Causes of wheezing during inhalation and exhalation in the lungs. Wheezing - causes

Lung wheezing is a pathological noise that occurs when breathing. This sign most often indicates inflammatory diseases bronchopulmonary system, but can also be a symptom of pathologies that are not associated with the lungs or bronchi.

Establishing the primary cause of the appearance of extraneous noise during breathing is an important stage of treatment, since the disease cannot always be eliminated with anti-inflammatory or other drugs.

Causes of wheezing in the lungs

In most cases, wheezing in the lungs occurs with pneumonia, bronchopneumonia and acute or chronic bronchitis. At the same time, the general well-being of a person suffers. We are accustomed to the fact that pneumonia must be accompanied by a rise in temperature, but there is atypical forms inflammation of the lungs, in which clinical picture differs from the standard course of the disease. Therefore, some people may experience wheezing in the lungs without a rise in temperature. In addition to pneumonia, pathological noises in the organ are also heard in other diseases of extrapulmonary origin. These are myocardial infarction, cardiac pathologies, pulmonary edema as a result of severe somatic diseases.

Wheezing in different parts of the lung is heard when:

Tuberculosis.
Abscess.
Pneumofibrosis.
Malignant neoplasms.

In these conditions, there may be no temperature or it occurs periodically and rises to 37 or slightly above degrees. The formation of pathological noise is based on two processes:

Change normal condition the walls of the bronchi, which leads to a narrowing of their lumen.
Presence of mucous or purulent masses in the vessels of the respiratory system with to varying degrees their viscosity. This secretion begins to fluctuate under the influence of air, and different sounds arise in all parts of the lungs and in the bronchi.

When listening to the respiratory system, the doctor pays attention to different characteristics sounds, that is, their sound. When they form - on inhalation or exhalation. How moist rales appear in the lungs is also of diagnostic importance. They can be large, medium and small.

In some pathologies of the bronchopulmonary system, wheezing is heard only on exhalation; in others, on inhalation; there may also be mixed wheezing sounds. With bronchial asthma, sounds on exhalation are heard more clearly; they are called expiratory sounds. Wheezing during inspiration is referred to as inspiratory wheezing; you can clearly hear it in acute bronchitis.

IN lower parts the appearance of wheezing in the lungs occurs due to congestion. The walls of the alveoli become inflamed, swollen and secrete exudate, disrupting the process of normal breathing. If treatment is carried out according to correct scheme, That inflammatory process is eliminated and gradually the mucopurulent secretion comes out and breathing returns to normal.

Prolonged wheezing in the lower parts of the organ can be detected in adults with chronic obstructive pulmonary disease. This disease is often registered in those who smoke and who have not completed treatment for chronic bronchitis. Moreover, changes in breathing appear even without temperature.

What to do if you have wheezing in the lungs

When you hear any wheezing in your lungs, the first thing you need to do is get examined. The doctor begins to find out the causes of the disease by listening to the bronchopulmonary system. Based on the data obtained, treatment is prescribed immediately or after additional diagnostics. Most often, radiography of the bronchi and lungs is used; this method allows one to diagnose bronchitis or pneumonia with high accuracy. Additionally, blood tests and sputum collection are prescribed to identify specific pathogens.

If the diagnosis is unclear and a tumor is suspected in the organ cavity, CT is currently used, that is, layer-by-layer CT scan lungs.

It is absolutely impossible to treat wheezing in the lungs on your own. Taking various medications can suppress the inflammatory process, but it is unlikely that it will be possible to cope with all the changes and complications. And this almost always leads to the transition of an acute illness to a chronic one, which will require long-term therapy.

Treatment of inflammatory pathologies in the lungs

Since wheezing in the lungs most often occurs due to inflammation of the organ, treatment begins with the prescription of antibiotics. For pneumonia, Kanamycin and Ceftriaxone are used in most cases. Medicines are preferably administered by injection; this form of medicine is absorbed by the body more efficiently.

