consult a doctor.

With coronary heart disease, wheezing often occurs in the lungs. They are due to several reasons:

stagnation of blood in the pulmonary veins;
impaired hemodynamics on the left side of the heart;
impaired pulmonary ventilation;
increased permeability of capillaries of the lungs;
excitation of the respiratory center.

This suggests that the pathological focus is not in the lungs, but systemic disorders occur. Cardiac asthma has a characteristic clinical picture:

cough dry, without sputum;
rales are dry or finely bubbling;
"upper" (diastolic) pressure is greatly increased;
expiratory dyspnea;
wheezing;
increased heart rate;
cyanosis at the ends of the finger phalanges and in the region of the nasolabial triangle.

The duration of the attack is different. Asthmatic wheezing in bronchial and cardiac pathology is similar in sound, but different in manifestation. In the presence of diseases of the vascular system and respiratory noises, it is necessary to check the patient's pressure and measure the pulse. Based on the data obtained, a treatment strategy is chosen.

Treatment of wheezing and elimination of their causes

Since wheezing during breathing can appear when various systems are affected, it is necessary to find out their cause before starting treatment. In case of pathologies with the heart, they turn to a cardiologist. If the causes are in damage to the lung tissue, the therapist is also involved in the treatment.

Diseases that provoke bronchial wheezing occur for several reasons.

The choice of treatment tactics depends on the etiology:

dry wheezing against the background of allergies or asthma is stopped by antihistamines (, Loratadin, Zirtek,);
moist rales with a viral infection pass in a few days with plenty of warm drinking, frequent ventilation and taking vitamin complexes;
severe bacterial diseases (pneumonia) are treated with antibiotics (macrolides, fluoroquinolones, cephalosporins, penicillins).

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In addition to influencing the mechanism of appearance, it is necessary to use additional drugs for symptomatic therapy. These include:

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mucolytics for dry rales (,);
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