Wheezing in the lungs when breathing in an adult: causes and treatment. Wheezing in the lungs when breathing in an adult, without fever and cough Cough wheezing in the lungs treatment

The child has wheezing in the chest, but there is no fever and cough, what is it

Passing through the respiratory tract, the air usually does not encounter obstacles, saturating every cell with oxygen.

But if something appears in the bronchi or lungs that interferes with free movement, this can be felt by shortness of breath, some manifestations of oxygen starvation, fatigue, chest pain.

The body is trying with all its might to get rid of a foreign body or substance, so wheezing is heard during breathing, often they are accompanied by a cough.

acute respiratory diseases; tracheitis; bronchitis; pneumonia; tuberculosis; neoplasms; pulmonary edema; bronchial asthma; obstructive processes; heart failure; bronchiectasis; pulmonary bleeding; a foreign body in the airways and edema spreading around it.

Wheezing in the bronchi during exhalation, audible through a phonendoscope, and sometimes without it, causes any obstacles in the path of the air stream.

Important: The narrowing of the lumen in the bronchi due to swelling, accumulation of mucus, the appearance of partitions, which causes noise when trying to inhale or exhale, pathologies in the lungs pose a threat to human life.

In some cases, immediate medical attention is required, as bronchospasm, damage to the bronchi, or bleeding in the lungs can kill a person in minutes.

And although wheezing in the lungs is considered one of the most common symptoms of colds, the doctor must definitely identify the exact cause of the noise and find the optimal treatment for wheezing in the bronchi, which will eliminate the causes of their appearance.

Sometimes it is necessary to facilitate the discharge of sputum, sometimes to relieve inflammation or spasm, but surgical intervention may also be required.

The doctor will tell you 5 specific tips on how to relieve a coughing fit.

Wheezing in the lungs during breathing in an adult without the manifestation of temperature and cough indicates the presence of a pathology of the organs of the respiratory system. It can be a mild sluggish inflammation in the bronchi, which is a consequence of not fully cured acute bronchitis, or a much more complex disease with the systematic formation of mucus in the bronchial lumen.

The latter process requires a detailed study by a pulmonologist in order to make a final diagnosis and establish the cause of sputum accumulation in the lungs, through the presence of which wheezing is heard from the lungs during inhalation and exhalation. You can figure out the cause yourself by comparing the symptoms and condition for each condition that we have compiled for you in this article.

Video how to treat a cough in a child

The main diagnostic method for detecting wheezing is auscultation. This is a special medical manipulation carried out using a phonendoscope or stethoscope. During auscultation, all segments of the chest are listened in turn in different positions of the patient.

Auscultation allows you to determine the origin, nature and localization of wheezing. To make a diagnosis, it is important to find out the caliber, tonality, timbre, sonority, prevalence, uniformity, and the number of wheezing.

Auscultation may reveal crepitus, resembling crackling or crackling when breathing. This is a sign of the accumulation of inflammatory fluid in the alveoli of the lungs. They stick together, and at the height of inhalation, the air causes them to come apart, and a sound effect is formed, comparable to the sound of hair rubbing between fingers. Crepitus is a pathognomonic symptom of pneumonia and fibrosing alveolitis.

For the correct diagnosis of patients with wheezing, the doctor suggests undergoing a series of laboratory and instrumental studies: complete blood count, microbiological sputum analysis, radiography of the mediastinal organs, spirography, tomography, lung biopsy.

Cough is a clear sign of trouble in the body. So a person tries to get rid of sputum and pathogens. Coughing and wheezing in the lungs are not necessarily accompanied by fever.

Doctors classify them depending on the nature, duration, origin and other parameters.

The nature of the cough is:

  • dry (unproductive);
  • moist with expectoration.

The duration of the cough is divided into:

  • for acute (the onset of the disease, lasts 10-14 days);
  • prolonged indicates that the disease is becoming chronic (from 14 to 30 days);
  • subacute speaks of a viral infection, can last up to 2 months;
  • chronic (more than 2 months), it affects patients with tuberculosis or oncological pathologies of the respiratory system, as well as those who live in adverse environmental conditions.

heart cough

The cause of the cough may be a diseased heart. Cardiac cough is no less a threat to health than pulmonary.

Its cause is stagnation in the lungs due to a decrease in the ability of the heart to fully pump blood.

The fluid that penetrates and accumulates in the lungs at the same time causes bronchial irritation and coughing.

  • Hypertension;
  • ischemia of the heart;
  • Cardiosclerosis;
  • mitral valve injury;
  • Myocardial infarction and other cardiac pathologies.

During pregnancy, the load on many organs increases, and primarily on the lungs. After all, now the expectant mother needs to supply oxygen not only to herself, but also to the developing baby.

In the second half of pregnancy, the enlarged uterus begins to tighten the diaphragm and, accordingly, the lungs. Wheezing can be caused by congestion in the pulmonary circulation. In this case, treatment is carried out by a cardiologist.

During pregnancy, women often get bronchitis and pneumonia. Both diseases can manifest only with wheezing and cough without fever. This is due to a decrease in immunity.

Protracted bronchitis threatens the penetration of infection to the fetus through the placenta. This is his main danger. It can be cured quickly and without consequences if you consult a doctor in time and strictly follow his recommendations.

Many women wonder how to treat these diseases during pregnancy. Antibiotics may be prescribed if pneumonia or bronchitis poses a greater threat than the drug. In addition, modern medicine has drugs that are practically safe for the fetus, in contrast to the current inflammatory process in the body of a pregnant woman.

· weight loss;

general weakness;

appearance of shortness of breath.

It is on indirect signs that you should pay attention.

1. Dry. It occurs at an early stage in the development of the disease. Such a cough always indicates the development of severe inflammation in the bronchi, as a result of which mucosal edema develops. Breathing is always heavy and is accompanied by whistling and wheezing. In the lungs, wheezing sounds are also observed in bronchial asthma.

2. Whistling. It is observed in patients suffering from chronic bronchitis, most often wheezing does not appear during breathing, but whistling and noises are observed. They are evidence that inflammation develops in small bronchioles. As a result of the fact that the pathological process spreads slowly, the symptoms of the disease do not appear for a long time.

3. Wet. Indicates the presence of sputum and mucus in the lungs. Occurs against the background of the fact that oxygen during inhalation or exhalation passes through a liquid formation, and the bubbles of the lung burst when pressure is applied. Often, a wet wheeze speaks in the early stages of pulmonary edema or bronchial asthma.

Each type of noise that occurs during breathing in an adult or a child is characteristic of certain diseases of the respiratory system. During examination and listening to the lungs, this factor allows the specialist to establish a preliminary diagnosis and prescribe treatment.

1. Pulmonary. All diseases belonging to this category result from the penetration of an infection that affects the organs of the respiratory system. These can be various viruses, pathogens or bacteria.

2. Extrapulmonary. The cause of such wheezing is other diseases. These may be pathologies of the cardiovascular system.

Wheezing sounds and whistles without temperature in a child or an adult that occur during breathing of various types may indicate the development of quite serious diseases that affect the respiratory system. That is why it is important to establish the cause of their occurrence in a timely manner and prevent the occurrence of complications.

1. Pulmonary edema.

3. Tuberculosis.

5. Bronchial asthma.

6. Violation of the heart rhythm and pathology of the heart muscle.

7. Thromboembolism developing in lung tissues.

8. Tumors of a malignant course.

9. Acute renal failure.

10. Chronic obstructive pulmonary disease.

11. Flea typhus.

In addition, moist rales in the bronchi during exhalation or inhalation may appear after an incorrectly implanted graft. This symptom appears with bronchial asthma and bronchitis. In cases where the inflammatory process does not affect the lungs, noises are formed that are not accompanied by temperature. However, it is rather difficult to establish their presence.

1. Pneumonia.

2. Pneumosclerosis.

3. Laryngitis.

4. Pharyngitis.

5. Chronic bronchitis.

6. Heart failure.

7. Emphysema.

Also, dry wheezing during expiration may be evidence that tumors are forming in the lungs. This symptom manifests itself during attacks of suffocation, when a foreign body enters the body and clogs the trochea.

Noises, a type of wheezing and whistling allow the doctor to suggest a particular disease. In order to accurately determine the cause of their appearance, the doctor prescribes methods of instrumental research.

Whistling and wheezing in the lungs during breathing in children and adults is manifested in various diseases. To establish the diagnosis, the doctor listens to the chest to determine the presence of accompanying sounds. This is what allows him to identify the cause.

1. X-ray of the lungs. Allows you to establish the presence of inflammation and the location of the focus of the pathological process.

2. Laboratory blood tests. It is prescribed to determine the infection that caused the wheezing.

3. Fluorography. It is carried out in order to exclude tuberculosis, when a cough occurs without fever.

Based on the data obtained, the doctor determines the cause, the degree of development of the inflammatory process, the type of disease and stage. This allows you to prescribe a course of treatment to avoid serious complications.

With inflammation of the bronchi and the development of pathological processes in the respiratory organs, the airways narrow. As a result of this, coughing, wheezing, which are signs of many dangerous diseases, occur. In no case should these symptoms be ignored, since a delay in visiting a doctor can lead to very serious complications and the transition of diseases to a chronic form. A dull, noisy and whistling sound made during breathing indicates the formation of mucus in the bronchi and trachea. reasons for the occurrence of such a state of the body, it is very dangerous for human health and life, since mucus can cause blockage of the bronchi, which leads to suffocation. Cough with wheezing very often appears as a result of the development of an inflammatory process in the bronchi and bronchioles. In addition, there are other factors that cause this state of the body. Coughing and wheezing in a child indicate that a blockage of the lower small bronchi has already occurred. Often, this condition of the child's body can be caused not by a cold or a viral disease, but by the ingress of a foreign object into the respiratory tract.

Origin and classification of wheezing

Healthy lungs should not make any sound when breathing, as the bronchial and pulmonary tracts are free from phlegm and other obstructions to the airflow.

Wheezing in the lungs and bronchi is a pathological noise that occurs during inhalation and exhalation only with swelling and narrowing of the airways or when they are filled with sputum. Noises are called inspiratory (on inspiration) and expiratory (on exhalation).

Causes of wheezing:

  • inflammation of the respiratory tract in case of infection or viruses (bronchitis, pneumonia, respiratory viral diseases, influenza);
  • allergic bronchial asthma;
  • cardiac pathologies;
  • pulmonary tuberculosis;
  • lung tumors;
  • ingress of a foreign body;
  • occupational diseases associated with the constant ingress of dust into the respiratory tract.

One of the leading causes among the causes is the wheezing breath of a heavy smoker who has risen to the 3rd floor.

In inflammatory processes, wheezing and coughing are usually accompanied by fever. However, doctors are increasingly documenting cases when patients carry pneumonia or bronchitis on their feet, since there are no other symptoms in the form of high fever, weakness, and temporary disability.

Tuberculosis is also not always accompanied by fever. It can appear only in the evening and does not exceed 37 - 37.5 ° C.

It is important to know what wheezing is and what it can mean. Self-medication in this case is completely unacceptable.

Types of wheezing

Wheezing is distinguished by sound, loudness, localization. These indicators help to make a diagnosis. Their loudness indicates the depth of damage to the respiratory tract. However, the doctor in the diagnosis takes into account the individual characteristics of the patient's body.

Wheezing type Disease
Dry bronchial spasm;
bronchial asthma;
pneumosclerosis;
pharyngitis;
laryngitis;
emphysema;
pneumonia (initial stage)
Wet inflammatory bacterial and viral diseases;
tuberculosis;
pulmonary edema;
heart disease (stagnation in the pulmonary circulation);
tumors;
thromboembolism (blockage) of the pulmonary artery;
acute renal failure;
bronchial asthma
Whistling Bronchial and small caliber bronchioles

Dry rales are formed as a result of bronchial edema or accumulation of very viscous sputum. They are also distinguished by length (during inhalation and exhalation) and by audibility.

Distant (or oral) are those that are heard not only when listening, but also at a distance.

Loud sounds accompanied by gurgling, well audible even at a distance, are characteristic of the accumulation of a large amount of sputum.

Another division of wet rales is sonorous and not sonorous.

  • Silent wheezing is characteristic of acute and chronic bronchitis.
  • Sonorous (or sonorous) - for tuberculosis, pneumonia, heart failure, when the bronchi are surrounded by dense lung tissue.

Wheezing on inspiration

On inspiration, the noise is produced by fluid in the lungs (sputum, exudate, effusion, blood), which foams when air enters it. Wet rales are usually heard on inspiration, assessing them by caliber and sound. Thus, it is established which part of the lungs or bronchi is affected.

Wheezing on expiration

On exhalation, dry rales are indicative for diagnosis. They may be buzzing, whistling, or hissing. Whistlers are characteristic of a condition when the lumen of the bronchi is greatly narrowed.

Whistling in the lung on exhalation indicates the presence of obstructive bronchitis. Buzzing wheezing is a symptom of an exacerbation of chronic inflammation of the bronchi.

Parents don't always need to panic if they hear a baby wheezing. They may be the result of prolonged crying. Concomitant symptoms in the form of blue skin, shortness of breath for 5 minutes or more, and vomiting should also be a cause for concern. In this case, an ambulance is needed.

It is difficult for babies up to a year to expectorate sputum on their own, especially in the first months of life, while they move little. Therefore, there are strong gurgling rales that frighten the mother.

Infants generally suffer from inflammation of the bronchioles and alveoli more often than older children. Since coughing is common in children, it is advisable for mothers to know what it means when sputum gurgles in the chest on inspiration or why the child wheezes when coughing. This will allow her to most accurately describe the symptoms to the doctor for an early diagnosis.

Light squelching wheezing in the nasopharynx may appear due to snot flowing along its back wall. The child cannot draw them in, which causes loud wheezing when breathing. To get rid of snot, you need to wash your child's nose with saline or special preparations sold in pharmacies.

For children from one year and older, another danger arises - swallowing small objects that can cause blockage of the airways. If the baby wheezes and coughs against the background of full health, this is a reason to immediately call an ambulance. Another alarming symptom is a hoarse voice combined with a cough when false croup develops.