ACC is one of the drugs effective in such cases

Antibacterial treatment is also prescribed if the inflammation occurs without fever. In addition to this group of drugs, drugs are used that help liquefy viscous and dense purulent sputum. These are Cysteine, Mukobene, Mucomist. After the sputum becomes less viscous, drugs are prescribed to enhance expectoration - ACC, Mucaltin, Lazolvan. Treatment of pneumonia is more successful if drug therapy combine with physiotherapy and massage. These additional methods therapy helps improve blood circulation and increase sputum discharge.

Benefit during treatment inflammatory diseases folk remedies can also bring relief to the bronchopulmonary system. If there is no temperature, then you can put it on the area chest and back warming compresses. Under their influence, blood circulation in the bronchi increases, and they quickly get rid of softened mucus. Steam inhalations also help reduce the viscosity of purulent secretions. Children and adults can drink decoctions of anti-inflammatory and expectorant herbs. Vitamins boost immunity good nutrition, beekeeping products.

During the recovery period, drafts and hypothermia should be avoided. It is better not to take your child to a child care facility for at least another week after the course of aspen treatment, especially during the cold season. Hardening and playing sports improve performance immune system, which leads to a decrease in the number of colds and respiratory diseases.

Based on the mechanism by which wheezing occurs, as well as the sound sensation obtained when listening to it, wheezing is divided into dry and wet.

Wet wheezing occur when fluid accumulates in the bronchi (liquid secretions or blood); a passing stream of air foams the accumulated liquid, the bubbles formed on its surface burst and are perceived by the examiner's ear as wet rales. When fluid accumulates in the bronchioles and small bronchi (bronchopneumonia, bronchiolitis), fine bubbling rales are heard; if liquid secretions or blood are contained in the bronchi of medium or large caliber (bronchitis, pulmonary edema) or in cavities of the appropriate size (bronchiectasis, abscess,), medium or large bubbling rales are heard. It is necessary to differentiate fine bubbling rales from crepitus (see). When the lung tissue around the cavity thickens, moist rales become loud.

Dry wheezing occur when bronchial obstruction is impaired (bronchus, its deformation or compression, swelling of the bronchial mucosa or accumulation of viscous sputum in them). Their formation is associated with vortex-like air movements in places of narrowing.

Buzzing (bass) dry rales are formed in large bronchi, whistling - in small bronchi, bronchioles.

With extensive bronchial obstruction, dry wheezing is heard over all lung fields (for example, bronchial asthma, bronchitis).

The persistence of dry wheezing over any part of the lung tissue is a symptom of a local inflammatory focus or tumor, causing a decrease in the lumen of the bronchi.

Wheezing (rhonclii) is a pathological breathing noise that occurs in the bronchi, trachea, as well as in pathological cavities of the lungs (abscess, cavity, bronchiectasis). In the absence of cavities in the lungs, the appearance of wheezing indicates a violation of bronchial obstruction. There are dry and wet rales.

Dry wheezing have a single mechanism of formation - narrowing of the bronchial lumen, which occurs during bronchial spasms (bronchial asthma), swelling of the bronchial mucosa (inflammation, allergic reactions), in the presence of a viscous mucous secretion adhering to the walls of the bronchi
(bronchitis), with the growth of a bronchogenic tumor or compression of the bronchus from the outside (tumor, enlarged lymph node, inflammatory process). In areas of narrowing of the bronchi, the passing air makes additional vortex-like movements, which cause the appearance of dry wheezing. Dry wheezing is heard during inhalation and exhalation. Depending on the width of the lumen and the degree of narrowing of the bronchus, high (treble) - whistling and low, buzzing - bass wheezing are distinguished. Higher dry wheezes (rhonchi sibilantes) occur in small bronchi, and lower ones (rlionchi sonores) - in large ones. Dry wheezing is highly variable: over a short period of time and in the same area, their number can either increase or decrease, they can disappear and reappear. When you cough, a viscous secretion moves from one bronchus to another, so wheezing can change its character - disappear in the place where it was heard before the cough, and appear where it was not there before the cough. This makes it possible to distinguish them from other additional respiratory sounds (crepitus, pleural friction noise), which do not change when coughing. The more energetic the movement of the masses located in the bronchi, the louder the wheezing. Since with deep breathing the speed of air movement in the bronchi increases, the amplitude of vibrations increases and the volume of wheezing increases. Therefore, when listening, you should force the patient to breathe deeper. When exhaling, the speed of air flow in the bronchi is less than during inhalation, therefore, during exhalation, wheezing is heard less clearly than during inhalation. An exception is bronchial asthma, when dry wheezing is heard mainly during exhalation.

