Clinical symptoms bronchospastic syndrome, regardless of the etiology and pathogenetic mechanisms in most cases of the same type - shortness of breath and asthma often expiratory type, paroxysmal cough, audible at a distance of respiratory sounds (usually dry wheezing) symptoms of hypercapnia - sleep disturbances, headache,sweating, anorexia, muscle twitching, a major tremor, in more severe cases, confusion, convulsions and hypercapnic coma.
Symptoms bronchospastic syndrome
Paroxysmal bronhospastichesky syndrome occurs in the form of attacks of breathlessness, that develops suddenly or within a short time, usually at night.Patients feel a symptom of lack of air.Shortness of breath is usually expiratory character, but can be inspiratory or mixed.Breath rattling, wheezing, audible at a distance - a standard symptom bronchospastic syndrome.Patients usually take a forced situation.They prefer to sit or stand, leaning forward, his elbows on his knees and his hands on the edge of a table, a bed or a window
Cough with bronchospasm
Types of cough with symptoms of bronchospastic syndrome
Cough with bronchospastic syndrome can be dry and wet.Dry cough (cough, irritation, useless cough), which does not expectorated sputum may occur in the initial period of acute inflammatory and edematous processes in the trachea and bronchi, as well as bronchospasm (for example, asthma attack).Inhalation of smoke and other irritants, inhaled foreign body or food pieces there a single strong attack of dry cough.
Dry cough with symptoms bronhospastichekogo syndrome
Dry cough is characteristic of the stenosis of the trachea and the large bronchi compression of their tumor, enlarged lymph nodes, aortic aneurysm, etc.He hacking, paroxysmal, a rattling, nasal tone, is usually compared with the bleating of a goat.In acute inflammatory or edematous processes in the trachea and the large bronchi (eg, acute tracheitis, acute bronchitis), cough, rough, barking, combined with hoarseness or aphonia, tickling in the throat.
at 2 - the third day of the disease in the region of the pharynx, larynx and the sternum (in trachea) appear bruised feeling, worse when coughing.Cough is usually periodic in these diseases.Attacks of this cough can lead to suffocation, cyanosis, and even end with brief loss of consciousness, which often gives rise to a misdiagnosis of asthma.Malozvuchnoe, weak and short cough indicates the defeat of the small bronchi and bronchioles.
productive cough with symptoms bronhospastichekogo syndrome
productive (wet) cough, in which sputum observed in diseases involving hypersecretion of bronchial mucus, formation of exudate, transudate or liquids (for example, the breakout of parasitic cysts).By the nature of productive cough, you can imagine about the level of obstruction in the bronchi.So, if the sputum expectorated easily, without much difficulty, it shows that it is close to the glottis.
When sputum is deeper, it is expectorated with difficulty in the form of small lumps, typically after prolonged cough.When the symptoms of chronic diseases of the larynx or trachea, with long-term stagnation of blood in the lungs of patients with circulatory system disorders cough is usually triggered by a constant and malorazdrazhayuschimi smells and even change the temperature and humidity of inhaled air.
Visual observation of sputum allows suggest about the nature of the underlying disease or pathological process that led to the defeat of the tracheobronchial tree.For example, cough with symptoms of glassy, mucous, viscous sputum observed in tracheitis and acute bronchitis early in the disease;further sputum becomes mucopurulent.
Symptoms of chronic bronchitis with bronchospastic syndrome
In chronic bronchitis with the defeat of the large bronchi sputum mucopurulent or purulent, the amount of moderate, sometimes very meager.With the localization process in the medium bronchi cough wet, usually the morning after waking up, with the separation of muco-purulent sputum.With the localization process in the small bronchi (obstructive bronchitis) resulting in painful, deaf weakened cough with difficult to separate a small amount of viscous, thick mucous and muco-purulent sputum.Bloody sputum is observed in pulmonary infarction, tuberculosis, cancer of the bronchi, with stagnation in a small circle, with heart defects.Sputum, having the form of raspberry jelly refers to later symptoms of bronchial cancer, in which the blood in the sputum often determined microscopically.
some diagnostic importance is the daily time of occurrence of cough.In chronic inflammation of the upper respiratory tract, especially in smokers, the cough usually occurs in the morning.This is due to the accumulation of sputum over night.In patients with allergic bronchitis, bronchial asthma and cardiac asthma cough occurs at night.Its cause is the physiological increase in night vagal tone.