Single wheezing that occurs with influenza, not associated with damage to the lungs and bronchi, is treated with expectorants in combination with antiviral therapy and folk remedies.

wheezing with asthma

An asthma attack is usually accompanied by dry wheezing. When they disappear, this means that the lumen of the bronchi is completely closed and the person is in danger of suffocation. If the patient does not help the medicine for bronchospasm, you should immediately call an ambulance.

One classification has already been given. Accordingly, the following types of wheezing can be distinguished, depending on their nature:

  1. whistling.
  2. Dry.
  3. Wet.

This classification has almost no diagnostic value. Further, the manifestation can be subdivided according to the localization of the process.

Accordingly, they talk about:

  1. True wheezing that occurs in the bronchi and lungs.
  2. False wheezing, localization of which is determined in the trachea or upper respiratory tract.

Finally, depending on the type of sound within the framework of wet rales, there are:

  1. Small bubbling sound.
  2. Medium bubbling sound.
  3. Big bubbling sound.

This classification, in turn, is important for identifying a particular disease. But you still can't do it on your own. The help of a doctor is required.

Why there are wheezing in the lungs

1. Pulmonary edema.

3. Tuberculosis.

11. Flea typhus.

1. Pneumonia.

2. Pneumosclerosis.

3. Laryngitis.

4. Pharyngitis.

7. Emphysema.

Wheezing in the lungs during breathing, which were caused by the pathology of the cardiovascular system, does not require special treatment. Therapy is aimed at compensating for the negative effects of heart failure. Also, patients are prescribed mucolytic drugs to remove sputum from the lungs and bronchi. After the course of treatment of the underlying disease, the wheezing that occurs when coughing in the sternum disappears.

If wheezing in the lungs is not accompanied by fever or cough, often their occurrence is associated with the development of oncology. The patient is shown chemotherapy, radiotherapy or surgery. In a severe course of the disease, when the tumor almost completely blocks the lumen of the bronchi, it is necessary to remove part of the lung.

Often wheezing sounds when inhaling dry or wet type occurs as a result of inflammation. That is why antibiotics are used, for example. When diagnosing pneumonia, pneumonia, drugs such as are prescribed. In especially severe cases, the funds are administered intravenously or intramuscularly. This helps to stop the acute stage much faster, since the active substances of the drug reach the source of infection faster.

To liquefy sputum, drugs such as Cysteine, Mukomist are used. After it becomes more viscous, the process of expectoration is easier, expectorant drugs are prescribed. They provoke a spasm of the lungs and help to remove mucus. This group includes Lazolvan, ACC and Mukobene.

If a child is hoarse, drugs are used, which are based on herbal ingredients. They are available in the form of various infusions, mixtures or syrups. With a dry cough, antitussive drugs are also used, and after it develops into a wet one, mucolytic agents are needed.

1. Warming up. Improves blood circulation and promotes sputum discharge.

2. Inhalation. They relieve inflammation and swelling of the mucosa, wheezing in the throat disappears within a week.

3. Compresses. Increase blood circulation and help remove accumulated mucus.

Methods of physiotherapeutic influence are used only as prescribed by a doctor after studying the anamnesis and establishing the type of disease. Procedures are not performed in cases where coughing and wheezing during breathing are accompanied by fever.

Phytotherapy

1. Peppermint, coltsfoot, licorice root, marshmallow and psyllium. Dry herbs in equal proportions are crushed and mixed. The finished mixture in the amount of 25 grams is poured with boiling water and infused for at least 2 hours. After that, the tincture is brought to a boil and cooled. Use the solution before meals three times a day, 12 ml.

2. Grind mint, oregano, plantain, licorice and wild rosemary in the amount of 5 g of each plant and pour 400 ml of boiling water. After that, put on a slow fire. After the solution has boiled, boil for 4 minutes. Then insist half an hour and use a tablespoon 2 times a day

Phytotherapy allows you to speed up recovery, get rid of wheezing that occurs during inhalation and exhalation. The use of prescriptions must be agreed with the attending physician. Self-medication can lead to serious consequences.

In order to avoid the appearance of wheezing in the lungs, manifested without fever with a cough, hypothermia and being in a draft should be avoided. To increase the body's defenses, it is recommended to play sports and regularly take a course of vitamin complexes. In addition, you should avoid the development of colds and consult a doctor at the first symptoms.

Wheezing of various types may indicate the development of various diseases. Only a doctor can determine what caused their appearance. That is why, in case of symptoms, it is necessary to consult a specialist. He will conduct an examination, establish the degree of the disease, and also prescribe treatment. Lack of therapy in some cases can lead to the development of pneumonia or pneumonia.

To get rid of wheezing in the chest, it is necessary to cure the underlying disease that has become their direct cause. The treatment of wheezing in the broncho-pulmonary system is carried out by doctors of the following specialties: pulmonologist, therapist, cardiologist.

Etiotropic treatment consists in the use of antibiotics or antiviral drugs. If the pathology was provoked by a bacterial infection, patients are prescribed broad-spectrum antibiotics from the group of fluoroquinolones, macrolides, penicillins, cephalosporins. In case of viral damage to the respiratory organs, antiviral therapy with Kagocel and Ingavirin is indicated.

Interferon preparations are dripped into the nose for children, rectal suppositories "Viferon" are injected into the rectum or sweet syrup "Tsitovir" is given. If the cause of wheezing is an allergy, then general and local antihistamines are indicated - Suprastin, Tavegil, Loratodin, Flixonase, Kromoglin.

Pathogenetic therapy of diseases of the respiratory system, manifested by wheezing, consists in the use of drugs of the following pharmacological groups:

  • Mucolytics that thin sputum and facilitate its excretion - Fluimucil, ACC,
  • Expectorants - "Ambroxol", "Bromhexine", "Mukaltin".
  • Bronchodilators that relieve bronchospasm - "Berodual", "Atrovent", "Salbutamol",
  • Phytopreparations - breast collection, chamomile tea.

ethnoscience

Wheezing without fever responds well to folk remedies.

The following traditional medicine will help get rid of wheezing in the lungs in children and adults:

  1. Decoctions of medicinal herbs - coltsfoot, licorice, thyme, chamomile.
  2. Infusions of plantain, raspberry, eucalyptus, elderberry, viburnum, cranberry.
  3. Inhalations over potato peels, soda inhalations or inhalations with essential oils.
  4. Honey mixed with butter and egg yolks.
  5. Radish juice mixed with honey.
  6. At normal body temperature - compresses on the chest from potato or mustard-honey cakes. A highly effective remedy for wheezing is an oil compress.
  7. Milk with honey is a popular remedy for coughs and wheezing. Patients are advised to eat honey with a spoon and drink it with hot milk.
  8. Onion syrup is prepared as follows: the onion is chopped, covered with sugar and insisted. Take the syrup several times a day until the wheezing in the lungs disappears.
  9. Milk with sage is taken at bedtime.
  10. Heated alkaline mineral water with honey helps to get rid of moist rales.

Prevention of wheezing in children and adults consists in the timely detection and treatment of the underlying disease, as well as in maintaining health. It includes the following activities:

With dry wheezing, if they mean the onset of the disease, doctors recommend taking funds to combat the inflammatory process, to thin the sputum. A good effect is shown by bronchodilators, which also help in case of an allergic reaction in asthma.

When dry rales change to wet, a productive cough appears, the composition of the drugs during treatment changes in order to facilitate the removal of sputum from the body to expectorants. Among them are mucolytics Lazolvan, Bromhexine, Mukaltin and others.

With a debilitating cough, drugs are prescribed that affect the cough center, and in especially severe cases, antibiotics that prevent the development of pneumonia.

Important: Coughing and wheezing when breathing can have a very different etiology, especially in children, so you do not need to start baking yourself. If wheezing is heard during breathing in an adult or a child, while breathing is clearly depressed, the color of the mucous membranes, skin integuments changes, a doctor is urgently needed.

You should not start taking medications on your own, even with severe wheezing during breathing and coughing with sputum discharge, so that the doctor can clearly see the picture of the disease. Blurred symptoms can cause an incorrect diagnosis, and the prescribed treatment will be ineffective.

Among the recipes of traditional medicine, there are many devoted to how to treat wheezing when breathing and coughing in children and adults.

Lemon, ginger, honey: grind together with the peel 1 lemon, ginger root about 5 cm in size and 1.5 cm in diameter, add 0.5 tbsp. honey, let it brew for a day. Take 1 tbsp. l. daily for prevention with a tendency to colds and bronchitis, 1 tbsp. l. mixture 3 times a day for wheezing in the upper respiratory tract.

This is an excellent immunostimulating and antiviral agent. Radish and honey: one of the best and most popular folk remedies when thinking about how to treat wheezing in a child, an excellent mucolytic, and also extremely easy to prepare. In a well-washed black radish, make a hole in the core, where to pour 1 tbsp. honey.

The juice released at the same time tastes good, so even kids drink it with pleasure. Give 1 tsp. 2-5 times a day. You can just grate the radish, squeeze out the juice, mix with honey, this slightly reduces the effectiveness, but you can apply it right away. Hot milk: heat milk to 40 degrees, dissolve 1 tsp in it.

honey, drink 3-4 times a day. With dry wheezing and sore throat, you can add 1 tsp. butter, it will anesthetize and relieve inflammation. Decoctions of herbs such as coltsfoot, chamomile, yarrow, St. John's wort, perfectly help to cope with wheezing and inflammation. Dandelion honey is effective when May flowers are covered with sugar in a jar, the resulting syrup, similar to honey, is stored in the refrigerator, take 1 tsp.

When to See a Doctor

Wheezing is a sign of a clear pathology, so you should not hesitate in any case.

If wheezing appeared after a cold, against the background of a high temperature, it is worth calling a local doctor to rule out pneumonia and other life-threatening diseases. The sudden appearance of wheezing, shortness of breath, weakness, loss of orientation, dizziness - a reason to call an ambulance, we can talk about anaphylactic shock, bleeding, pulmonary or myocardial infarction.

Only doctors can correctly diagnose after an examination, blood test, fluoroscopy, so the sooner you turn to them, the more favorable the prognosis for a complete cure.

In any clinic, polyclinics there are specialists dealing with diseases of the respiratory system.

The baby needs to be shown to the pediatrician, who will decide who to send the baby to: an allergist, pulmonologist, phthisiatrician or cardiologist.

Adults need to visit a therapist who will make a diagnosis and, if necessary, give a referral to a pulmonologist, allergist, phthisiatrician, oncologist, and other specialists.

You can not pull or rush to conclusions, modern methods of diagnosis and treatment help to cope with most diseases with timely treatment.

Any disease leaves a trace in the body, bronchitis and pneumonia also do not go unnoticed. And the recurrence of the disease will be inevitable if you do not change your lifestyle, eliminating all harmful factors.

Wheezing in the lungs: causes and consequences

In any case, this disease is not typical for pulmonary pathology, since most respiratory diseases cause an adult to have a rise in temperature and the urge to dry or wet cough. Wheezing can form in the bronchi even due to the presence of a small amount of blood in them.

The whistle coming from the throat of the patient is a physiological process that occurs in the lungs, which is a spasm of the bronchial lumen. The degree of its contraction depends on how noisy the wheezing will be. Spasm of the bronchi can occur from the reaction of the respiratory organ to an internal or external stimulus, or due to a periodic excess of mucus.

Not your typical pneumonia or chronic bronchitis. Often these diseases do not necessarily occur with a temperature. They may not be noticeable for a long period of time if the inflammatory focus affects a small area of ​​the lung or bronchi. Bronchial asthma. On average, in 90% of cases, the appearance of wheezing during inhalation and exhalation during breathing is an allergic spasm of the bronchial lumen.

This reaction of the body can be considered a severe degree of allergy. Bronchial rales always increase at the time of the onset of the attack. Depending on the severity of the disease, sputum in the bronchi may accumulate in small quantities or be absent altogether. Treatment of this pathology of the respiratory system is always specific and is based on the patient's susceptibility to certain potential allergens.

Stagnation of blood in the lungs. If an adult has a disease such as heart failure, blood circulation in the vascular system in most cases is severely impaired. It is not uncommon to develop congestion in the lungs. Then blood pressure rises in this organ and the smallest vessels, the capillaries, cannot withstand overload.

They burst and a small amount of blood enters the bronchi. This extraneous biological fluid in this part of the body irritates the respiratory organ and provokes wheezing. Oncological pathology. Until the 2nd stage of tumor development, the patient does not experience coughing and the disease signals itself only by periodic spasms of the bronchi.

Depending on the individual characteristics of a person, there may be other causes that can affect the respiratory system and the stable process of gas exchange that occurs in the lungs. All these factors are established during the examination of the patient for the final diagnosis.

Wheezing in the lungs or wheezing in the bronchi occurs as a result of a narrowing of the lumen of the anatomical structures responsible for the conduction of atmospheric air into the body. This phenomenon is called obstruction.

Often the result of this condition is the so-called bronchospasm: stenosis of the walls of the bronchial tree.

However, the described condition varies in severity and can develop with a variety of diseases.

In 100% of cases, it causes wheezing when breathing. In the course of the pathological process, an intense bronchospasm develops. In the absence of competent treatment and urgent medical care, a fatal outcome from respiratory failure is quite possible.

For the disease, an allergic or infectious etiology is typical, but this origin of the disease is far from always taking place. The disease proceeds paroxysmal.

Most often, attacks occur at night, after experienced stress, physical activity. This is a serious and dangerous disease, often leading to disability and restrictions in everyday life and professional activities.

  • Acute respiratory viral infection, aka SARS.

It is necessary to clearly distinguish between true and false rales in the bronchi, which occur in the trachea during its obstruction. Most often we are talking about false wheezing, but this is not axiomatic.

With prolonged or severe course of the disease, a picture of true obstruction develops with severe respiratory failure. Almost always, a complication of an acute respiratory disease is pneumonia or at least bronchitis. Therefore, you must carefully follow all the recommendations of the treating specialist. So the risk of becoming adverse effects will be minimal.

Inflammatory lesion of the bronchi. For bronchitis, an infectious-viral etiology is typical. Often the disease acts as a secondary complication in relation to an acute respiratory infection.

Typical symptoms are cough, fever, chest pain (weak), prolonged shortness of breath, wheezing in the lungs when breathing, decreased breathing efficiency.

Left untreated, bronchitis tends to worsen, leading to pneumonia (inflammation of the lungs).