Constant dry wheezing over any area of the lung tissue has a large) diagnostic value, since they are a symptom of a local inflammatory focus or tumor in the lung, which reduces the lumen of the bronchus.

Wet wheezing occur in the bronchi and pathological cavities of the lungs if the secretion they contain has a liquid consistency (liquid sputum, exudate or transudate, blood). They resemble the sound of air bubbles bursting in water, blown through a tube. In most cases, the mechanism of occurrence of moist rales is exactly this. During inhalation and exhalation, air passing through the liquid filling the bronchus foams it. The bubbles, rising to the surface of the liquid, burst and are perceived when heard as moist rales. According to B. S. Shklyar, the described mechanism for the occurrence of moist rales can only occur if the contents of the bronchi are completely liquid. If the masses contained in the bronchi are semi-liquid (thick sputum), then it is difficult to allow air to pass through them with the formation of bubbles. In these cases, apparently, a semi-liquid film forms in front of the air stream, which, stretching, gradually becomes thinner and bursts, producing a sound perceived as a wet wheeze.

The size of the air bubbles formed depends on the force of movement of the air stream, its speed, the amount of secretion and mainly on the width of the lumen of the bronchi or the diameter of the pathological cavities. When listening, some of the moist rales resemble the sound of smaller bubbles bursting, others - larger ones. Therefore, moist rales are divided into large, medium and small bubbles. Large bubbling rales occur in large bronchi with pulmonary edema and in pathological cavities. Tracheal bubbling rales usually appear when the patient is in serious condition, when he is unable to cough up mucus from the trachea. Such wheezing is often heard during the period of agony. The appearance of large bubble rales over the peripheral parts of the lungs, where there are no large bronchi, may indicate the formation of a cavity.

Medium-bubbly moist rales are formed in the bronchi of medium caliber and are a sign of bronchitis or appear during congestion in the pulmonary circulation.

Fine-bubbly moist rales occur in small and minute bronchi with inflammation of the mucous membrane of the latter (bronchitis, bronchiolitis). Small bronchi are often involved in the inflammatory process when lung damage Therefore, moist fine bubbling rales are often detected in focal pneumonia. The presence of moist small- and medium-bubble rales in the lower parts of both lungs is often associated with circulatory failure, in which stagnation of blood develops in the pulmonary circulation (heart defects, cardiosclerosis, cardiac asthma).

Moist rales are divided into sonorous and silent. The sonority of wheezing depends on the degree of sound transmission by the lungs and the presence of resonance. When the sound conductivity of the lungs increases (compaction) and especially in the presence of resonance (cavity), moist rales become sonorous. With caverns, sonorous moist rales often have a metallic tint. This is facilitated by the surrounding cavity being compacted lung tissue, enhancing resonance.

