Tracheitis is an inflammation of the tracheal mucosa. Occurs, as a rule, with a cold, cooling the body, infectious diseases ( respiratory infections , influenza, measles, whooping cough, etc.); heart and lung diseases can be predisposing moments, in children - rickets , exudative diathesis . Tracheitis often occurs in spring and autumn. There are acute and chronic tracheitis.
Acute tracheitis begins with acute rhinitis (see) and catarrh of the nasopharynx, then the inflammatory process spreads to the trachea. The leading symptom of acute tracheitis is a cough, disturbing patients at night and especially in the morning. Cough with tracheitis, usually paroxysmal - occurs with a deep breath, laughter, crying, changes in ambient temperature, etc. With the accumulation of sputum in the area of the trachea bifurcation, an attack of a strong convulsive cough may occur. The phlegm at the beginning of the disease is difficult to separate, in small quantities and has a viscous, slimy character, gradually it becomes mucopurulent and becomes easier to separate. With a pronounced tracheitis, patients sometimes complain of a dull, snapping pain in the throat and behind the sternum, especially after coughing. The voice from the accompanying laryngitis (see) may be hoarse. The general condition usually suffers slightly, sometimes there are headaches, a feeling of weakness, the temperature is often subfebrile, but in children there is a temperature rise up to 39 °. The disease usually ends in 1-2 weeks. In case of untimely treatment or failure to comply with the home mode, chronic tracheitis may develop or the process may be extended to other parts of the respiratory tract (tracheobronchitis, capillary bronchitis, bronchopneumonia, etc.).Go
Treatment: mustard plasters on the chest or back, inhalation of antibiotic aerosols; with difficult discharge of sputum - expectorant means, with a painful cough - codeine, dionin .
Chronic tracheitis can develop from acute tracheitis, but more often it is a consequence of diseases leading to stagnation phenomena on the basis of circulatory disorders ( pulmonary emphysema , heart disease, kidney disease). Children may develop chronic tracheitis after measles or whooping cough. The main symptom of chronic tracheitis is cough, stronger in the morning and at night. In some cases, with a dry cough, the amount of viscous sputum is small, in others - sputum is abundant, mucopurulent. With percussion and auscultation pathological changes are not detected. The course of the disease is long, with temporary improvements.
Treatment should be aimed at eliminating the cause of the disease and coincides with the treatment of chronic bronchitis (see). Antibiotic inhalations and oil-alkaline inhalations are used. With abundant discharge - blowing into the trachea of astringent powders at the time of inhalation. In chronic tracheitis with frequent exacerbations, climatic treatment is shown on the southern coast of the Crimea or on the Black Sea coast of the Caucasus with maximum exposure to air.