  • Inflammation of the lungs (pneumonia).

An infectious-inflammatory disease of the lungs, during which the tissues of the paired organ undergo dystrophic changes. There is swelling, pain behind the sternum (severe), severe respiratory failure, shortness of breath, suffocation, wheezing when breathing in an adult.

The clinical picture is most pronounced with bilateral lesions. This is the most dangerous form of the disease.

It occurs relatively rarely. Almost never primary, acts as a complication of other diseases, such as pneumonia. Possible with prolonged contact with harmful vapors and other toxic substances.

It is provoked by the microbacterium tuberculosis, also known as Koch's bacillus. This is a complex and complex disease that can lead to death. In the later stages, the disease leads to a melting of the lung tissue.

The disease is characterized by pain behind the sternum, cough, hemoptysis, a sharp loss of body weight, shortness of breath, suffocation, moist rales in the lungs. Without treatment, the lungs are destroyed in just a few years. Moreover, the causative agent of tuberculosis tends to be transported to other tissues and organs, forming foci of secondary lesions.

  • Heart failure.

By itself, wheezing is not characterized. Most often provokes the formation of secondary congestive pneumonia and pulmonary edema, causing a typical clinical picture. Unfortunately, it is not so easy to identify the root cause of the disease.

  • Chronic obstructive pulmonary disease.

She is COPD. Most often occurs in people who abuse tobacco products. It can act as a complication of long-term bronchial asthma, uncorrected by medication. Significantly reduces the quality of life.

  • Cancer lesions of the lower respiratory tract.
  • Emphysema and other diseases.

The list of reasons is very wide. A thorough diagnosis is required to identify the exact cause.

Dry wheezing

Dry wheezing refers to a special pulmonary sound. Dry rales in the lungs develop in the absence of exudate (sputum).

Seen at:

  • Inflammation of the lungs in the early stages.
  • Bronchial asthma in the initial period of an attack.
  • Bronchitis with mild course.
  • emphysema.
  • Chronic obstructive pulmonary disease.

Dry wheezing occurs when there is an obstruction in the airways, formed from dense and thick contents. Another cause of dry wheezing in the bronchi is a spasm of smooth muscles or a narrowing of their lumen due to inflammatory edema, a foreign body, or tumor growth.

Liquid discharge does not take part in the formation of dry rales. That is why such breath sounds got such a name. They are considered unstable, changeable and occur with inflammation of the pharynx, larynx, bronchial asthma.

A jet of air, passing through the affected airways, creates turbulent eddies, which manifests itself in the formation of wheezing sounds.

The main characteristics of dry rales depend on the degree of damage and the caliber of the inflamed bronchus:

  1. By the number of wheezing are single and multiple, scattered throughout the bronchi. Bilateral dry wheezing is a symptom of generalized inflammation in the bronchi and lungs. Unilateral wheezing sounds are detected over a certain area and are a sign of a cavity.
  2. The tone of wheezing is determined by the degree of resistance of the bronchi to the air stream passing through them. They are low - buzzing, bass, high - whistling, hissing.
  3. In bronchial asthma, dry wheezing resembles a whistle and is a sign of bronchospasm. Filamentous mucous membranes in the bronchi are manifested by buzzing wheezing, which can be heard at a distance.

Whistling dry wheezing is a sign of dysphonia, paralysis of the vocal cords and hematoma of the surrounding soft tissues. Diseases of the oral cavity, pharynx, larynx and esophagus are accompanied by dry wheezing: epiglottitis, tonsillitis, laryngospasm, retropharyngeal abscess.

Wet rales

The appearance of wet rales is due to the accumulation of liquid contents in the bronchi, lungs and pathological cavities - caverns, bronchiectasis. A stream of inhaled air passes through liquid sputum, bubbles form, which burst and generate noise.

Depending on the caliber of the affected bronchi, moist rales are divided into small, medium and large bubbling. The first are formed in the bronchioles, alveoli and the smallest bronchi, the second - in the bronchi of medium caliber and small cavities, the third - in the large bronchi, cavities and trachea.

Moist rales sometimes become dry, and dry rales very often become moist. As the disease progresses, their main characteristics may change. These signs not only indicate the nature of the course and the stage of the disease, but can also signal the progression of the pathology and the deterioration of the patient's condition.

Moist rales can be defined as gurgling sounds when inhaling or exhaling. They develop in the presence of a large amount of mucous exudate in the lower respiratory tract.

The most typical diseases:

  • Bronchitis with a severe course.
  • Inflammation of the lungs in advanced stages.
  • bronchiectasis.
  • Tuberculosis.
  • SARS.
  • Smoker's cough (in this case, there is a kind of protective reaction of the body).

X rips in medical practice are called noises that actively occur during respiratory movements (inhalation and exhalation). According to medical statistics, this condition occurs in every tenth person.

This is not about an independent disease, but about a manifestation, a symptom that characterizes a whole group of diseases of pulmonological, cardiological and other profiles. This is a formidable symptom that almost always indicates an obstruction of the lower respiratory tract. What is recommended to know about the described manifestation?

Wheezing in the lungs or wheezing in the bronchi occurs as a result of a narrowing of the lumen of the anatomical structures responsible for the conduction of atmospheric air into the body. This phenomenon is called obstruction.

Often the result of this condition is the so-called bronchospasm: stenosis of the walls of the bronchial tree.

However, the described condition varies in severity and can develop with a variety of diseases.

The most common pathological processes are:

  • Bronchial asthma.

In 100% of cases, it causes wheezing when breathing. In the course of the pathological process, an intense bronchospasm develops. In the absence of competent treatment and urgent medical care, a fatal outcome from respiratory failure is quite possible.

For the disease, an allergic or infectious etiology is typical, but this origin of the disease is far from always taking place. The disease proceeds paroxysmal.

Most often, attacks occur at night, after experienced stress, physical activity. This is a serious and dangerous disease, often leading to disability and restrictions in everyday life and professional activities.

  • Acute respiratory viral infection she is SARS.

It is necessary to clearly distinguish between true and false rales in the bronchi, which occur in the trachea during its obstruction. Most often we are talking about false wheezing, but this is not axiomatic.

With prolonged or severe course of the disease, a picture of true obstruction develops with severe respiratory failure. Almost always, a complication of an acute respiratory disease is pneumonia or at least bronchitis. Therefore, you must carefully follow all the recommendations of the treating specialist. So the risk of becoming adverse effects will be minimal.

  • Bronchitis.

Inflammatory lesion of the bronchi. For bronchitis, an infectious-viral etiology is typical. Often the disease acts as a secondary complication in relation to an acute respiratory infection.

Typical symptoms are cough, fever, chest pain (weak), prolonged shortness of breath, wheezing in the lungs when breathing, decreased breathing efficiency.

Left untreated, bronchitis tends to worsen, leading to pneumonia (inflammation of the lungs).

  • Inflammation of the lungs (pneumonia).

An infectious-inflammatory disease of the lungs, during which the tissues of the paired organ undergo dystrophic changes. There is swelling, pain behind the sternum (severe), severe respiratory failure, shortness of breath, suffocation, wheezing when breathing in an adult.

The clinical picture is most pronounced with bilateral lesions. This is the most dangerous form of the disease.

  • Pulmonary edema.

It occurs relatively rarely. Almost never primary, acts as a complication of other diseases, such as pneumonia. Possible with prolonged contact with harmful vapors and other toxic substances.

  • Tuberculosis.

It is provoked by the microbacterium tuberculosis, also known as Koch's bacillus. This is a complex and complex disease that can lead to death. In the later stages, the disease leads to a melting of the lung tissue.

The disease is characterized by pain behind the sternum, cough, hemoptysis, a sharp loss of body weight, shortness of breath, suffocation, moist rales in the lungs. Without treatment, the lungs are destroyed in just a few years. Moreover, the causative agent of tuberculosis tends to be transported to other tissues and organs, forming foci of secondary lesions.

  • Heart failure.

By itself, wheezing is not characterized. Most often provokes the formation of secondary congestive pneumonia and pulmonary edema, causing a typical clinical picture. Unfortunately, it is not so easy to identify the root cause of the disease.

  • Chronic obstructive pulmonary disease.

She is COPD. Most often occurs in people who abuse tobacco products. It can act as a complication of long-term bronchial asthma, uncorrected by medication. Significantly reduces the quality of life.

  • Cancer lesions of the lower respiratory tract.
  • Emphysema and other diseases.

The list of reasons is very wide. A thorough diagnosis is required to identify the exact cause.

Wheezing without fever with cough

Very eloquently characterize non-inflammatory diseases of an autoimmune, allergic or other destructive nature.

This includes:

  • Emphysema of the lungs (destruction of the alveoli and filling of the cavities with atmospheric air).
  • Bronchiectasis (during the process, the alveoli are filled with purulent exudate).
  • Bronchial asthma.
  • Pulmonary edema.

All four diseases are characterized by wheezing in the lungs without fever.

Dry wheezing

Dry wheezing refers to a special pulmonary sound. Dry rales in the lungs develop in the absence of exudate (sputum).

Seen at:

  • Inflammation of the lungs in the early stages.
  • Bronchial asthma in the initial period of an attack.
  • Bronchitis with mild course.
  • emphysema.
  • Chronic obstructive pulmonary disease.

Wet rales

Moist rales can be defined as gurgling sounds when inhaling or exhaling. They develop in the presence of a large amount of mucous exudate in the lower respiratory tract.

The most typical diseases:

  • Bronchitis with a severe course.
  • Inflammation of the lungs in advanced stages.
  • bronchiectasis.
  • Tuberculosis.
  • SARS.
  • Smoker's cough (in this case, there is a kind of protective reaction of the body).

wheezing

A type of dry wheezing. Develop with:

  • Bronchial asthma.
  • Bronchitis.
  • Pneumonia.
  • COPD.

Diagnostically, the line between the described diseases is too thin to determine the source of the problem by the nature of the whistle in the lungs during breathing. A thorough diagnosis is required.

Wheezing classification

One classification has already been given. Accordingly, the following types of wheezing can be distinguished, depending on their nature:

  1. whistling.
  2. Dry.
  3. Wet.

This classification has almost no diagnostic value. Further, the manifestation can be subdivided according to the localization of the process.

Accordingly, they talk about:

  1. True wheezing that occurs in the bronchi and lungs.
  2. False wheezing, localization of which is determined in the trachea or upper respiratory tract.

Finally, depending on the type of sound within the framework of wet rales, there are:

  1. Small bubbling sound.
  2. Medium bubbling sound.
  3. Big bubbling sound.

This classification, in turn, is important for identifying a particular disease. But you still can't do it on your own. The help of a doctor is required.

Diagnostics

A specialist in pulmonology deals with the diagnosis of problems with the lungs and bronchi. If there is tuberculosis of the respiratory tract, a consultation with a practicing phthisiatrician is required.

However, the above is true only for true wheezing. False wheezing is diagnosed and treated by an otolaryngologist. At the initial appointment, the doctor interviews the patient about complaints, their nature, degree and duration.

It is important to collect a life history and identify the following factors:

  • Living conditions.
  • Type of wheezing and lung sound.
  • The nature of professional activity (the presence or absence of harmfulness).

An objective research is called upon to put an end to the issue of the origin of the symptom.

Among them, the most commonly practiced are:

  • laryngoscopy.
  • Bronchoscopy. This is an endoscopic examination, during which a specialist can assess the condition of the bronchi and lungs with his own eyes, determine the probable disease and, if necessary, take a sample for a biopsy.
  • Physical research.
  • Chest x-ray or fluorography.
  • MRI/CT. The gold standard in diagnostics, however, is rarely practiced due to the high cost.
  • Finally, a routine examination of the lungs and bronchi with a stethoscope will be required.

The complex of the specified procedures is sufficient for statement of the exact and unambiguous diagnosis.

Therapy

Treatment of wheezing in the bronchi as such is not required. It is necessary to carefully find out the cause of the symptom and eliminate the root cause.

That's what the doctor should throw strength.

As a rule, therapy is conservative, with the use of drugs from several pharmaceutical groups:

  • Anti-inflammatory general action.
  • Mucolytics (designed to thin the sputum and quickly evacuate it from the body).
  • Expectorants that irritate the lungs and bronchial walls in order to quickly evacuate mucous exudate from the respiratory tract.
  • Bronchodilators. They are prescribed for bronchial asthma in order to expand the narrowed respiratory structures and facilitate the flow of oxygen.
  • A therapeutic bronchoscopy may be required. Such a therapeutic measure is most common for pneumonia, bronchiectasis, and chronic obstructive pulmonary disease.

Therapeutic tactics is determined by the treating specialist.

Preventive actions

Prevention is necessary not to prevent wheezing, but to prevent those diseases that cause the described symptom.

Specific prevention methods include:

  1. Refusal of smoking. Cigarettes are the enemy of healthy lungs and the respiratory system in general. Quitting tobacco can be a great help.
  2. Refusal to abuse alcoholic beverages. The maximum amount you can drink per day is 50 ml of red wine.
  3. Prevention of hypothermia. Hypothermia entails frequent acute respiratory diseases. What it is fraught with - has already been said.
  4. It is also worth treating all diseases of the pulmonological and cardiological profiles in a timely manner.

Wheezing in the lungs is a non-specific symptom that can indicate a variety of ailments. The causes are diverse and include both pulmonary diseases and diseases of the cardiological, gastroenterological properties. It is recommended to treat and diagnose the underlying factor under the supervision of a competent physician. You can't do anything on your own.

Inflammation of the lungs – School of Dr. Komarovsky

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Chest sounds are a very important symptom for diagnosis of pathological changes in the respiratory organs.

Wheezing in the lungs when breathing in adults, they help to determine by their sound, caused by non-physiological noises residual processes after an illness, or we are talking about a chronic disease, a complication after acute respiratory infections, bronchitis, pneumonia.

The breath of a healthy person should be almost silent. Any wheezing when breathing in an adult, wheezing on exhalation, or labored breathing should cause the person to required to visit a doctor, get tested. In children, whistling and wheezing during breathing, all the more, do not occur for no reason.

Wheezing in the lungs: causes and consequences

Passing through the respiratory tract, the air usually does not encounter obstacles, saturating every cell with oxygen.