Silent moist rales are heard during bronchitis and congestion in the lungs. It is necessary to differentiate fine bubbling rales from crepitus (see) and pleural friction noise. Fine bubble moist rales are heard at different times in both phases of breathing, while crepitus is heard only at the height of inspiration in the form of an “explosion”. Moist rales change after coughing (increase, decrease, change their localization), but crepitus does not change. To distinguish the pleural friction noise from moist wheezing, the patient is asked to cough - in this case, the wheezing changes, but the pleural friction noise does not change; They ask the patient to close his mouth and pinch his nose, and then pull in and protrude his stomach - the sound of pleural friction is heard, but there is no wheezing, since there is no air flow. When breathing, pleural friction noise is most often
accompanied by pain in the corresponding half of the chest, which does not happen with wheezing.

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

In any case, this disease is not typical for pulmonary pathology, since most diseases of the respiratory system cause a rise in temperature in an adult and a 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 its clotting function is impaired.

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

The whistle coming from the patient's throat is physiological process, occurring in the lungs, which is a spasm of the bronchial lumen. The degree of its contraction determines how noisy the wheezing will be. Bronchospasm can occur from the reaction of the respiratory organ to an internal or external irritant, or due to periodic excess mucus.

In modern pulmonology there are following reasons the occurrence of wheezing in the lungs in adults without cough and fever:

Not typical pneumonia or Chronical bronchitis. Often these diseases do not necessarily occur with fever. They may not be noticeable for a long time long period time if the inflammatory focus affects a small area.
Bronchial asthma. On average, in 90% of cases of wheezing during inhalation and exhalation during breathing, this is an allergic spasm of the bronchial lumens. This reaction of the body can be considered a severe degree of allergy. Bronchial wheezing always intensifies at the onset of an attack. Depending on the severity of the disease, it may accumulate in small quantities or be absent altogether. Treatment of this respiratory pathology 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 vascular system in most cases it is severely impaired. Often develop congestion in the lungs. Then in this organ it increases blood pressure and the smallest vessels, capillaries, cannot withstand overload. They burst and a small amount of blood enters the bronchi. This stranger in this part of the body biological fluid irritates the respiratory system and causes wheezing.
Oncological pathology. Until the 2nd stage of tumor development, the patient does not experience a cough and the disease signals itself only by periodic bronchospasms. In this regard, a characteristic whistle is heard from the lungs. This symptom does not last long, so adults sometimes ignore the signs of a serious illness. The disease is diagnosed using x-ray or MRI of the lungs.

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

General characteristics of wheezing without fever and cough

The presence of a characteristic whistle when inhaling and exhaling during breathing is always one of the manifestations of inflammation in the lungs. Even if an adult does not experience fever and cough, they are always present following symptoms: loss of appetite, shortness of breath after minor physical activity, weight loss and weakness. To these indirect signs Respiratory diseases require special attention.

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

It is important to remember that each type of wheezing emanating from the bronchi is characteristic of a certain category of lung pathologies. Availability extraneous sounds during the patient's breathing allows the doctor to only tentatively 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 for a patient who has wheezing during breathing during inhalation or exhalation begins immediately after the cause of their origin is established. 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 can be used at once medicines in complex.

If there is asthmatic wheezing in 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. An individual diet is developed for an adult, which contains only biologically healthy foods food (cereals, lean chicken, bread made from flour coarse). For the period of treatment, citrus fruits, apricots, alcohol, tea, coffee, chocolate, sea and ocean fish, tomatoes and all dishes made from them are removed from the diet. It is recommended to use vasodilating drugs such as Drotaverine, Eufillin, Spazmolgon.

Wheezing when breathing due to illness of cardio-vascular system- do not require special treatment. All efforts of doctors are aimed at compensating Negative influence heart failure. As the heart, blood vessels are treated and blood circulation is restored, the patient is given mucolytic drugs in order to remove from the bronchi the remaining fluid that has accumulated due to a violation of the small circulatory cycle in the respiratory organs. As a rule, wheezing during inhalation and exhalation disappears immediately after recovery normal operation heart and blood flow.

The most difficult process is the treatment of wheezing without cough and fever, the appearance of which is associated with 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 chemicals, cytostatics, and undergoes radiotherapy. If necessary, prescribe surgical intervention with removal of foreign tumors. In especially severe cases, even resection of part of the lung is possible.

