When you have chronic bronchitis, a persistent inflammation of the bronchial tubes that leads to daily coughing and mucus production for at least three months, two years in a row. It's a type of COPD, chronic obstructive pulmonary disease, a group of lung conditions that make breathing hard, and it’s often caused by long-term smoking or exposure to lung irritants. Unlike a cold or flu, this isn’t something you shake off—it sticks around, and without proper care, it gets worse.
People with chronic bronchitis don’t just cough—they struggle to breathe, especially during simple tasks like walking up stairs. The airways swell, thicken, and produce way too much mucus, which blocks airflow. That’s where bronchodilators, medications that relax the muscles around the airways to open them up come in. Drugs like albuterol or tiotropium help you breathe easier, often through an inhaler. For some, adding inhaled steroids, anti-inflammatory drugs that reduce swelling in the lungs cuts down on flare-ups. But meds alone won’t fix this. The single most effective treatment? Stopping smoking. No other drug, supplement, or therapy comes close to what quitting does for your lungs.
Many people with chronic bronchitis also deal with frequent lung infections, which is why antibiotics sometimes get prescribed during bad episodes. But overusing them doesn’t help long-term—it can make future infections harder to treat. What really works is a plan: using your inhalers right, getting the flu and pneumonia shots, avoiding smoke and pollution, and staying active. You don’t need to run marathons, but walking every day helps your lungs stay stronger. And if you’re still smoking, no amount of pills will reverse the damage. The good news? Your lungs start healing within weeks of quitting, even after decades of smoking.
Below, you’ll find real-world advice on managing this condition—what medications actually work, how to avoid common mistakes with prescriptions, and how to talk to your doctor about staying on the right treatment. You’ll also see how other health issues like heart disease or sleep apnea can make chronic bronchitis worse, and what to do about it.
Chronic bronchitis and emphysema are two distinct forms of COPD with different symptoms, causes, and treatments. Learn how to tell them apart and why accurate diagnosis matters for effective care.