But if something appears in the bronchi or lungs that interferes with free movement, this can be felt in the breath, some manifestations of oxygen starvation, fatigue, chest pain.


The body is trying with all its might to get rid of a foreign body or substance, so wheezing is heard during breathing, often they are accompanied by a cough.

Causes of wheezing:

acute respiratory diseases; tracheitis; bronchitis; pneumonia; tuberculosis; neoplasms; pulmonary edema; bronchial asthma; obstructive processes; heart failure; bronchiectasis; pulmonary bleeding; a foreign body in the airways and edema spreading around it.

Wheezing in the bronchi during exhalation, audible through a phonendoscope, and sometimes without it, causes any obstacles in the path of the air stream.

Important: Narrowing of the lumen in the bronchi due to swelling, accumulation of mucus, the appearance of partitions, which causes noise when trying to inhale or exhale, pathologies in the lungs pose a threat to human life.

In some cases immediate medical intervention required, since bronchospasm, damage to the bronchi or bleeding in the lungs can kill a person in minutes.

And although wheezing in the lungs is considered one of the most common symptoms of a cold diseases, the doctor must identify the exact cause of the appearance of noise and find the optimal treatment for wheezing in the bronchi, which will eliminate the causes of their appearance.

Sometimes to ease the flow of mucus, sometimes relieve inflammation or spasm, but surgery may also be required.

What are wheezing

By the sound of breathing, noises in the bronchi and lungs, you can preliminarily determine what caused their appearance. Pulmonologists, therapists subdivide wheezing and whistles when breathing on:

wet and dry; permanent and occurring periodically; noise on inspiration (inspiratory) or exhalation (expiratory); high, low; whistling.

Also an important characteristic is fine-bubble, medium-bubble and coarse-bubble sounds.

The viscous secret secreted by the bronchi, mucus or blood, when air passes through them, is filled with it, and then bursts, making peculiar sounds similar to the sounds of bursting bubbles (in the sternum, according to patients, something gurgles).

The most important for physicians colds become wheezing dry and wet.

Dry rales in the lungs: air passes through the bronchi with a large accumulation of mucus, edema or neoplasm. There is such a noise, similar to a whistle, during an inflammatory process in the bronchi (bronchitis), asthma, it is heard from both sides. With bronchitis, it is characteristic of the initial stage of the disease, the timbre of the sound is constantly changing, it may disappear after the patient clears his throat. Unilateral dry rales are heard if the lung is damaged, it has a cavity (tuberculosis). Moist rales: a large accumulation of sputum, mucus causes a noise similar to the seething of air blown through a tube into the water. Usually heard on inspiration. When a productive cough appears, wheezing disappears, so the main task of doctors is to thin the accumulated sputum to facilitate its removal in order to prevent congestion, the multiplication of harmful microorganisms and their spread through the respiratory system, which causes serious complications in the form of pneumonia, abscesses in the lungs.


Audible even from a distance wet rales in the lungs indicates serious complications, probable pulmonary edema, but if sounds are heard outside the bronchial tree, this may indicate the appearance of a cavity in the lung caused by a tumor process, tuberculosis, an abscess.

Not only characteristics such as wet or dry rales, but many others, including the localization and timbre of the noise, the frequency of their occurrence are important in the diagnosis of the disease.

Self-diagnosis is ineffective and often dangerous, so that all complaints, incomprehensible and unpleasant sensations should be described to specialists in order to facilitate the diagnosis, to clearly define the range of necessary studies.

How are wheezing and cough treated?

The appearance of any wheezing in the lungs means a pathological process, most often inflammation, so you must definitely undergo an examination, pass all the tests recommended by your doctor. The main thing in any case is the treatment of the underlying disease.


With dry wheezing, if they mean the onset of the disease, doctors recommend taking anti-inflammatory agents to loosen mucus. A good effect is shown by bronchodilators, which also help in case of an allergic reaction in asthma.

When dry rales change to wet, a productive cough appears, the composition of the drugs during treatment changes in order to facilitate the removal of sputum from the body for expectorants. Among them are mucolytics Lazolvan, Bromhexine, Mukaltin and others.

With a debilitating cough, drugs are prescribed that affect the cough center, and in especially severe cases - antibiotics to prevent pneumonia.

Important: Cough and wheezing when breathing can have a variety of etiologies, especially in children, so you do not need to start baking yourself. If wheezing is heard during breathing in an adult or a child, while breathing is clearly depressed, the color of the mucous membranes, skin integuments changes, a doctor is urgently needed.

Don't start on your own taking medications even with severe wheezing when breathing and coughing with sputum discharge, so that the doctor can clearly see the picture of the disease. Blurred symptoms can cause an incorrect diagnosis, and the prescribed treatment will be ineffective.

Treatment with folk methods

Among the recipes of traditional medicine there are many dedicated to how to treat wheezing and cough in children and adults.


Lemon, ginger, honey: grind together with the peel 1 lemon, ginger root about 5 cm in size and 1.5 cm in diameter, add 0.5 tbsp. honey, let it brew for a day. Take 1 tbsp. l. daily for prevention with a tendency to colds and bronchitis, 1 tbsp. l. mixture 3 times a day for wheezing in the upper respiratory tract. This is an excellent immunostimulating and antiviral agent. Radish and honey: one of the best and most popular folk remedies when thinking about how to treat wheezing in a child, an excellent mucolytic, and also extremely easy to prepare. In a well-washed black radish, make a hole in the core, where to pour 1 tbsp. honey. The juice released at the same time tastes good, so even kids drink it with pleasure. Give 1 tsp. 2-5 times a day. You can just grate the radish, squeeze out the juice, mix with honey, this slightly reduces the effectiveness, but you can apply it right away. Hot milk: heat milk to 40 degrees, dissolve 1 tsp in it. honey, drink 3-4 times a day. With dry wheezing and sore throat, you can add 1 tsp. butter, it will anesthetize and relieve inflammation. Decoctions of herbs such as coltsfoot, chamomile, yarrow, St. John's wort, perfectly help to cope with wheezing and inflammation. Dandelion honey is effective when May flowers are covered with sugar in a jar, the resulting syrup, similar to honey, is stored in the refrigerator, take 1 tsp. 3 times a day. It is generally recommended to drink as much as possible: hot decoctions, fruit drinks, jelly help thin sputum, saturate the body with essential vitamins.

Important: insisting radish with honey, it should be remembered that this composition is not recommended for hypertension and cardiovascular diseases, so it is better to consult a doctor before use.

Inhalation, heat, chest warming help to cope with colds in the absence of temperature.

Prevention, basic rules and methods.

After recovery, it is extremely important to protect your body from hypothermia, because a weakened immune system will not be able to adequately respond to a new threat.

Treatment cannot be interrupted, as soon as wheezing in the chest has disappeared, the course of treatment must be completed to the end in order to avoid relapses and complications.

The key to successful prevention is:

proper nutrition: the body needs vitamins and minerals so that the immune system can resist diseases; hardening - not dousing with cold water, but gradual accustoming to low temperatures, its differences; feasible physical activity, running and swimming, strengthening the lungs, increasing their volume; good rest, walks before going to bed, airing the room at night; during cold seasons, you should definitely drink a course of immunostimulants; excellent results are shown by breathing exercises: a special set of exercises that teaches you to breathe correctly, for children who find it difficult to perform them, and adults will also benefit from 1 daily exercise: inflate 3-5 balloons.


Wheezing - an integral part of the life of smokers, you should definitely give up an addiction so as not to earn chronic bronchitis or lung cancer. A healthy lifestyle, good nutrition, exercise will help strengthen the body and avoid the recurrence of the disease.

Wet cleaning is essential room, which must be carried out daily to get rid of dust and harmful microorganisms.

When to See a Doctor

Wheezing - a sign of an obvious pathology, so you should not hesitate in any case.

If wheezing appeared after a cold, against the background of a high temperature, it is worth calling a local doctor to rule out pneumonia and other life-threatening diseases. The sudden appearance of wheezing, shortness of breath, weakness, loss of orientation, dizziness - a reason to call an ambulance, we can talk about anaphylactic shock, bleeding, pulmonary or myocardial infarction. An ambulance needs to be called in any case if wheezing is observed in a baby of the first year of life, children under 3 years old, since the gaps in their bronchi are extremely small and any inflammatory process can result in oxygen starvation, suffocation.

Only doctors can correctly diagnose after an examination, blood test, fluoroscopy, so the sooner you turn to them, the more favorable the prognosis for a complete cure.

Which doctor to contact

In any clinic clinics have specialists dealing with diseases of the respiratory system.

The baby needs to be shown to the pediatrician, who will decide who to refer the baby to: an allergist, pulmonologist, phthisiatrician or cardiologist.

Adults need to see a therapist who will make a diagnosis and, if necessary, give a referral to a pulmonologist, allergist, phthisiatrician, oncologist, and other specialists.

You can not pull or rush to conclusions, modern methods of diagnosis and treatment help to cope with most diseases with timely treatment.

Any disease leaves a trace in the body, bronchitis and pneumonia also do not pass without a trace. And the recurrence of the disease will be inevitable if you do not change your lifestyle, eliminating all harmful factors.

Video how to treat a cough in a child

The doctor will tell you 5 specific tips on how to relieve a coughing fit.

Wheezing in the lungs during breathing in an adult without the manifestation of temperature and cough indicates the presence of a pathology of the organs of the respiratory system. It can be a mild sluggish inflammation in the bronchi, which is a consequence of not fully cured acute bronchitis, or a much more complex disease with the systematic formation of mucus in the bronchial lumen. The latter process requires a detailed study by a pulmonologist in order to make a final diagnosis and establish the cause of sputum accumulation in the lungs, through the presence of which wheezing is heard from the lungs during inhalation and exhalation. You can figure out the cause yourself by comparing the symptoms and condition for each condition that we have compiled for you in this article.

Causes of wheezing

In any case, this disease is not typical for pulmonary pathology, since most respiratory diseases cause an adult to have a rise in temperature and the urge to dry or wet cough. Wheezing can form in the bronchi even due to the presence of a small amount of blood in them. This phenomenon is often observed in patients prone to internal bleeding, when the concentration of platelets in the blood is reduced and the function of its coagulability is impaired.

If the air passes unhindered, and the characteristic whistle from the lungs is heard only on exhalation, then such wheezing is called wet. Dry rales are often combined with cough, but without fever.

The whistle coming from the throat of the patient is a physiological process that occurs in the lungs, which is a spasm of the bronchial lumen. The degree of its contraction depends on how noisy the wheezing will be. Spasm of the bronchi can occur from the reaction of the respiratory organ to an internal or external stimulus, or due to a periodic excess of mucus.


In modern pulmonology, the following causes of wheezing in the lungs in adults without cough and fever are distinguished:

Not your typical pneumonia or chronic bronchitis. Often these diseases do not necessarily occur with a temperature. They may not be noticeable for a long period of time if the inflammatory focus affects a small area of ​​the lung or bronchi. Bronchial asthma. On average, in 90% of cases, the appearance of wheezing during inhalation and exhalation during breathing is an allergic spasm of the bronchial lumen. This reaction of the body can be considered a severe degree of allergy. Bronchial rales always increase at the time of the onset of the attack. Depending on the severity of the disease, sputum in the bronchi may accumulate in small quantities or be absent altogether. Treatment of this pathology of the respiratory system is always specific and is based on the patient's susceptibility to certain potential allergens. Stagnation of blood in the lungs. If an adult has a disease such as heart failure, blood circulation in the vascular system in most cases is severely impaired. It is not uncommon to develop congestion in the lungs. Then blood pressure rises in this organ and the smallest vessels, the capillaries, cannot withstand overload. They burst and a small amount of blood enters the bronchi. This extraneous biological fluid in this part of the body irritates the respiratory organ and provokes wheezing. Oncological pathology. Until the 2nd stage of tumor development, the patient does not experience coughing and the disease signals itself only by periodic spasms of the bronchi. In this regard, a characteristic whistle is heard from the lungs. This symptom is not long-lasting, so adults sometimes ignore the signs of a serious illness. The disease is diagnosed with an X-ray or MRI of the lungs.

Depending on the individual characteristics of a person, there may be other causes that can affect the respiratory system and the stable process of gas exchange that occurs in the lungs. All these factors are established during the examination of the patient for the final diagnosis.

General characteristics of wheezing without fever and cough

The presence of a characteristic whistle during inhalation and exhalation during breathing is always one of the manifestations of inflammation in the lungs. Even if an adult does not experience fever and cough, the following symptoms are always present: loss of appetite, shortness of breath after minor physical exertion, weight loss and weakness. Special attention should be paid to these indirect signs of respiratory diseases.

According to the type of its manifestation, wired wheezing without coughing is divided into the following types:

Dry. They are observed at the very beginning of the development of the disease. Their appearance is always associated with the presence of severe inflammation in the bronchial tree. In this regard, swelling of its mucous membrane occurs and breathing becomes more rigid with the formation of wheezing and whistling. A similar behavior of the respiratory system is observed in patients with bronchial asthma, but their bronchospasm occurs not under the influence of inflammation, but through the body's immune response to allergic stimuli. They can be present both in the external environment (mold spores, pollen, dust, pet hair particles, fragrances) and inside the adult itself (the inability of the digestive system to absorb certain foods, the components of which are later transformed into allergens). whistling. They can be observed in patients who suffer from chronic bronchitis. Their usual wheezing is almost inaudible. A thin whistle is periodically heard from the lungs, indicating inflammation in the small bronchioles and bronchi. Due to an insignificant inflammatory focus, the patient's immune system does not give a strong response to the disease for a long time. The person has no cough and no fever. This period of latent course of the disease can last from 1 week to a month or more. It all depends on the activity of the patient's immune cells. Strengthening the whistle of the lungs always indicates the growth of the inflammatory process. Wet. Present in patients who have accumulated a large amount of diluted sputum or fluid in the bronchi. During breathing, when an adult person inhales and exhales, a sound is heard as oxygen passes through the liquid formation in the lungs, and its bubbles seem to burst under the influence of excess pressure. Such noises are also called crepe noises. Moist rales can be a harbinger of future bronchial asthma or pulmonary edema. A patient with such symptoms should definitely visit a general practitioner or pulmonologist. The further state of human health depends on how quickly this happens.