Lung wheezing is an unhealthy breathing noise that comes from one or both lungs and is intermittent, different frequency. They are often caused by respiratory problems and can be felt when inhaling or exhaling, with or without a cough. A person may have more noticeable wheezing when lying down. This condition may be accompanied by a dry cough.

Pathological sounds in the lungs in most cases can only be heard with a stethoscope when medical examination. Therefore, you should not try to self-diagnose.

When wheezing is observed in both lungs, it is referred to as bilateral. And when they originate from the base of the lung, they are known as basal or basal crackles. In this case, wheezing is caused by narrowing respiratory tract, the presence of contents in the alveoli or lack of aeration during exhalation.

Wheezing is common in people with respiratory conditions such as pneumonia, pulmonary fibrosis, bronchitis and other diseases.

They occur more frequently during inhalation than during exhalation. In most cases, wheezing is associated with inflammation and infection of the small bronchi, alveoli and bronchioles. If wheezing does not improve after coughing, it can sometimes also be a sign of pulmonary edema, a condition characterized by fluid in the alveoli due to heart failure.

Lung wheezing can be divided into weak, medium and strong. Weak wheezes can be soft, high-pitched and very short. On the other hand, severe wheezing is louder, lower-sounding, and often lasts longer.

What do they mean?

Lung wheezing can be called an abnormal noise heard from one or both lungs. Most of them form at the base of the lungs and can only be heard with a stethoscope. They usually reflect the accumulation of mucus, pus, or fluid in the airways and lungs.

Wheezing often indicates the presence of respiratory diseases such as pneumonia, bronchitis and others. They may also indicate serious heart disease, which causes a buildup or blockage of blood flow between the heart and lungs.

This symptom is quite serious and can become dangerous to health and life, urgent medical diagnostics taking into account medical history, blood tests and x-ray examination may be needed to identify and treat the underlying cause.

In medical terminology

In fact, such a concept as “wheezing in the lungs” (English “rhonchi”, “rales”) in medicine in most of Europe, North America and Australia has not been considered suitable for describing chest auscultation for decades. The main reason was the confusion of its use in the medical literature. More appropriate terms now are pulmonary crepitus, wheezing, pleural friction rub.

Therefore, this article cannot be considered as a guide for medical workers. Some of the terminology in it is not very accurate or does not apply to domestic medicine (taken from English-language medical literature). But this made it possible to make the article more understandable and simpler.

What are they?

Pulmonary wheezing can be divided into four types, all of which can help diagnose what may be the underlying cause. These types:

Moist rales or crepitus of the lungs (rales), which can be described as rumbling, gurgling or bubbling sounds, most often occurring at the end of inspiration.
Sibilant wheezes– high-pitched dry sounds from the respiratory tract when they are narrowed. The sounds are so high-pitched that they can be heard without a stethoscope.
Creaking (stridor) – similar to whistling, resulting from narrowing or blockage of the upper respiratory tract.
Dry (rhonchi)– rough, rattling respiratory sounds, usually caused by secretions in the bronchial airways. Usually heard more strongly during exhalation.

Please note that the Russian translation of this classification is very approximate. More correct are English options names in brackets.

There is also a separate description pleural friction sound. This is a sound similar to creaking skin and is often accompanied by severe pain that interferes with breathing. Normally, the pleura is covered with protective mucus, but when inflamed, this membrane can stick together, and then a characteristic sound appears on auscultation (listening).

The classification is based on materials from ausmed.com

Wheezing and dry cough

A dry cough is a cough that is not accompanied by the production of sputum (a viscous substance secreted in excess by the mucous membrane of the respiratory tract during a cold).

A dry cough accompanied by wheezing in the lungs can be a symptom of a number of health problems. For some people, this may be the result of environmental irritants, such as allergies or inhaling very dry, heated air.

If a dry cough becomes chronic, it may be a sign of other conditions, such as the flu, whooping cough, a viral infection, or a side effect of taking heart disease medications.

Wheezing when exhaling

Sound in the lungs when exhaling English language popularly often described as a “death rattle”. However, this may be caused different conditions, some of them are harmless. Although it is more normal to have it when you inhale than when you exhale.

Wheezing when you exhale can be a sign of pneumonia or a blockage or fluid buildup in the lungs. On the other hand, during inhalation they may be a sign of asthma, bronchitis or other causes.

Urgent medical diagnosis may be needed to determine what may be the underlying cause. You should consult a doctor as soon as you notice this noise coming from both or one of your lungs.

Wheezing when lying down

As mentioned, slight wheezing sounds can only be heard with a stethoscope when medical examination. However, some cases may be so severe that they can be heard even without this instrument.

Wheezing in the lungs when lying down may indicate that the nasal passages and airways are blocked by mucus. During this time the lungs are under increased pressure and they collapse over time, causing a condition known as atelectasis.

In such cases, other symptoms such as shortness of breath, chest pain, shortness of breath, cough and a feeling of suffocation may be observed. If any of these signs are present, you should seek emergency medical help.

Causes

1. Bronchitis

Bronchitis is inflammation of the bronchi. For most people acute bronchitis develops after a cold. This often occurs within a day or two depending on how strong the body's immune system is.

Chronic bronchitis does not go away without medical care. General symptoms include cough, wheezing, fatigue, shortness of breath and chills. You should see a doctor if any of these symptoms continue for a long time.

2. Obstructive pulmonary disease

This is a serious disease that requires as much care as possible quick treatment. An obstructive pulmonary disease such as asthma or cystic fibrosis can cause wheezing and wheezing. If left untreated, it can lead to more severe conditions such as bronchiectasis.

These diseases affect breathing and can cause accumulation carbon dioxide and fluids inside the lung. Continuous buildup of these products can lead to scarring, which can be manifested by noises coming from the respiratory tract.

3. Interstitial lung disease

This disease is associated with the air sacs and tissues in the lungs. It includes conditions such as sarcoidosis and rheumatoid arthritis. These conditions are known to cause scarring in the lungs, where fluid accumulates, causing wheezing.

4. Heart failure

Heart failure caused by weakening of the heart muscles viral infection or genetic disorder, may also cause sounds in the lungs. Since heart function is impaired, it is maintained high blood pressure in the arteries between the heart and lungs, which can cause blood to leak into the lungs.

5. Pneumonia

Pneumonia is an infection that causes inflammation in one or both lungs (unilateral or bilateral). When pneumonia is the cause of wheezing, there is usually a high fever, cough, fatigue, headache And severe pain in the chest.

According to the Mayo Clinic, antibiotics can be used to treat bacterial pneumonia. Aspirin and ibuprofen can be used to relieve chest pain. It is recommended to consult a doctor for proper treatment and diagnosis.

6. Pulmonary edema

Pulmonary edema is caused by excess fluid that accumulates in the air sac, making breathing difficult. Common cause Fluid accumulation is a heart problem, but it can also be caused by other causes, such as pneumonia, chest trauma, and exposure to certain toxins.

7. Pulmonary fibrosis

Pulmonary fibrosis occurs due to scarring in the lungs (usually following inflammation). This condition can manifest as difficulty breathing, chest discomfort and fatigue. Steroids and natural amino acids can be used to treat this problem.

Other treatment options include oxygen therapy, pulmonary rehabilitation and respiratory support. In severe cases surgical procedure can be used to remove fibrous formations and eliminate other symptoms.

8. Atelectasis

Atelectasis occurs when part of the lung collapses. This makes it difficult to breathe in and out. Atelectasis may result from injury or an underlying lung infection.

Treatment for this condition should begin at early stage. It will unblock the airways, helping to open the collapsed lung.