It is important to remember that each of the types of wheezing emanating from the bronchi is characteristic of a certain category of lung pathologies. The presence of extraneous sounds during the patient's breathing allows the doctor to only suspect the presence of a particular disease. The final diagnosis is made only after a more detailed examination.

Treatment of wheezing in the lungs in adults

Therapy of a patient who has wheezing during breathing during inhalation or exhalation begins immediately after establishing the cause of their origin. In most cases, hospitalization in a hospital setting is not required and the patient is treated on an outpatient basis.

Depending on the type of infectious or viral pathogen, several types of drugs can be used in combination.

In the presence of asthmatic wheezing of the lungs, the patient must be consulted by an allergist. At this stage, it is especially important to identify the source of the allergy, which systematically irritates the bronchi, provoking their spasm. For an adult, an individual diet is being developed that contains only biologically useful foods (cereals, non-fat chicken meat, wholemeal bread). For the period of treatment, citrus fruits, apricots, alcohol, tea, coffee, chocolate, sea and ocean fish, tomatoes and all dishes made on their basis are removed from the diet. It is recommended to use such vasodilating drugs as Drotaverine, Eufillin, Spasmolgon.

Wheezing during breathing caused by diseases of the cardiovascular system does not require special treatment. All the efforts of doctors are aimed at compensating for the negative impact of heart failure. As the heart, blood vessels are treated and blood circulation is restored, the patient is given mucolytic drugs in order to remove the remnants of fluid from the bronchi that have accumulated due to a violation of the small circulatory cycle in the respiratory system. As a rule, wheezing during inhalation and exhalation disappears immediately after the restoration of normal heart function and blood flow.

The most difficult is the process of treating wheezing without coughing and fever, the appearance of which is associated with an oncological process in the lungs. In such cases, it is impossible to remove extraneous noise without eliminating the tumor body that narrows the bronchial lumen. The patient is treated with chemotherapy drugs, cytostatics, and is subjected to radiotherapy. If necessary, surgical intervention is prescribed with the removal of an extraneous neoplasm. In especially severe cases, even a resection of a part of the lung is possible.

Wheezing in the throat can be one of the symptoms of a cold or SARS.

But this phenomenon is also characteristic of more serious diseases that require immediate treatment in a hospital.

Possible causes of the symptom

Depending on the location of the focus of the disease, the causes of wheezing are conditionally divided into three main groups.

Laryngeal lesions. Damage to the lower respiratory tract. Diseases that do not affect the respiratory system, but are accompanied by symptoms of wheezing.

On the other hand, doctors directly distinguish wheezing and hoarseness - a decrease in the sonority of the voice and a violation of its timbre. Hoarseness appears due to diseases of the ligaments. Hoarseness is often a concomitant symptom of many colds, but it can also appear as a result of overstrain of the vocal cords.

Various lesions of the larynx

With ARVI, the appearance of wheezing in the throat in an adult or child most often indicates the spread of infection from the upper respiratory tract to the larynx and the development of its inflammation (laryngitis). Associated symptoms: sore throat, itching, dryness and burning.

Chronic laryngitis is a consequence of acute inflammation of the larynx that has not been fully cured. Also, this disease occurs in heavy smokers and people whose work is associated with the need to talk a lot. The causes of wheezing in the throat in chronic laryngitis are associated with the appearance of nodules on the vocal cords and epiglottis.

Cause wheezing in the throat can be benign or malignant tumors.

One of the well-known diseases of the larynx is stenosis. Read on for detailed and helpful information about laryngeal stenosis.

You can read about such a problem as a spasm of the larynx here.

Lower respiratory tract lesions

Doctors determine the cause of the symptom by the nature of wheezing.

Dry most often indicate a narrowing of the lumen of the bronchi. This phenomenon accompanies pneumosclerosis, bronchospasm, compression of the bronchus wall by a tumor. Also, this symptom may indicate the presence of edema of the bronchial mucosa. With the formation of thick sputum in the lumen of the bronchus, wheezing will be sonorous and with a buzzing overtone. Whistling dry rales accompany the narrowing of the bronchi in the absence of sputum. They can be heard in patients with bronchial asthma during periods of exacerbation. Wet wheezing indicates that fluid is present in the lungs: exudate, transudate, blood, and others. They can be heard with pneumonia, pulmonary edema, after an attack of bronchial asthma, bronchitis, tuberculosis, lung abscess and other diseases.

It is impossible to determine the disease only by the nature of wheezing. It is necessary to consult a doctor who will prescribe an examination and, based on the results, will be able to make a diagnosis.

What do wheezing in the throat and cough in combination say

The combination of these symptoms may indicate a blockage of the lower small bronchi. In most cases, they talk about the inflammatory process in the bronchi, throat or lungs. This condition is not always a sign of the development of viral or catarrhal diseases. This may also be due to the ingestion of a foreign object into the respiratory tract.

With a dry cough and wheezing, a doctor can diagnose bronchitis, bronchitis, or bronchial asthma. If hoarseness of voice is observed with coughing and wheezing, the development of laryngitis is most likely observed. These manifestations may indicate other diseases. The diagnosis can only be made by a doctor after a professional examination and examination of the patient's tests. Learn about the treatment of obstructive bronchitis in children.

Let's talk about the treatment of diseases that cause wheezing in the throat when breathing.

Effective modern methods of treatment

The choice of course of therapy depends on the pathogen and the stage of development of the disease. In most cases, this symptom disappears due to the treatment of the underlying disease.

How can you get rid of wheezing in the throat?

Wheezing in ARVI often manifests itself with acute laryngitis. In this case, medications in the form of sprays containing sage and menthol, such as Bioparox, are excellent. An excellent result in the treatment of laryngitis is given by inhalations with eucalyptus essential oil, taking a decoction of coltsfoot leaves. Read about eucalyptus inhalation at home here. If the disease is advanced, and nodules appear on the ligaments, the doctor may recommend surgery. Sometimes only this method can save you from losing your voice. Treatment bronchitis depends on its type.

Obstructive bronchitis requires mandatory medical supervision, since improper treatment can lead to the development of bronchial asthma. The specialist will select antibiotics. Also, inhalation with mineral water or ordinary water with soda, herbs is often used. If coniferous inhalations are indicated for other types of bronchitis, then with obstructive bronchitis they are strictly prohibited.

You can use the nebulizer with the following solutions:

Lazolvan or abrohexal. Based on atrovent, berodual, berotek or salbutamol. Pulmicort based on hormones.

These drugs must be prescribed by a doctor. You can independently decide on the choice of herbs for decoction: oregano, chamomile, sage, lavender, onion or garlic juice, diluted with water in a ratio of 1/10.

You should know that bronchitis is an infectious disease. The causative agents can be viruses, bacteria or atypical pathogens (mycoplasmas and chlamydia). Depending on this, a course of treatment is prescribed. It is extremely important for wheezing and coughing to see a doctor. Only a specialist can prescribe adequate treatment. The treatment of this group of diseases is based on the use of anti-infective drugs: antibacterial, antiviral. Expectorants are required to be used - it is important to remove the infected mucus from the body. With difficulty breathing, bronchodilator drugs are used.

Cause bronchial asthma most often becomes an allergic inflammation caused by chemicals, pollen or animal hair. Recent studies by scientists indicate that basic anti-inflammatory therapy plays a crucial role in the treatment: corticosteroids in the form of inhalations or tablets.

Read about recipes for cough with milk in this article.

But you will learn about such a symptom as dryness in the nose and throat at the link

What causes symptoms in children?

Wheezing in the throat when breathing baby up to the age of four months may be a normal reaction to saliva, at this age the baby is just beginning to learn to swallow it. Also, at this age, the glands of internal and external secretion begin to fully function, the respiratory tract develops. This phenomenon should pass after the baby is one and a half years old. Do not panic if the child's appetite and sleep are normal, and the temperature does not rise. If the newborn has wheezing in the throat, you can go for a consultation with the pediatrician and make sure there are no problems and exclude the possibility of heart disease or allergic reactions. If wheezing in the throat of a child is observed along with a sharp deterioration in health, you should immediately consult a doctor. A runny nose and cough indicate ARVI or a cold. Before the doctor arrives, you should create the most comfortable conditions for the baby and give as much warm liquid as possible. Wheezing, shortness of breath, lethargy, blue skin around the lips should be a signal to call an ambulance immediately. If a slight fever and a strong dry cough are added to these symptoms, the child is most likely sick. groats. Before the ambulance arrives, in this case it is very important to drip naphthyzine into the nose and let it breathe in hot, moist air. Just take the child in your arms, turn on the hot water in the bathroom and stay there until the ambulance arrives or the moment when the breathing returns to normal and the coughing fit passes. Persistent wheezing with a prolonged and severe cough, fever, and other signs of a cold may be symptoms. bronchitis. Parents should not make their own decisions about treatment choices. An adequate response in this case can only be an ambulance call and treatment of the baby in a hospital. In children older than one year, wheezing in the throat can be caused by a number of diseases: Acute or chronic bronchitis, asthma. Allergic reaction, inhalation of foreign bodies. Some heart diseases. Pneumonia or emphysema. Croup. Inflammation of the epiglottis. Read more about this disease, which is also called epiglottitis.

In most diseases, wheezing is accompanied by fever, cough or sore throat. In the case of heart disease, wheezing may be the only signal that a child has a serious health problem. Regardless of the general state of health, mothers should consult a specialist who will conduct an examination and prescribe a comprehensive treatment.

You will learn about bronchitis, in which wheezing in the throat is often observed, in the next video from Dr. Agapkin.

Regardless of the age of the patient, it is very important to remember that wheezing in the throat is only one of the symptoms. It is possible to determine the disease only after a series of tests. The range of diseases that are expressed in this way is very wide - from the common cold to malignant tumors in the respiratory tract, heart or lung diseases. With the seeming frivolity of the symptom, it is important to remember that it can signal the onset of a serious illness.

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. 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. 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. 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. 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. 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. 6. Infusion of plantain, raspberry, cranberry, elderberry and eucalyptus. Eucalyptus well provokes bronchospasms, plantain relieves inflammation, and raspberries thin sputum.
  7. 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. 8. Milk with sage. Heated milk with sage facilitates breathing and improves the patient's sleep.
  9. 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.

Briefly about the causes of wheezing

Wheezing in the lungs or wheezing in the bronchi occurs as a result of a narrowing of the lumen of the anatomical structures responsible for the conduction of atmospheric air into the body. This phenomenon is called obstruction.

Often the result of this condition is the so-called bronchospasm: stenosis of the walls of the bronchial tree.

However, the described condition varies in severity and can develop with a variety of diseases.

The most common pathological processes are:

  • Bronchial asthma.

In 100% of cases, it causes wheezing when breathing. In the course of the pathological process, an intense bronchospasm develops. In the absence of competent treatment and urgent medical care, a fatal outcome from respiratory failure is quite possible.

For the disease, an allergic or infectious etiology is typical, but this origin of the disease is far from always taking place. The disease proceeds paroxysmal.

Most often, attacks occur at night, after experienced stress, physical activity. This is a serious and dangerous disease, often leading to disability and restrictions in everyday life and professional activities.

  • Acute respiratory viral infection, aka SARS.

It is necessary to clearly distinguish between true and false rales in the bronchi, which occur in the trachea during its obstruction. Most often we are talking about false wheezing, but this is not axiomatic.

With prolonged or severe course of the disease, a picture of true obstruction develops with severe respiratory failure. Almost always, a complication of an acute respiratory disease is pneumonia or at least bronchitis. Therefore, you must carefully follow all the recommendations of the treating specialist. So the risk of becoming adverse effects will be minimal.

  • Bronchitis.

Inflammatory lesion of the bronchi. For bronchitis, an infectious-viral etiology is typical. Often the disease acts as a secondary complication in relation to an acute respiratory infection.

Typical symptoms are cough, fever, chest pain (weak), prolonged shortness of breath, wheezing in the lungs when breathing, decreased breathing efficiency.

Left untreated, bronchitis tends to worsen, leading to pneumonia (inflammation of the lungs).

  • Inflammation of the lungs (pneumonia).

An infectious-inflammatory disease of the lungs, during which the tissues of the paired organ undergo dystrophic changes. There is swelling, pain behind the sternum (severe), severe respiratory failure, shortness of breath, suffocation, wheezing when breathing in an adult.

The clinical picture is most pronounced with bilateral lesions. This is the most dangerous form of the disease.

  • Pulmonary edema.

It occurs relatively rarely. Almost never primary, acts as a complication of other diseases, such as pneumonia. Possible with prolonged contact with harmful vapors and other toxic substances.

  • Tuberculosis.

It is provoked by the microbacterium tuberculosis, also known as Koch's bacillus. This is a complex and complex disease that can lead to death. In the later stages, the disease leads to a melting of the lung tissue.

The disease is characterized by pain behind the sternum, cough, hemoptysis, a sharp loss of body weight, shortness of breath, suffocation, moist rales in the lungs. Without treatment, the lungs are destroyed in just a few years. Moreover, the causative agent of tuberculosis tends to be transported to other tissues and organs, forming foci of secondary lesions.

  • Heart failure.

By itself, wheezing is not characterized. Most often provokes the formation of secondary congestive pneumonia and pulmonary edema, causing a typical clinical picture. Unfortunately, it is not so easy to identify the root cause of the disease.

  • Chronic obstructive pulmonary disease.

She is COPD. Most often occurs in people who abuse tobacco products. It can act as a complication of long-term bronchial asthma, uncorrected by medication. Significantly reduces the quality of life.

  • Cancer lesions of the lower respiratory tract.
  • Emphysema and other diseases.

The list of reasons is very wide. A thorough diagnosis is required to identify the exact cause.

Wheezing without fever with cough

Very eloquently characterize non-inflammatory diseases of an autoimmune, allergic or other destructive nature.

This includes:

  • Emphysema of the lungs (destruction of the alveoli and filling of the cavities with atmospheric air).
  • Bronchiectasis (during the process, the alveoli are filled with purulent exudate).
  • Bronchial asthma.
  • Pulmonary edema.

All four diseases are characterized by wheezing in the lungs without fever.

Dry wheezing

Dry wheezing refers to a special pulmonary sound. Dry rales in the lungs develop in the absence of exudate (sputum).