9. Asthma

Asthma is a respiratory disorder that causes the airways to swell and produce more mucus. This disease is characterized by wheezing, difficulty breathing, and coughing.

An inhaler may be used to relieve asthma symptoms such as cough, wheezing, and shortness of breath.

10. Lung infection

A viral infection in the lungs can also lead to noise, shortness of breath and cough due to blockage, irritation and inflammation of the airways.

The wheezing sound may be the result of fluid or mucus building up inside the lungs. With a lung infection, sounds can often be heard even without a stethoscope.

Treatment

Treatment may vary depending on what the underlying cause is. When diagnosing the condition, the doctor uses a stethoscope to listen to breathing. Although rare, in severe cases wheezing can sometimes be heard without a stethoscope.

To confirm the diagnosis, your doctor may need to order a chest x-ray, blood test, sputum test, or electrocardiogram to check for heart problems. The cessation of wheezing is associated with the elimination of the underlying cause.

When the reason is chronic diseases lungs, then in addition to the prescribed medication, you need to make some lifestyle changes to control the symptoms. This applies to people who smoke. General treatment options may include:

Using inhaled steroids to reduce inflammation
Oxygen therapy helps make breathing easier
Using a bronchodilator to relax and open blocked airways.

Folk remedies

When the problem is accompanied by other symptoms such as back pain, shortness of breath or runny nose, there are some effective home remedies that can be used to relieve some of these symptoms. If symptoms persist, the underlying cause must be diagnosed and treated as soon as possible.

1. Steam inhalation

Inhalation is one of the the best ways, which can be used in this case. Moisture and heat will help break down and dissolve mucus blocking your airways.

Take a basin or bowl of hot water
Add a few drops of eucalyptus oil
Bend over the container and cover yourself with a dry towel so as not to lose heat or moisture.
Carry out the procedure until you feel relief.

Ginger - excellent remedy, which should be tried in the treatment of respiratory diseases. In addition to strengthening the immune system to speed up healing, it has anti-inflammatory properties and polyphenols that can help inhibit mucus production.

Grind small pieces of ginger and place in a glass hot water
Close the glass and leave it for five minutes
Add a tablespoon of raw honey (ideally Manuka honey, although it is very expensive) and drink the mixture
You can also chew a piece of ginger.

Colds, acute respiratory viral infections and pneumonia are familiar from general fatigue, high temperature and wheezing in the lungs. But not all of these symptoms are present throughout the entire illness. After acute period during the course of infectious diseases, the patient's wheezing in the lungs persists and increases, breathing worsens, while elevated temperature not visible.

There are often cases when wheezing and whistling sounds in the lungs are not preceded by infectious diseases. In such cases, for effective treatment must be carried out full examination, since the cause may be heart failure, tumor and other diseases.

Causes of wheezing in adults without fever

To select the appropriate drug for the treatment of wheezing in the lungs when breathing, you need to know exact reason(etiology). Based on etiology, wheezing can be divided into 2 categories:

1. Pulmonary. The cause is diseases that develop as a result of infection and damage respiratory organs. The causative agents of diseases can be bacteria, viruses or pathogenic microorganisms.
2. Other diseases not associated with infection of the respiratory system. For example, pathology of the cardiovascular system. It is more common in older people.

The presence of wheezing and whistling sounds from the bronchi without fever in adults and children may indicate serious illnesses, which struck and respiratory system. Timely detection of the causes of wheezing will help avoid serious complications.

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

Other diseases that have similar symptoms include:

tuberculosis;
tumors in the lungs.

The noises that occur during exhalation are expiratory, and when inhaling, they are inspiratory.

Moist wheezing occurs when air passes through accumulated fluid in the lungs. They are divided into small, medium and large bubbles.

Wet wheezing can occur due to the following diseases:

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

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

neoplasms in the trachea;
pneumonia;
tumor;
bronchitis.

How to treat bubbling sounds in the lungs?