Seen at:

  • Inflammation of the lungs in the early stages.
  • Bronchial asthma in the initial period of an attack.
  • Bronchitis with mild course.
  • emphysema.
  • Chronic obstructive pulmonary disease.

Wet rales

Moist rales can be defined as gurgling sounds when inhaling or exhaling. They develop in the presence of a large amount of mucous exudate in the lower respiratory tract.

The most typical diseases:

  • Bronchitis with a severe course.
  • Inflammation of the lungs in advanced stages.
  • bronchiectasis.
  • Tuberculosis.
  • SARS.
  • Smoker's cough (in this case, there is a kind of protective reaction of the body).

wheezing

A type of dry wheezing. Develop with:

  • Bronchial asthma.
  • Bronchitis.
  • Pneumonia.
  • COPD.

Diagnostically, the line between the described diseases is too thin to determine the source of the problem by the nature of the whistle in the lungs during breathing. A thorough diagnosis is required.

Wheezing classification

One classification has already been given. Accordingly, the following types of wheezing can be distinguished, depending on their nature:

  1. whistling.
  2. Dry.
  3. Wet.

This classification has almost no diagnostic value. Further, the manifestation can be subdivided according to the localization of the process.

Accordingly, they talk about:

  1. True wheezing that occurs in the bronchi and lungs.
  2. False wheezing, localization of which is determined in the trachea or upper respiratory tract.

Finally, depending on the type of sound within the framework of wet rales, there are:

  1. Small bubbling sound.
  2. Medium bubbling sound.
  3. Big bubbling sound.

This classification, in turn, is important for identifying a particular disease. But you still can't do it on your own. The help of a doctor is required.

Diagnostics

A specialist in pulmonology deals with the diagnosis of problems with the lungs and bronchi. If there is tuberculosis of the respiratory tract, a consultation with a practicing phthisiatrician is required.

However, the above is true only for true wheezing. False wheezing is diagnosed and treated by an otolaryngologist. At the initial appointment, the doctor interviews the patient about complaints, their nature, degree and duration.

It is important to collect a life history and identify the following factors:

  • Living conditions.
  • Type of wheezing and lung sound.
  • The nature of professional activity (the presence or absence of harmfulness).

An objective research is called upon to put an end to the issue of the origin of the symptom.

Among them, the most commonly practiced are:

  • laryngoscopy.
  • Bronchoscopy. This is an endoscopic examination, during which a specialist can assess the condition of the bronchi and lungs with his own eyes, determine the probable disease and, if necessary, take a sample for a biopsy.
  • Physical research.
  • Chest x-ray or fluorography.
  • MRI/CT. The gold standard in diagnostics, however, is rarely practiced due to the high cost.
  • Finally, a routine examination of the lungs and bronchi with a stethoscope will be required.

The complex of the specified procedures is sufficient for statement of the exact and unambiguous diagnosis.

Therapy

Treatment of wheezing in the bronchi as such is not required. It is necessary to carefully find out the cause of the symptom and eliminate the root cause.

That's what the doctor should throw strength.

As a rule, therapy is conservative, with the use of drugs from several pharmaceutical groups:

  • Anti-inflammatory general action.
  • Mucolytics (designed to thin the sputum and quickly evacuate it from the body).
  • Expectorants that irritate the lungs and bronchial walls in order to quickly evacuate mucous exudate from the respiratory tract.
  • Bronchodilators. They are prescribed for bronchial asthma in order to expand the narrowed respiratory structures and facilitate the flow of oxygen.
  • A therapeutic bronchoscopy may be required. Such a therapeutic measure is most common for pneumonia, bronchiectasis, and chronic obstructive pulmonary disease.

Therapeutic tactics is determined by the treating specialist.

Preventive actions

Prevention is necessary not to prevent wheezing, but to prevent those diseases that cause the described symptom.

Specific prevention methods include:

  1. Refusal of smoking. Cigarettes are the enemy of healthy lungs and the respiratory system in general. Quitting tobacco can be a great help.
  2. Refusal to abuse alcoholic beverages. The maximum amount you can drink per day is 50 ml of red wine.
  3. Prevention of hypothermia. Hypothermia entails frequent acute respiratory diseases. What it is fraught with - has already been said.
  4. It is also worth treating all diseases of the pulmonological and cardiological profiles in a timely manner.

Wheezing in the lungs is a non-specific symptom that can indicate a variety of ailments. The causes are diverse and include both pulmonary diseases and diseases of the cardiological, gastroenterological properties. It is recommended to treat and diagnose the underlying factor under the supervision of a competent physician. You can't do anything on your own.

Wheezing in the lungs or wheezing in the bronchi occurs as a result of a narrowing of the lumen of the anatomical structures responsible for the conduction of atmospheric air into the body. This phenomenon is called obstruction.

Often the result of this condition is the so-called bronchospasm: stenosis of the walls of the bronchial tree.

However, the described condition varies in severity and can develop with a variety of diseases.

The most common pathological processes are:

  • Bronchial asthma.

In 100% of cases, it causes wheezing when breathing. In the course of the pathological process, an intense bronchospasm develops. In the absence of competent treatment and urgent medical care, a fatal outcome from respiratory failure is quite possible.

For the disease, an allergic or infectious etiology is typical, but this origin of the disease is far from always taking place. The disease proceeds paroxysmal.

Most often, attacks occur at night, after experienced stress, physical activity. This is a serious and dangerous disease, often leading to disability and restrictions in everyday life and professional activities.

  • Acute respiratory viral infection, aka SARS.

It is necessary to clearly distinguish between true and false rales in the bronchi, which occur in the trachea during its obstruction. Most often we are talking about false wheezing, but this is not axiomatic.

With prolonged or severe course of the disease, a picture of true obstruction develops with severe respiratory failure. Almost always, a complication of an acute respiratory disease is pneumonia or at least bronchitis. Therefore, you must carefully follow all the recommendations of the treating specialist. So the risk of becoming adverse effects will be minimal.

  • Bronchitis.

Inflammatory lesion of the bronchi. For bronchitis, an infectious-viral etiology is typical. Often the disease acts as a secondary complication in relation to an acute respiratory infection.

Typical symptoms are cough, fever, chest pain (weak), prolonged shortness of breath, wheezing in the lungs when breathing, decreased breathing efficiency.

Left untreated, bronchitis tends to worsen, leading to pneumonia (inflammation of the lungs).

  • Inflammation of the lungs (pneumonia).

An infectious-inflammatory disease of the lungs, during which the tissues of the paired organ undergo dystrophic changes. There is swelling, pain behind the sternum (severe), severe respiratory failure, shortness of breath, suffocation, wheezing when breathing in an adult.

The clinical picture is most pronounced with bilateral lesions. This is the most dangerous form of the disease.

  • Pulmonary edema.

It occurs relatively rarely. Almost never primary, acts as a complication of other diseases, such as pneumonia. Possible with prolonged contact with harmful vapors and other toxic substances.

  • Tuberculosis.

It is provoked by the microbacterium tuberculosis, also known as Koch's bacillus. This is a complex and complex disease that can lead to death. In the later stages, the disease leads to a melting of the lung tissue.

The disease is characterized by pain behind the sternum, cough, hemoptysis, a sharp loss of body weight, shortness of breath, suffocation, moist rales in the lungs. Without treatment, the lungs are destroyed in just a few years. Moreover, the causative agent of tuberculosis tends to be transported to other tissues and organs, forming foci of secondary lesions.

  • Heart failure.

By itself, wheezing is not characterized. Most often provokes the formation of secondary congestive pneumonia and pulmonary edema, causing a typical clinical picture. Unfortunately, it is not so easy to identify the root cause of the disease.

  • Chronic obstructive pulmonary disease.

She is COPD. Most often occurs in people who abuse tobacco products. It can act as a complication of long-term bronchial asthma, uncorrected by medication. Significantly reduces the quality of life.

  • Cancer lesions of the lower respiratory tract.
  • Emphysema and other diseases.

The list of reasons is very wide. A thorough diagnosis is required to identify the exact cause.

Complications

Very often this formidable disease does not pass without a trace. This is especially true for patients with a weak immune system. That is, children and the elderly. Therefore, if pneumonia is suspected, they must be taken to the hospital. There are two types of complications: pulmonary and non-pulmonary. The first include:

  • Spikes. They form during pleurisy.
  • Replacement of lung tissue with fibrous tissue. This phenomenon is focal form and is quite common.
  • Abscess. Pus appears at the site of inflammation of the lung tissue.
  • Gangrene. Here already inflammation with decay affects a significant part of the lung.
  • Empyema of pleural tissue - the inflammatory process passes into the leaves of the pleura, where there is an accumulation of pus.

Each of these complications is the result of late presentation or incompetence of the attending physician. Therefore, if the treatment does not give results, it is better to consult another specialist, hear the opinion of another doctor and draw conclusions based on this.

Extrapulmonary include complications that led to cardiac activity. Blood stasis develops, which leads to a lack of oxygen and a change in the rhythm of the heart. Wet noises are heard.

Types of wheezing

These extraneous noises originate in the bronchi and are sometimes transmitted from cavities that have arisen pathologically. This happens with an abscess, bronchiectasis or pulmonary tuberculosis, when a cavity forms. There are several types of wheezing:

  • by the nature of occurrence - pathological and physiological;
  • by the amount of sputum - wet and dry;
  • according to the caliber of the bronchi - large-bubble, medium-bubble, fine-bubble;
  • by the time of occurrence - expiratory and inspiratory;
  • by localization - extrapulmonary and pulmonary;
  • by timbre - low and high;
  • by loudness - sonorous and non-voiced.

Species characteristics

If there is a large amount of pathological secretion in the lungs, such sounds are called moist rales. They are divided into several types depending on the diameter of the bronchus in which they form. Of the large ones, there will be large bubbles, of the medium ones, medium bubbles, and from the bronchioles, small bubbles will be heard.

In addition to the caliber of the bronchi, the sonority of pathological noises is taken into account. Sonorous rales are more often referred to as large bubbling, and inaudible - to fine bubbling. The latter are sometimes combined with crepitus. This is the name given to the friction noise of the pleura during its inflammation. On auscultation, this phenomenon resembles the crunch of snow underfoot. Resonant wheezing is often heard at a distance from the patient, they accompany acute respiratory failure and bronchospasm.

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.

When to See a Doctor

Wheezing is a sign of a clear pathology, so you should not hesitate in any case.

  1. If wheezing appeared after a cold, against the background of a high temperature, it is worth calling a local doctor to rule out pneumonia and other life-threatening diseases.
  2. The sudden appearance of wheezing, shortness of breath, weakness, loss of orientation, dizziness - a reason to call an ambulance, we can talk about anaphylactic shock, bleeding, pulmonary or myocardial infarction.
  3. An ambulance needs to be called in any case if wheezing is observed in a baby of the first year of life, children under 3 years old, since the gaps in their bronchi are extremely small and any inflammatory process can result in oxygen starvation, suffocation.

Only doctors can correctly diagnose after an examination, blood test, fluoroscopy, so the sooner you turn to them, the more favorable the prognosis for a complete cure.

Crepitus

Crepitus is a sound similar to dry crackling or creaking of snow underfoot. This type of noise is formed in the alveoli, which are located at the ends of the bronchi. Alveoli are like small bubbles, they are involved in the act of breathing, gas exchange occurs in them.

Normally, the alveoli contain a small amount of fluid necessary for lubrication. The inflammatory process changes the quality of the exudate, it acquires a different consistency, changes properties, as a result, the walls of the respiratory sacs collapse and stick together. Involved in the inflammatory process, the alveoli begin to open not as usual at the beginning of inspiration, but at the end, abruptly, with a sound resembling crackling.

This noise can only be heard on inspiration. Coughing and changing the position of the body do not change the nature of the sound.

Crepitus appears early, often on the next day of illness, slowly disappears during the period of clinical recovery.

Extraneous breath sounds

In addition to the main basic noises, extraneous ones are distinguished, indicating the presence of pathological changes in the respiratory organ. They are classified as follows:

  • Wet. These rales, in turn, are divided into large bubble, medium bubble and fine bubble.
  • Dry. They can be low-pitched and high-pitched.
  • Crepitus. A crackling sound.
  • Rubbing noise of the pleura. Similar to the sound of rubbing hands.

Each of these noises has its own causes, so it is worth considering them in more detail.

Dry wheezing

They are less common than wet rales. They usually come from the bronchi and trachea. If a lot of thick, viscous sputum has formed in them, and it does not go away in any way, turbulence with vibration forms in the bronchial tree. Together they form howling, sustained sounds. Their tonality depends on the lumen of the bronchus, where it all happens. The thinner the bronchus, the higher the sound.

For such a sound, it does not matter whether the patient inhaled or exhaled. It can occur at any stage of the respiratory cycle and be of different duration. After coughing, the sound may change due to the movement of sputum.

If bronchial constriction is present, the sound is louder on exhalation. Usually such noise is heard in the first days of pneumonia. At this time, sputum is in the bronchi and clogs them. Without the use of a phonendoscope, these sounds are not audible, but with bronchial obstruction at the end of inspiration, you can catch a sound that looks like a quiet squeak. Dry rales on exhalation can be whistling, buzzing and hoarse.

Wet rales

With pneumonia, moist rales are most often heard. This is explained by the fact that during inflammation in the lungs a lot of sputum is formed, and air currents need to overcome it. They have a gurgling sound, quite loud and intense, well audible. It can be the same tone when inhaling and exhaling. It can be found anywhere in the lung, regardless of the location of the lesion.

If the patient coughs or turns, the noise may change or disappear for a while. But with the movement of sputum, it will resume again.

These sounds may not be heard very strongly even without the use of a phonendoscope. Increased with accumulation of sputum and preceded by a violent attack of coughing. As a rule, it is moist with a lot of sputum. After it, the breath becomes clear for a while, but not for long.

Moist rales can be detected three to four days after the onset of pneumonia, when a wet cough is observed. They can accompany the patient during the entire period of illness and up to two weeks after it, when sputum ceases to stand out.

Crepitus

When pathological fluid collects in the pulmonary alveoli, the patient's breathing makes a sound similar to the crackling of hair, if rubbed near the ear.

In the normal state, there is a special substance in the lungs that prevents the alveoli from collapsing and sticking together and acts as a lubricant. During pneumonia, this substance changes characteristics and does not fully perform its functions. The walls of the alveoli stick together, and their opening is a little late. It occurs at the end of inhalation, sharply, jerkily. This produces a sound similar to the bursting of small bubbles.

This noise has its own characteristics. It does not change after coughing and when changing the position of the body. It is heard only at the final stage of inhalation. If there is pneumonia, the sound is clearly audible. Noise begins to be heard on the second day of the inflammatory process and disappears during recovery.

Rubbing noise of the pleura

In a severe form of pneumonia, a complication in the form of pleurisy may develop. In this case, the pleural sheets lose their elasticity, and the fluid level decreases. Such sounds have a number of features:

  • The nature of the noise resembles the rubbing of dry palms.
  • Its appearance does not depend on inhalation and exhalation, it can occur at any time.
  • After coughing, the noise does not disappear, but if the bed patient turns to the other side, it may disappear. This is explained by the fact that when changing the position of the body, the sheets of the pleural membrane are pressed.
  • The sound may appear against the background of wheezing and is the main evidence of the presence of pleurisy.

Without listening with a phonendoscope, these sounds are not audible. It is possible to suspect the formation of inflammation of the pleura with the appearance of pain in the chest. But there is a method that allows you to check without special devices whether there is pleural noise.

To do this, pinch your nose and mouth with your hand. In this position, they imitate inhalation. In this case, no sounds will occur, since there was no movement of air through the respiratory tract. But if the pleura is inflamed, then its rustling can be heard, since the contraction of the diaphragm sets in motion the pleural membranes.

Wheezing with pneumonia

Wheezing in a patient is audible when the airflow collides with an obstacle while passing through the respiratory tract. Their appearance is possible only with a disease of the respiratory tract, a healthy person does not have wheezing.

Wheezing is also called breath sounds that a doctor can hear when examining a patient with suspected pneumonia.

Noise can be of several types:

  1. The most common type of noise is dry rales. Their appearance occurs when the air passing through the bronchi does not find barriers in the form of liquid. Dry rales are noted both during inhalation and exhalation. Basically, their presence is noted in patients suffering from chronic bronchitis, or when pneumonia began against the background of bronchitis. If a whistling sound joins dry wheezing, this may be a signal of bronchial obstruction.
  2. Crepitus. This type of breath noise is characteristic of the onset of pneumonia. It is also often noted when the patient is on the mend. Such a noise is heard only when inhaling and almost always indicates pneumonia. The reason for this sound is the alveoli. During inflammation, these small sacs at the ends of the bronchi fill with fluid when a person breathes - they stick together and unstick, which causes a quiet sound.
  3. Wet wheezing. Unlike dry rales, moist rales differ in that fluid accumulates in the bronchi. Depending on the bronchi in which the accumulation occurs (small, medium or large), the caliber of wheezing is also distinguished. If the disease is detected at an early stage, fine bubbling rales are heard. In cases where the disease is running, coarse rales appear. To hear them, you can simply come close to a sick person.

After complete recovery, a person should not have wheezing; if they appear, a complication can be suspected. These complications include the following:

  • Pneumofibrosis is the replacement of lung tissue with fibrous tissue. In this case, the lung is not as mobile as usual, the patient's breathing is weakened;
  • Adhesions - can occur when pleurisy joins pneumonia;
  • Abscess - accompanied by fever, weakness and fine bubbling wheezing;
  • Gangrene is a putrefactive inflammation in the lung, accompanied by an extremely serious condition of the patient. Wheezing is heard anywhere in the lung.

To avoid complications, it is necessary to consult a specialist in a timely manner and take the prescribed treatment.

Respiratory failure due to pneumonia

Respiratory failure is a condition that prevents a person from breathing normally and fully. This condition is dangerous for the patient, especially in childhood.

If respiratory failure is suspected, the baby needs to be hospitalized. Pathology occurs against the background of a violation of gas exchange in the inflamed lungs. In pneumonia, the main cause of respiratory failure is the accumulation of fluid in the alveolar sacs. When inhaling, air is not able to enter those departments that are filled with liquid, respectively, normal gas exchange does not occur.

Since part of the lung tissue is not involved in the process of breathing, respiratory failure occurs. Its severity depends entirely on which part of the lungs is affected. There are 3 degrees of severity of respiratory failure, which are distinguished by the following symptoms:

  • Stage 1 - the occurrence of shortness of breath with moderate and significant physical exertion;
  • Grade 2 - shortness of breath appears even with light exertion;
  • Grade 3 - shortness of breath occurs even at rest.

When respiratory failure occurs, more careful medical supervision is necessary, preferably in a hospital.

Varieties of wheezing

There are several types of wheezing that can be heard with pneumonia:

  • crepitus;
  • wet;
  • dry;
  • pleural friction noise;
  • bronchophony.

Crepitus

During inflammation of the lungs, the alveoli fill with fluid. When the breathing process takes place, they periodically stick together and unstick, making a quiet sound. This phenomenon often occurs at the very beginning of the development of pneumonia, as well as during recovery. This sound resembles a light crackle and is heard only when inhaling.

Crepitus can be detected by listening to the lung with a phonendoscope. At the same time, the doctor presses it tightly against the patient's skin, thereby reducing the audibility of low-frequency sounds. If the patient is a man and he has hairline on his chest, it is required to lubricate this place with fat so that an imitation of crepitus does not come out when rubbing dry hair.

Crepitus is congestive and inflammatory. The first type is usually seen in the lower lung regions. Such crepitus is less sonorous than inflammatory. In the latter case, dense tissue is found around the alveoli, which is better able to conduct sound.

Wet rales

Wheezes of this type are finely bubbling, large bubbling and medium bubbling. It all depends on the involvement of small, medium or large bronchi in the process. In them, there is an accumulation of fluid formed during inflammation. It's called an exudate. When breathing, the liquid gurgles. Moist rales are heard in both phases of respiration.

If pneumonia resolves without complications, fine bubbling murmurs are often observed. They sound like the bursting of small bubbles. When pneumonia is complicated or neglected, large bubbling rales occur. The sound can be heard not with the help of a special device, but even at a short distance from the patient. Medium bubbling noises occur with pulmonary edema, fluid ingress into small or medium bronchi. They sound like crackling.

Dry wheezing

This type of noise is manifested if the air, passing through the bronchi, does not find an obstacle, which is the liquid. Dry wheezing appears at the beginning of the development of pneumonia, passing against the background of other diseases of the respiratory system, such as, for example, bronchitis. They are observed in both phases of breathing and sound like rustling.

In the course of the disease, obstruction of the bronchi sometimes joins. Often this occurs in patients suffering from bronchial asthma. At the same time, a whistling sound is heard. The air stream passes through the bronchi, as through a pipe. Such a sound is easy to hear without a special device.

Noises of a dry nature indicate a narrowing of the lumen in the bronchi.

This is due to tumors, swelling of the mucous membrane, the presence of lumps of viscous sputum.

Rubbing noise of the pleura

If another disease joins the inflammation of the lungs, a pleural friction rub appears. It resembles scraping sounds and resembles crepitus. However, such noise listens constantly, in both phases of breathing. It appears when they rub against each other under the influence of air flow.

Pleural friction noise is characterized by the following properties:

  • dry intermittent sound;
  • the superficiality of the noise felt close to the ear;
  • variability of sound (capable of appearing and disappearing) - the exception is the chronic form of the disease;
  • low prevalence of sound;
  • auscultated in both phases of respiration;
  • the presence of pain.

Usually, a pleural friction rub is found in the lower part of the chest, on the side. Sometimes it is difficult to distinguish it from wet rales. In this case, you need to know some of the nuances. First, when pressed with a stethoscope, the pleural noise becomes louder. With regard to coughing and deep breaths, the sound does not change or disappear.

Bronchophony

Bronchophony is an increase in the patient's head when listening to the lungs. At the same time, he pronounces the word in a whisper, and the doctor hears him perfectly. If the bronchophony is pronounced, there is still a metallic tint to the sound. This type of noise indicates a seal in the lungs, which appeared as a result of inflammatory infiltration or for other reasons. With bronchophony, voice trembling is often determined.

We treat wheezing in the lungs when exhaling in children

In children, hoarse breathing often develops due to a complication of bronchitis. To save the baby from wheezing, you should contact the pediatrician and get competent advice on therapy.

Important. Wheezing when breathing in a child often manifests itself after a complete cure for the underlying disease.

In this case, hoarseness can be removed by gentle methods of traditional medicine and with the help of inhalations.

Treatment of wheezing on exhalation with medicines

With inflammation of the bronchi and the appearance of hoarse breathing, doctors develop an individual course of therapy. The tactics of treatment depends on the identified causative agent of the infection:

  • victory over viruses is provided by children's antiviral drugs;
  • with a bacterial infection, antibiotics will help; pediatricians prescribe broad-spectrum antibacterial agents for children with a minimum of side effects.

Expectorant drugs are connected to therapy (when wheezing with discharge of non-viscous sputum is detected) and mucolytics (to thin viscous mucus).

Such funds in children of the first year of life can cause a strong cough with vomiting.

For the treatment of children, it is more expedient to use herbal medicines in the form of mixtures, syrups and infusions. To remove wheezing in the lungs during inhalation with a dry cough, antitussive drugs are also used that stop the cough center.

But as soon as the cough becomes productive, with sputum discharge, the antitussive drugs are stopped. They cannot be used simultaneously with mucolytics - sputum will accumulate intensively in the bronchi, which leads to obstruction (complete blockage) of the organ.

If wheezing when coughing is caused by an allergy, doctors identify the main allergen irritant and prescribe a course of antihistamines to the child.

Traditional medicine to help children

To remove wheezing in the lungs, treatment in a child can be carried out in folk ways. Such therapy is advisable as an additional one or when residual sips are detected. How to use the advice of healers correctly? Try the following complex:

  1. Grind onions (500 g) with sugar (50 g) and melted honey (60 g). Slowly simmer the mass for half an hour, then dilute with a liter of water and leave in a dark, cool place to infuse for 2-3 days. Take three times a day, 25 ml.
  2. In between taking the onion drug, let the child drink 30 ml of freshly squeezed radish juice (4-5 times a day). For taste, it can be mixed with honey.
  3. Massage your baby daily. Dip your fingers in honey and rub them vigorously on the back (between the shoulder blades) and above the sternum.
  4. Ask your child to blow out an imaginary candle every day. Let the baby blow for 3-5 minutes in a row.
  5. At night, put compresses on the child using boiled potatoes, honey, cabbage leaves. They are especially good for wheezing after a wet cough.

And let the baby drink a lot! Warm, plentiful drink effectively thins the mucus and helps the body get rid of phlegm. Any homemade compotes, fruit drinks, kissels, lime blossom tea, juices are suitable for drinking.

Important. If folk recipes turn out to be powerless (when, after coughing, wheezing does not go away for more than 1.5 weeks), consult a pediatrician. Even if the baby is cheerful and cheerful, and the cough does not look pathological.

herbal therapy

Traditional medicine often uses a variety of healing recipes using herbs and plants. For children (from 3 years old) the following recipes are suitable:

  1. Mix equal amounts of coltsfoot, peppermint, psyllium, and marshmallow and licorice roots. Herbal collection (25 g) steam with boiling water (20 ml) and leave for 1.5-2 hours. Then bring to a boil and cool. Take warm, 12 ml on an empty stomach three times a day.
  2. To mint or oregano (5 g) add wild rosemary, plantain and licorice (6 g of each ingredient). Brew the grass with boiling water (400 ml), simmer for 3-4 minutes and leave for half an hour. Drink 10 ml 2-3 times a day.

Wheezing during exhalation can occur for various reasons. To successfully get rid of hoarseness, be sure to seek help from a doctor. This must be done to exclude serious pathologies in the body. With well-chosen therapy, coughing and wheezing when exhaling will soon disappear without a trace.

How to treat wheezing in the bronchi during exhalation

To get rid of hoarseness, you should defeat the main root cause of the problem. By removing the cause, doctors also win the effect. Basically, therapy for wheezing in the bronchi is carried out in three directions.

Medical treatment

With the treatment of wheezing in the bronchi, it is impossible to delay. Such a symptom indicates the development of a dangerous process in the bronchopulmonary system, fraught with purulent complications.

With drug therapy, doctors often prescribe a course of antibiotics for older patients and when there is a bacterial infection.

At the beginning of the disease, when the cough is dry and accompanied by dry wheezing, intensive treatment with expectorants is carried out. At this stage, the main thing is to thin the thick sputum and help the body get rid of it by expectoration.

Attention. If the patient is tormented by a strong dry cough, doctors may prescribe antitussive drugs that block the cough center

But as soon as the cough becomes wet, treatment with antitussive drugs is stopped.

Remember that bronchitis is not just wheezing and coughing. This is the activity of viruses, bacteria that provoked the disease. Physicians approach the treatment of bronchitis and hoarse breathing in a complex individual way:

  1. Bronchospasmolytics are used to relieve spasm in obstructive bronchitis. It is better to inject such drugs into the body by inhalation (using a nebulizer).
  2. Therapy for acute bronchiolitis includes inhalation using corticosteroids. If the pathology is accompanied by adenovirus infection, treatment is carried out with systemic corticosteroids. These drugs do not give the development of obliteration (blockage) of the bronchi.
  3. When bronchitis has already developed into a chronic form, the patient will have to regularly visit a pulmonologist and be under the supervision of a doctor. If a recurrence of the pathology is suspected, antiviral drugs, mucolytics and inhaled corticosteroids are prescribed.

Inhalations with bronchitis accompanied by hoarse breathing become the main method of treatment. When using medications, aerosol inhalation is used.

You can also remember grandmother's methods - to breathe over a container with a hot healing composition (steam inhalation). For such procedures, it is better to use medicinal herbs and essential oils.

Physiotherapy

In addition to drug therapy, it is mandatory for patients to develop a course of physiotherapy.

Important. Physiotherapy is used only as an additional (auxiliary) therapy.
. The action of such treatment is aimed at improving blood circulation in the bronchi and eliminating liquefied mucus.

As physiotherapy, patients are prescribed courses of massage, breathing exercises, visiting speleological rooms. Conduct sessions of UHF therapy, electrophoresis.