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

Fine bubbling wheezes during breathing cannot always be localized and detected when examined with a stethoscope. To detect the area of bubbling wheezing, the doctor orders an x-ray.

If there is severe wheezing without fever and difficulty breathing, the patient is admitted to the hospital. The patient needs to ensure respiratory function - he is connected to the apparatus artificial respiration. Having provided a safe environment, they move on to determining the causes and choosing a treatment program. When selecting medications, medications are used to relieve inflammation of the bronchi.

To treat moist rales, it is necessary to open the airflow path to the lungs. To do this, medications that thin the sputum and stimulate its release are prescribed. For the treatment to be effective, the patient is placed on bed rest, and to ensure rest and normal breathing, he is placed in a certain position.

Cysteine and Mucomist act as phlegm-thinning drugs. After liquefying the sputum, pulmonary spasms are provoked with the help of Lazolvan and Mukobene.

If, due to lack of response to treatment, hoarseness persists and sputum is not removed, the doctor revises the list of prescribed medications. When sputum appears, you should pay attention to the color and density. If the sputum is thick, green, or yellowish, you may have a serious infection.

When provoked bacterial infection antibiotics are prescribed for wheezing wide range groups:

fluoroquinol;
macrolide;
penicillin;
cephalosporin.

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

For wheezing caused by allergens, it is prescribed antihistamines general and local action.

1. Tavegil.
2. Flixonase.
3. Suprastin.
4. Loratodine.
5. Cromoghlin.

The effectiveness of treatment directly depends on compliance with bed rest, fluid intake and medications taken. At integrated approach When treating wheezing, results can be achieved much faster.

During the treatment period, you must completely abandon bad habits. Smoking negatively affects lung function, and drinking alcohol is incompatible with drug treatment.

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

ethnoscience

Works well in the fight against wheezing ethnoscience. Although she shouldn't be the only way fight against serious diseases, therapy allows you to remove severe symptoms in the form of wheezing at home, 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 Allergens can cause serious harm respiratory process with inflamed airways.

There are several safe and effective ways how to get rid of whistling in the lungs and cough:

1. Inhalation of baking soda vapor. Pour 1.5 liters of hot water into a basin and dilute 2-3 tbsp. l. baking soda until the soda is completely dissolved. 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 baking soda vapor for 10 minutes. After this procedure, thick sputum thins and begins to drain. A similar procedure carried out daily until the sputum is completely released and wheezing in the lungs disappears.
2. "Potato" therapy. All actions are similar to those described above with baking soda. The difference is that the vapors from freshly boiled potatoes are inhaled.
3. A decoction of licorice, thyme, chamomile and coltsfoot. All components are taken in equal proportions, boiled and filtered. Use the resulting decoction three times a day.
4. Decoction of birch buds. Take 30 g of kidneys and crush. Melt 100 ml in a water bath butter. Mix the two ingredients, place in a pot and place in a warm oven. The product should simmer in the oven over low heat for an hour, after which it is cooled, filtered and a glass of honey is added. Take 1 spoon 3-4 times a day.
5. Radish juice with honey. Take a root crop, cut off the top and make a niche. Honey is poured into the hole and the root crop is removed to a cool, dark place. After a day, the honey will absorb the radish juice. Take 1 tsp. 3-4 times a day.
6. Infusion of plantain, raspberries, cranberries, elderberries and eucalyptus. Eucalyptus is good at provoking bronchospasms, plantain relieves inflammation, and raspberry thins phlegm.
7. Milk with honey. Heat 300-400 ml of milk and add honey. Cook until the broth takes on a liquefied structure. Drink 200-300 ml 3-4 per day.
8. Milk with sage. Warmed milk with sage makes breathing easier and improves the patient's sleep.
9. Onion syrup. The onion is chopped, covered with sugar and infused. Take the resulting remedy several times a day until wheezing in the lungs completely disappears.

If after long-term treatment folk remedies no positive effect, necessary in mandatory contact a specialist.