The action of such treatment is aimed at improving blood circulation in the bronchi and eliminating liquefied mucus. As physiotherapy, patients are prescribed courses of massage, breathing exercises, visiting speleological rooms. Conduct sessions of UHF therapy, electrophoresis.

ethnoscience

Traditional medicine recipes are also good helpers in the fight against hoarse breathing with bronchitis. Experts advise using the following methods (especially if wheezing is heard during exhalation):

  1. In equal proportions, mix a finely chopped aloe leaf (take a plant over 3 years old), peels (fresh) of lemon and natural honey. The mass is infused for a week. The finished drug is taken orally 10-12 ml on an empty stomach. The course of treatment is 40 days, after which you should rest for a week and repeat the treatment.
  2. Hot milk is an excellent prophylactic way to prevent wheezing. Drink a glass of hot milk three times a day. You can add honey, soda or infusion of boiled raisins to it.
  3. Perfectly copes with wheezing when exhaling ginger. Add the grated root of the plant to hot drinks, mix with lemon and honey.
  4. To get rid of hoarse breath faster, use viburnum berries. Delicious fruits are poured with warm water and honey or lemon is added (for taste). Eat berries and just bite - they will help with any application.

Tinctures of turnip juice, black radish and carrots are useful in the fight against wheezing during exhalation. Healing extraction can be mixed with honey and lemon.

The defeat of the respiratory system is one of the most popular diseases. They are characterized by many clinical manifestations.

Among the most common manifestations, wheezing during breathing is distinguished. These manifestations occur mainly in inflammatory processes in tissues with the development of effusion.

Wheezing in the lungs is the appearance of unhealthy breath sounds during breathing. The condition is associated with damage to the respiratory system. They can have different characteristics such as frequency and sound.

FROMAmong the main reasons for their development are respiratory diseases of a different nature. These manifestations require a thorough diagnosis, determination of the cause and selection of the most effective therapy.

Causes of wheezing in the lungs

The development of wheezing in the lungs during breathing is characteristic of various pathologies. Diagnosis and determination of the exact cause of the development of such symptoms during breathing underlies the selection of therapy.

Bronchospasm

Nonspecific damage to the bronchi, which is accompanied by a violation of their patency.

Against the background of its progressive course, tissue disorganization occurs with a change in pulmonary ventilation and difficulty in the outflow of bronchial secretions.

The patient experiences a gradually increasing lack of air with the development of respiratory failure.

Bronchospasm is characterized by a progressive course with the formation of seizures. They are accompanied by a sharp deterioration in well-being and fear of death.

Bronchial asthma

This cause of the development of wheezing during breathing carries an allergic nature. It is associated with the development of hypersensitivity of the body in response to the surrounding chemicals, drugs, products.

Wheezing during breathing begins to appear from the initial stages of the development of the disease, their character is predominantly wet.

They are susceptible to the development of facial pathology at any age, but patients from 25 to 35 years old most often face the primary appearance.

For its occurrence, it is often necessary to have a hereditary predisposition to allergic diseases.

In the absence of treatment, a steadily progressive course appears. Wheezing when breathing will gradually worsen, accompanied by severe shortness of breath with a feeling of suffocation. With a sharp deterioration in well-being and the absence of medical care, a fatal outcome occurs.

SARS


The cause of its development can be various types of viral agents.

As a rule, the disease is characterized by a seasonal type of course, the peak of which occurs in autumn or spring.

The most susceptible to its development are persons with a reduced state of the immune system, as well as patients with concomitant diseases.

As a result of the action of the virus, tissue inflammation occurs with the development of edema.

If left untreated, the risk of infection moving to the underlying sections increases with the formation of bronchitis or pneumonia.

Wheezing during breathing develops in advanced cases, when the therapy does not have the desired effect, in addition, the clinic characterizes a false croup.

Bronchitis

This inflammatory process localized in the bronchi develops as a result of a long-term lesion of the upper tracts.

Bacterial agents are predominantly the main cause.

The disease can develop in people at different ages. The risk group includes smokers and people with a tendency to reduce immunity.

In pathology, the patient is concerned about a cough of a different nature, most often it is wet with a large amount of sputum discharge.

Wheezing in the lungs when breathing is a mandatory symptom of bronchitis. They may appear in the early stages of development. There is a deterioration in general well-being with an increase in body temperature and intoxication.

Pneumonia

Inflammation of the lung tissue is accompanied by a sharp deterioration in well-being.

The pathological process most often occurs as a result of the vital activity of bacterial agents.

Pneumonia is characterized by:

Pulmonary edema

The exit of the liquid part of the blood beyond the bloodstream is characterized by a sharp deterioration in well-being. It is associated with a violation of the respiratory function and a lack of oxygen supply to the tissues.

The respiratory surface of the lung tissue decreases and fluid accumulates in the alveoli, which, when mixed with oxygen, begins to foam. This process occurs as a complication against the background of underlying diseases.

Most often it develops with long-term bilateral pneumonia. The patient feels a sharp lack of air, suffocation, as well as coughing and the appearance of pronounced wheezing when breathing. Contact with harmful chemicals and vapors should not be excluded from the causes of the development of pulmonary edema.

Tuberculosis

Specific damage to the body caused by the action of a specific pathogen. It is a bacterial agent - Mycobacterium tuberculosis.

WThe disease is widespread in modern society. Most often it develops in people of socially disadvantaged strata of society.

Its development is most susceptible to people with weakened immune systems and the presence of concomitant diseases localized in the lung tissue. It may take several years from the moment of infection to the onset of typical symptoms.

Pathology is characterized by:

If left untreated for several years, complete tissue destruction can occur, followed by death.

Heart failure

Pathology is caused by a malfunction of the cardiovascular system. As a result of trigger factors, malformations of the heart, a violation of the structure of blood vessels, pathological narrowing or expansion, as well as the consequences of severe heart attacks that occur with complications, are isolated.


The disease is characterized by:

  • The development of a wet cough;
  • The appearance of moist fine bubbling rales during breathing. Their occurrence appears against the background of fluid stagnation in the lower parts of the lung tissue.
  • With a long-term process, pneumonia can develop with the formation of edema.

Elimination of the condition is impossible without the start of etiotropic therapy aimed at treating the cardiovascular system.

Chronic obstructive pulmonary disease

Pathology develops as a result of a violation of the structure of the bronchial tree. The process of movement of air masses is disturbed.

Most often, COPD is formed in persons of mature age; men who abuse smoking are susceptible to its development. For the appearance of wheezing in the lung tissue, a long course of the disease is necessary.

Symptoms:

  • At the initial stages, patients can note the clinic of chronic bronchitis, in which there is no positive effect of therapy.
  • As the process progresses, moist rales develop during breathing., which are aggravated by severe shortness of breath and the formation of respiratory failure.
  • Patients note a deterioration in the quality of life due to the constant feeling of lack of air.. Therapy is symptomatic, since it is impossible to achieve a complete recovery.

Crayfish

A malignant process localized in the lung tissue is the most dangerous beer for the appearance of wheezing during breathing. Pathology develops in people of different ages.

The most susceptible to its development are smokers, as well as people who have been in contact with chemicals in hazardous production for a long time.

Tumor growth is characterized by:


Emphysema

This type of damage to the lung tissue can occur as a result of a violation of the structure of the alveolar apparatus. Pathology affects all parts of the lungs.

Destroyed alveoli expand, acquire increased airiness, followed by destruction of the cell walls. Gradually, they accumulate exudate, which interferes with the breathing process and is characterized by the development of wheezing.

The patient may experience:

  • difficulty breathing
  • feeling short of breath
  • as well as the accession of secondary diseases.

The process is predominantly acquired. More rarely, this is a congenital condition caused by a violation of the synthesis of a specific protein.

Causes of wheezing in children

The development of wheezing when breathing in children can occur as a result of various conditions:

Types of wheezing in the lungs

There are various types of wheezing, which can vary in their characteristics. Listening is carried out during auscultation at the stage of physical examination. An accurate definition of the type helps to make a diagnosis and choose a method of therapy.

Wheezing without fever

The development of wheezing in the absence of pronounced signs of the inflammatory process is associated with the presence of diseases based on an autoimmune, allergic or destructive process.

These pathologies include:

  • Emphysema of the lungs. The alveoli in this case are destroyed and filled with exudate.
  • bronchiectasis. In the alveoli, there is an accumulation of exudate of a purulent nature.
  • bronchial asthma, based on a hypersensitivity reaction.
  • Pulmonary edema formed as a result of a violation of the cardiovascular system.

Dry wheezing

The development of dry wheezing during breathing is based on a process that is not accompanied by the accumulation of exudate in the lung tissue.

Causes that can cause this condition include:

  • Inflammation of the lung tissue in the early stages of the pathological process.
  • Bronchial asthma in the first minutes of the development of a paroxysmal condition.
  • Inflammation of the bronchial tissue in the initial stages.
  • emphysema.
  • Chronic obstructive pulmonary disease.

Wet rales

The appearance of wet rales during breathing is an unfavorable variant of the course of the disease.

In this case, there is an accumulation of exudate in the lung tissue, which at the time of auscultation is expressed by gurgling. Strengthening of this state can be associated with the moment of inhalation or exhalation.

Among the pathologies accompanied by the appearance of wet rales, there are:

  • Severe bronchitis.
  • bronchiectasis.
  • Tuberculous defeat.
  • Acute respiratory diseases.
  • Pneumonia in the stage of the height of the current.

wheezing

This type of pathological breathing is characterized by a lengthening of the expiratory period with an increase in dry lung sound. In this case, the process is caused by a narrowing of the lumen of the bronchi.

The causes underlying wheezing are:

  • Bronchial asthma.
  • Bronchitis.
  • Pneumonia.
  • COPD

By localization

Depending on the level of localization of the pathological process, wheezing during breathing is divided into:

  • True or formed in the tissues of the lung, as well as the bronchial tree.
  • False, caused by the development of a pathological process in the upper respiratory system.

Depending on the sound

At the time of diagnosing wheezing during breathing, great importance is given to the type of sound. Determination of the exact characteristics of sound is necessary for differential diagnosis and clarification of localization with the volume of tissue damage.

Among them are:

  • Fine bubble sounds with soft, barely audible characteristics.
  • Medium bubbling. Wheezes in this case can be finely bubbling and large bubbling with a combination of various localizations.
  • Large bubble. Wheezing is clearly audible, reminiscent of the bursting of large bubbles.

Diagnostics

Doctors of a therapeutic profile clarify the cause of the development of wheezing during breathing, preference should be given to a pulmonologist.

With a specific lesion of the lung tissue caused by tuberculosis, it is necessary to diagnose the phthisiatrician.

Confirmation of the diagnosis is based on the clarification of the patient's complaints, as well as possible factors that complicate the course of the process.

Also, the specialist needs to clarify information about the dynamics of the process, the presence of concomitant pathologies, as well as the effect of the treatment.

From the data of the anamnesis, the living conditions of the patient, the nature of the working conditions, as well as the presence of contact with patients suffering from infectious diseases of the lung tissue are of great importance.

Percussion of lung tissue- a physical way to assess the pulmonary system. The doctor determines the nature of the sound that he hears while tapping the lung tissue. The most important changes are the weakening and dulling of the sound signal, which is a reflection of the compaction of the organ.

Auscultation- it requires a special tool to perform it - stethoscope. The device allows you to hear changes in the permeability of air masses and the formation of wheezing.

As additional diagnostic methods, a large number of studies are distinguished that allow assessing the state of the respiratory system at various levels.

Among them are:

  • laryngoscopy. The technique is evaluated on examination of the glottis and larynx. It is important to exclude inflammation or a tumor process, as well as structural anomalies. The advantage of this technique is the immediate results.
  • Bronchoscopy. This type of research is classified as endoscopic and invasive. The procedure is carried out under anesthesia. With the help of special equipment that allows you to enlarge the image, the doctor examines the condition of the bronchi and lung tissue. If necessary, it is possible to obtain histological material for further research.
  • X-ray. This technique is one of the most common. It is the basis for the diagnosis of pulmonary pathology. Modern devices allow you to get an accurate image that clearly reflects the pathological process.
  • Fluorography. A screening technique that assesses the condition of the lung tissue with minimal radiation exposure to the body. This method is most necessary for the early detection of tuberculosis pathology.
  • Magnetic resonance or computed tomography. These types of studies are classified as non-invasive highly sensitive methods. When they are performed, it is possible to see the initial processes of the disease, including the development of tumors.

Treatment in adults and children

Therapy for wheezing during breathing depends on the disease that led to their development. It is necessary to start treatment at the initial stages, since the risk of a quick recovery is higher.

In addition, the frequency of complications resulting from running processes is reduced. The choice of medicines is carried out only by a specialist of the appropriate profile after the diagnosis and diagnosis.

Among the main groups of drugs used to treat wheezing, there are:


Alternative methods of treatment of wheezing in the lungs

The use of alternative methods of therapy is shown in conjunction with drugs. Using them as monotherapy can be dangerous due to their lower therapeutic effect. The combination with medication leads to a faster recovery.

The selection of the most effective method is carried out by a specialist after assessing the general state of health.

Folk remedies include:

  • A mixture of lemon, ginger and honey.
  • A solution of radish juice with honey.
  • Hot milk with butter.
  • A decoction of chamomile, calendula or coltsfoot.

Complications

Depending on the cause that underlies the pathological cause, various complications of wheezing during breathing are distinguished.

Among the main consequences are:

  • Severe insufficiency of the respiratory system.
  • The manifestation of hypoxia in tissues with impaired functioning of various organs and systems.
  • The transition of the inflammatory or tumor process to other tissues.

In severe conditions, a fatal outcome is possible due to massive damage to the lungs and the lack of effect from the therapy.

Prevention

Implementation of preventive measures can be primary or secondary. They are aimed not only at preventing the development of wheezing during breathing, but also at reducing the frequency of repeated exacerbations of the chronic process.

These preventive measures include:


With the development of wheezing against the background of breathing, it is necessary to conduct a thorough diagnosis with a diagnosis. With properly selected therapy, improvement in well-being occurs within a short period. Delayed seeking medical help leads to progressive worsening of the condition and possible onset of death.